5.6 Work Adjustment

5.6.1 Job Function

Work adjustment trainers provide formal hands-on training for DBS consumers within the context of "real" work (training on work-related behaviors is provided in a work setting where the work performed by the consumer produces compensation for both the community rehabilitation program facility and the consumer).

5.6.2 Qualifications

Education, Training, and Experience

Work adjustment trainers must have one of the following:

  • a master's degree in rehabilitation, counseling and guidance, or psychology; or
  • a bachelor's degree in a related field (for example, education, sociology, liberal arts, etc.) and one year of full-time experience performing adjustment services or similar duties in a rehabilitation agency or organization working with individuals who have visual disabilities and/or other disabilities; or
  • a combination of training and experience with a minimum of two years' full time experience in the successful provision of services to people with disabilities. These services must be similar to those provided in vocational adjustment training.


Provider Authorization

Services must not begin until DBS has issued a service authorization and/or purchase order.

Providers must have written authorization from DBS before the provider's employee provides services to DBS consumers. No service provided by a provider's employee will be paid if the service is provided before DBS written authorization is received.



Reasonable flexibility to vary work adjustment services will be authorized in order to accommodate the specific needs of individual consumers.


Staff-to-Consumer Ratio

For the purpose of conducting work adjustment training, the staff-to-consumer ratio must not exceed one staff member to six consumers (1:6). A competent aide under the supervision of the work adjustment trainer may be used if the number of DBS consumers receiving work adjustment training at the same time is more than six but not more than ten consumers.

5.6.3 Service Delivery

Scope of Services

Work adjustment services are designed to assist consumers in the following areas.

  1. Address the consumer's work behaviors.
  2. Motivate the consumer to:
    • perform productive work,
    • be self-reliant,
    • accept supervision, and
    • interact appropriately with co-workers.
  3. Help the consumer develop:
    • work tolerance,
    • good work practices (including safety and speed), and
    • job-readiness skills based on community standards.

Work adjustment services may also include training in other job-related skills such as:

  • social skills,
  • daily living skills,
  • effective communication,
  • grooming and hygiene,
  • problem solving, and
  • goal setting.


Documenting Work Adjustment Training

DARS2955, Consumer Services Report: Work Adjustment Progress Report for individual consumers must be signed by the work adjustment trainer who conducted the training and submitted to the consumer's counselor or case manager upon completion of training.

5.6.4 Performance Measures

DBS considers the following questions in measuring provider performance:

  • Did the provider meet the consumer's work adjustment training needs as requisitioned by the consumer's counselor or case manager?
  • Has the provider met DBS contract specifications?
  • Has the provider performed all contractual services in a professional manner in accordance with the requirements detailed in this manual?
  • If a staff member who provides contract services to DBS consumers was hired during the contract period, did the provider submit a staff information sheet to CPCSC before the new employee provided services to DBS consumers?
  • If a staff member who provides contract services to DBS consumers resigned during the contract period, did the provider inform CPCSC of the staff member's resignation no later than the employee's last day?
  • Was all work adjustment training conducted with a staff-to-consumer ratio of no more than one to six?
  • Were all training records and activity sheets for each consumer completed and signed by the direct service provider (the trainer who actually provided the training)?
  • Has the provider adhered to DBS confidentiality standards?
  • Has the provider submitted all required reports in accordance with DBS specifications or standards?
  • Has the provider submitted fully completed invoices (including required attachments such as travel logs if applicable) within 35 calendar days following service completion?