WHO IS ACCREDITED?

Private Organization Accreditation

Northside Psychological Services is a combination of both private practice and community mental health provider. We provide services to children and adults (EAP, private insurance, private pay, etc.) in our private practice setting. In our Community Care Program, we provide services to children and adolescents in their homes.
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ORGANIZATION TESTIMONIAL

Orange County Government, Youth & Family Services Division

Rodney J. Hrobar Sr., LMHC, CPP, Quality Assurance Manager

As the lead agency in Orange County, providing the safety net for children and families, it is reassuring that our clients can be confident that their needs will be addressed in accordance with the most stringent standards of public, as well as private, accountability as monitored and reviewed by the Council on Accreditation. 
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Purpose

Adoption programs establish permanent family relationships for children in need of permanency, and increase the well-being, functioning, and stability of children, birth parents, adoptive families, and adopted individuals.

AS 11: Post-Placement and Post-Adoption Support and Family Preservation

A comprehensive continuum of post-placement and post-adoption services are available to ensure safety, well-being, and long-term stability and permanency.

Interpretation: Whenever possible, services provided by others should be provided by adoption competent professionals with experience in trauma informed care and when American Indian or Alaska Native children or families are in need of services, resources offered by the tribe or a local Indian organization should be considered and prioritized.

Note:  All individuals involved in an adoption have their own unique experiences and needs related to adoption. People may experience few or frequent needs, minimal or extensive needs, and may experience those needs at any point in time throughout their lives.

NA The organization provides homestudy services only.

Rating Indicators
1
All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice standards.
2
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice standards; e.g., 
  • Minor inconsistencies and not yet fully developed practices are noted, however, these do not significantly impact service quality; or
  • Procedures need strengthening; or
  • With few exceptions procedures are understood by staff and are being used; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations (HR 6.02) and training (TS 2.03); or
  • Active client participation occurs to a considerable extent.
3
Practice requires significant improvement, as noted in the ratings for the Practice standards. Service quality or program functioning may be compromised; e.g.,
  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Aftercare planning is not initiated early enough to ensure orderly transitions; or
  • Client participation is inconsistent; or
  • One of the Fundamental Practice Standards received a rating of 3 or 4.
4
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice standards; e.g.,
  • There are no written procedures, or procedures are clearly inadequate or not being used; or
  • Documentation is routinely incomplete and/or missing; or  
  • Two or more Fundamental Practice Standards received a rating of 3 or 4.

Table of Evidence

Self-Study Evidence On-Site Evidence On-Site Activities
    • Procedures for responding to crisis situations
    • Procedures for the provision of or referral to preventive, supportive, intensive and therapeutic post-placement services
    • A list of post-placement services provided directly by the agency and a list of services provided by other providers and other resources or information provided to persons served
    • Procedures for post-placement monitoring, visits, and reports
    • Reports related to any adoption related crisis situations reviewed through risk management or performance and quality improvement activities
    • Interviews may include:
      1. Program director
      2. Relevant personnel
      3. Clients
    • Review case records

  • AS 11.01

    The program provides or refers children, youth, adoptive parents, adoptive families, and adopted adults to an array of preventive and supportive services including:

    1. information, education, and counseling;
    2. social and cultural events and activities;
    3. preventive care for medical, developmental, and mental health needs;
    4. respite care; and
    5. support and advocacy groups.

    Interpretation: Examples of common adoption related issues which may benefit from preventive and supportive services may include:  

    • difficulties with grief or feels of loss or abandonment;
    • challenges in developing trust and establishing and maintaining relationships;
    • identify formation;
    • difficulty navigating developmental milestones and events such as birthdays, holidays, addition of children to the home, death of a family member; and
    • unknown medical, developmental or mental health history or issues.

    Support for transracial and transcultural adoptions can include cultural and social events such as picnics, camps, educational activities, and heritage tours.

      Note: Engaging families in social activities and basic supportive services can help to keep them connected to the program and increase their likelihood of requesting help when more significant needs emerge.


    • AS 11.02

      The program provides or refers children, youth, adoptive parents, adoptive families, and adopted adults to an array of intensive and therapeutic services when needed including:

      1. medical, developmental, and psychological evaluations;
      2. crisis intervention services;
      3. individual, group, and family counseling and therapy;
      4. early intervention and other developmental and educational supports;
      5. mental health and substance abuse services; and
      6. medical or rehabilitative care and residential treatment.


    • AS 11.03

      The program completes required post-placement and post-adoption visits to monitor and assess safety, permanency, and well-being and has strategies and procedures in place for encouraging full participation and compliance with visits and reports.

        Interpretation: Agencies have developed a variety of strategies with mixed results to encourage participation. Examples of strategies some programs have used to promote completion of visits include: 

        1. making visit and report requirements known in advance through the contract and training;
        2. keeping the family engaged with the program through social and other supportive services; and
        3. requiring families to pay refundable deposits or pay post-placement fees in advance. 


      1. FP
        AS 11.04

        The program acts promptly in situations where the placement is in crisis, a child may be in danger, or where conduct relating to the adoption may be in question.  

        Interpretation: Examples include situations where:

        1. the placement may be at risk of disruption or dissolution;
        2. adoptive parents are considering, planning or have completed an unregulated custody transfer;
        3. allegations of child abuse or neglect are made;
        4. a child discloses a prior history of being a victim of sexual abuse or human trafficking;
        5. a child experiences a mental health crisis or suicide attempt; and
        6. a question or concern is raised about the consents to the adoption or other fraudulent or unethical conduct relating to the adoption.


      2. FP
        AS 11.05

        When the program believes that a child is in danger if he or she remains in the placement or that the placement is no longer in the child’s best interests, the program acts promptly, in accordance with all applicable legal and regulatory requirements, to report the situation to the appropriate authorities and assist as needed with transitioning the child to another appropriate placement.  

        Interpretation: In an international adoption that is not considered a final placement, the program must coordinate with the primary provider, foreign central authority and the Department of State, and in all international adoptions the program should take appropriate steps to prevent the return of the child to the country of origin without authorization from the foreign central authority and the Department of State.    
         


      3. AS 11.06

        The program provides information, counseling and support for individuals interested in searching for and making contact with relatives, complies with applicable confidentiality requirements, and respects the expressed preferences of individuals involved in the adoption.  


      4. AS 11.07

        When a child is placed prior to the final adoption order the program takes steps to ensure an order declaring the adoption final is sought by the prospective adoptive parents, and when the adoption is an international adoption, the program takes steps to ensure the child’s US citizenship is obtained and documentation of the final adoption order and citizenship is maintained.


      5. AS 11.08

        The program provides or refers birth parents to supportive services including:

        1. information and counseling;
        2. the ability for the program to receive and maintain updated medical or social information, including, as appropriate, contact information so that it could be made available to the adoptee in accordance with applicable requirements; and
        3. support and advocacy groups.

        Note: If the program works on cases where the birth parents’ rights were involuntarily terminated, the program should consult with the public agency or its designee to determine what services, if any, would be appropriate for the program to provide directly to birth parents. In intercountry adoptions, it is unlikely for the program to have contact with birth parents. In either instance, the program should at a minimum have procedures to address element (b) of the standard.
         

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