WHO IS ACCREDITED?

Private Organization Accreditation

Children's Home Society of Florida delivers a unique spectrum of social services designed to protect children at risk of abuse, neglect or abandonment; to strengthen and stabilize families; to help young people break the cycle of abuse and neglect; and to find safe, loving homes for children.
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VOLUNTEER TESTIMONIAL

Mike Angstadt

Volunteer Roles: Commissioner; Hague Evaluator; Lead Evaluator; Peer Reviewer; Team Leader

Serving as a Team Leader for COA has been an enriching experience in many ways. Utilizing the Contextual Accreditation process to discern the means in which agencies, offering a variety of services, located throughout the US, Canada ,the Philippines and other countries provide best and most promising practices to their consumers has been particularly rewarding. 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 4: Restrictive Behavior Management Intervention Training

Personnel who use restrictive behavior management interventions are trained and evaluated on an annual basis.

Interpretation: COA recommends that organizations evaluate training programs and models to select a comprehensive and safe curriculum for use with personnel and service recipients.

NA The organization prohibits the use of 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 4 Practice standards.
2
Practices are basically sound but there is room for improvement, as noted in the ratings for the BSM 4 Practice standards.
3
Practice requires significant improvement, as noted in the ratings for the BSM 4 Practice standard; and/or
  • One of the BSM 4 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 4 Practice standards; and/or
  • Two or more of the BSM 4 Fundamental Practice Standards received a 3 or 4 rating.

Table of Evidence

Self-Study Evidence On-Site Evidence On-Site Activities
    • Table of contents for personnel restrictive behavior management training curriculum
    • Training schedules
    • Procedures for analyzing the effectiveness of each segment of training
    • Training curriculum that addresses BSM 4.01
    • Documentation of restrictive behavior management training provided
    • Interview:
      1. Clinical or program directors
      2. Supervisors
      3. Relevant personnel

  • FP
    BSM 4.01

    Personnel designated to use restrictive behavior management interventions receive annual training on permitted interventions, including:

    1. proper and safe use of interventions, including when it is appropriate to use a restrictive intervention and time limits for use;
    2. understanding the experience of being placed in seclusion or a restraint, including the medical and therapeutic risks related to restrictive interventions and the resulting consequences of the misuse of restrictive interventions, including trauma and retraumatization;
    3. response techniques to prevent and reduce injury;
    4. evaluating and assessing physical and mental status, including signs of physical distress, vital indicators, and nutritional, hydration, and hygiene needs;
    5. readiness to discontinue use of the intervention;
    6. when medical or other emergency personnel are needed; and
    7. documentation and debriefing. 

    Update:

    • Revised Standard - 05/07/18

    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 curriculum related to one of the elements is not fully developed or lacks depth; or
    • A few personnel have not been retrained within 12 months but are scheduled to be retrained within 30 days.
    3
    Practice requires significant improvement; e.g.,
    • The curriculum related to two of the elements is not fully developed or lacks depth; or
    • More than a few personnel have not been retrained within 15 months but are scheduled to be retrained.
    4
    Implementation of the standard is minimal or there is no evidence of implementation at all.
    • The curriculum related to three or more of the elements is not fully developed or lack depth; or
    • One of the elements is not covered at all; or
    • More than a few personnel have not been retrained within 15 months and there is no schedule for retraining; or
    • Personnel consistently do not receive training.

  • FP
    BSM 4.02

    Personnel who receive training on restrictive behavior management interventions receive a post-test and are observed in practice to ensure competency.

    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.,
    • Competency procedures need minor clarification; or
    • Staff have been trained but a few did not receive a post-test.
    3
    Practice requires significant improvement; e.g.,
    • A significant number of staff did not receive a post-test; or
    • A few were not observed in practice.
    4
    Implementation of the standard is minimal or there is no evidence of implementation at all;
    • Staff do not routinely receive a post-test or are not observed in practice.
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