DH services focuses on skill acquisition/development, retention/maintenance to assist the individual in achieving maximum self-sufficiency. DH services assists the individual to acquire, improve and retain the self-help, socialization and adaptive skills necessary to reside successfully in the community. Fundamental skills are a foundation for further learning, such as etiquette in a public setting, recognition of money, proper clothing attire for the time and setting, answering phone, etc. Examples of DH services include, but are not limited to, utilizing etiquette skills at a restaurant, checking out a book at a library, mailing a letter, exchanging money for purchases, etc. This does not only occur in the facility, but on a regular basis in the community to use in a real life situations. DH services differ from the PA services in that a PA may directly perform activities or may support the individual to learn how to perform ADL’s and Instrumental Activities of Daily Living (IADL’s) as part of the service.