WHO IS ACCREDITED?

Private Organization Accreditation

Stillwater-based FamilyMeans provides services in budget and credit counseling, mental health, collaborative divorce, caregiver support, youth programming, and an employee assistance program. 
read more >>

ORGANIZATION TESTIMONIAL

Nuevo Amanecer Latino Children's Services

Galo A. Rodriguez, M.P.H., President & CEO

Since Nuevo Amanecer Latino Children’s Services pursued its COA accreditation on October 14, 2004, this corporation has sustained a continuous quality improvement process by not looking whom to blame among the involved parties but improving what we have already done well… because good enough is not good enough.
read more>>

Purpose

The organization’s behavior support and management policies and practices promote positive behavior and protect the safety of service recipients and staff.

FOC
BSM 2: Behavior Support and Management Practices

A culture and structure exists within every facility and foster home that promotes respect, healing, and positive behavior and prevents the need for restrictive behavior management interventions.

Rating Indicators
1
The organization's practices fully meet the standard, as indicated by full implementation of the practices outlined in the BSM 2 Practice standards.
2
Practices are basically sound but there is room for improvement, as noted in the ratings for the BSM 2 Practice standards.
3
Practice requires significant improvement, as noted in the ratings for the BSM 2 Practice standard; and/or
  • One of the BSM 2 Fundamental Practice Standards received a 3 or 4 rating.
4
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the BSM 2 Practice standards; and/or
  • Two or more of the BSM 2 Fundamental Practice Standards received a 3 or 4 rating.

Table of Evidence

Self-Study Evidence On-Site Evidence On-Site Activities
    • Copy of written behavior support and management philosophy and procedures provided to service recipients and/or parents/legal guardians
    • Procedures that address harassment and violence towards other service recipients, personnel, and, as applicable, foster parents
    • Protocol for obtaining consent
    • Procedures for screening and/or assessing service recipients for potential need/risk regarding behavior management support and management interventions, including contraindications
    • For organizations using restrictive behavior management interventions, procedures for developing behavior management plans
    • Protocol for notifying parents/guardians of incidents and use of restrictive interventions
    • Interview:
      1. Parents/legal guardians
      2. Persons served
      3. Relevant personnel
    • Case record review

  • FP
    BSM 2.01

    The organization:

    1. provides an explanation for and offers a copy of its written behavior support and management philosophy and procedures to service recipients or their parents or legal guardians at admission;
    2. informs service recipients or parents or legal guardians of strategies used to maintain a safe environment and prevent the need for restrictive behavior management interventions;
    3. has procedures that address harassment and violence towards other service recipients, personnel, and, as applicable, foster parents;
    4. obtains the service recipient’s or parent’s or legal guardian’s consent when restrictive behavior management interventions are part of the treatment modality; and
    5. when the service recipient is a minor, notifies the parents or legal guardians promptly when the minor is involved in an incident involving harassment or violence or when a restrictive intervention was used.

    Interpretation: COA recognizes that it may be difficult for organizations providing residential juvenile justice services to involve youths’ parents or legal guardians, especially when youth are placed outside of their communities and far from their families; however, organizations should still strive to involve families to the extent possible. In any instance when promptly notifying parents or legal guardians in the wake of an intervention proves difficult, the organization should document its efforts to initiate contact in the case record. See JJR 4.03 for guidance on ways to minimize barriers to family participation.

    Interpretation: Consent should be reviewed on an annual basis. The service recipient, and/or parent or legal guardian, has the right to refuse consent to treatment and the organization may determine that the individual cannot be served as a result of refusal. When an organization serves youth involved with the juvenile justice system and services are involuntary, obtaining consent may not be relevant.

    Research Note: The service recipient, and/or parent or legal guardian, has the right to refuse consent to treatment and the organization may determine that the individual cannot be served as a result of refusal. Such consent should not exceed one year.

    Rating Indicators
    1
    The organization's practices reflect full implementation of the standard.
    2
    Practices are basically sound but there is room for improvement; e.g., 
    • Procedures need minor clarification; or
    • One of the required elements is not fully addressed.
    3
    Practice requires significant improvement;  e.g., 
    • Two of the elements are not fully addressed; or
    • One element is not addressed at all; or
    • Annual consents as delineated in the interpretation are not consistently obtained; or
    • Parents or legal guardians are frequently not notified.
    4
    Implementation of the standard is minimal or there is no evidence of implementation at all; e.g.,
    • Three or more of the elements are not fully addressed; or
    • Two of more of the elements are not addressed at all.

  • BSM 2.02

    Personnel and foster parents support positive behavior by:

    1. developing positive relationships with service recipients;
    2. building on strengths and reinforcing positive behavior; and
    3. responding consistently to all incidents of harassment or violence.

    Note: Staff and foster parent training on the organization’s approach to promoting positive behavior is addressed in BSM 3.02.

    Rating Indicators
    1
    The organization's practices reflect full implementation of the standard.
    2
    Practices are basically sound but there is room for improvement; e.g., 
    • One of the elements is not fully addressed but training is being offered to personnel and/or foster parents.
    3
    Practice requires significant improvement; e.g.,
    • Two of the elements are not fully implemented and training is not sufficient or consistently provided.
    4
    Implementation of the standard is minimal or there is no evidence of implementation at all; e.g.,
    • One of elements is not addressed at all.

  • FP
    BSM 2.03

    The organization prohibits the use of behavior management interventions:

    1. by service recipients, peers, or any person other than trained, qualified staff, or foster parents;
    2. as a form of punishment or discipline;
    3. for the convenience of staff or foster parents;
    4. in response to property damage that does not involve imminent danger to self or others; and
    5. when contraindicated in the individual’s service or behavior plan. 

    Interpretation: As referenced in BSM 1.02, organizations serving youth involved with the juvenile justice system may also be authorized to use restrictive interventions to prevent escapes or protect property, but should only do so when absolutely necessary, as referenced throughout these standards.

    NA The organization prohibits the use of restrictive behavior management interventions.

    Rating Indicators
    1
    The organization's practices reflect full implementation of the standard.
    2
    Practices are basically sound but there is room for improvement; e.g., 
    • There have been a few instances of prohibited interventions, but corrective action was implemented immediately.
    3
    Practice requires significant improvement; e.g.,
    • There have been a few instances of prohibited interventions, and no evidence of immediate and appropriate corrective action.
    4
    One or more of the prohibited intervention is consistently being used.

  • FP
    BSM 2.04

    The organization screens service recipients to determine the potential need for appropriate restrictive behavior support and management interventions.

    Interpretation: Organizations that prohibit restrictive interventions may conduct a program-wide assessment of the potential risk of harm by or to clients or staff.

    Rating Indicators
    1
    The organization's practices reflect full implementation of the standard.
    2
    Practices are basically sound but there is room for improvement; e.g., 
    • The screening assessment needs clarifying.
    3
    Practice requires significant improvement; e.g.,
    • Screening practices are not consistently done for all clients; or
    • The organization prohibits the use of restrictive behavior management interventions but does not conduct a program- wide assessment as delineated in the interpretation.
    4
    The organization does not prohibit the use of restrictive behavior management interventions and each service recipient does not have a screening and/or have documentation of a screening in the case record.

  • FP
    BSM 2.05

    Service recipients identified as being in need of restrictive behavior management interventions are assessed for:

    1. antecedents to harassing, violent, or out-of-control behavior;
    2. the effectiveness of previous uses of behavioral interventions;
    3. psychological and social factors that can influence use of such interventions; and
    4. medical conditions or factors that could put the person at risk.

    Interpretation: Medical factors may include issues related to use of medications, such as an insulin imbalance. Psychological and social factors may include psychosis, history of abuse or other trauma, or claustrophobia.

    Interpretation: This standard is typically related to BSM 2.04. However, when organizations serving youth involved with the juvenile justice system also use restrictive behavior management interventions for other purposes (such as to prevent escapes during transport), any youth who might be subject to these interventions should be assessed for the factors listed in this standard, regardless of whether the screening addressed in BSM 2.04 indicates risk of harm to self or others.

    Research Note: A common traumatic element is the massive control of one person over another. For individuals with a history of abuse or other trauma, undergoing a restrictive behavior management intervention can be extraordinarily retraumatizing.

    NA The organization prohibits the use of restrictive behavior management interventions.

    Rating Indicators
    1
    The organization's practices reflect full implementation of the standard.
    2
    Practices are basically sound but there is room for improvement; e.g., 
    • Procedures need clarifying or do not adequately address one of the elements.
    3
    Practice requires significant improvement; e.g.,
    • Procedures related to two of the elements need clarifying.
    4
    Implementation of the standard is minimal or there is no evidence of implementation at all; e.g.,
    • Behavioral assessments do not address one of the elements.

  • BSM 2.06

    A behavior support and management plan is based on assessment results and:

    1. identifies strategies that will help the person de-escalate their behavior and prevent harassing, violent, or out-of-control behavior;
    2. specifies interventions that may or may not be used;
    3. is modified as necessary; and
    4. is developed and signed by the person, his/her parent or legal guardian, and the foster parent or personnel, as appropriate.

    Note: The behavior support plan, sometimes called a crisis plan, can be part of, and reviewed with, the overall service or treatment plan.

    Note: Organizations serving youth involved with the juvenile justice system should refer to the Interpretation in BSM 2.01 regarding the involvement of youths’ parents or legal guardians.

    NA The organization prohibits the use of restrictive behavior management interventions.

    Rating Indicators
    1
    The organization's practices reflect full implementation of the standard.
    2
    Practices are basically sound but there is room for improvement; e.g., 
    • One of the elements needs strengthening; or
    • There are a few instances where signatures were missing.
    3
    Practice requires significant improvement; e.g.,
    • Two of the elements need strengthening or one of the elements is not addressed; or
    • There is no evidence that the plans, once developed, are rarely reviewed or updated; or
    • Most plans are not signed.
    4
    Implementation of the standard is minimal or there is no evidence of implementation at all.
Copyright © 2017 Council on Accreditation. All Rights Reserved.  Privacy Policy and Terms of Use