Private Organization Accreditation

HeartShare assist individuals with developmental disabilities through education, day, residential and recreation programs, case management, and health services, and provides foster care/adoption services, counseling, after school and energy assistance programs, and programs for people with HIV/AIDS.


Brewer-Porch Children's Center

James W. Thompson, Executive Director

The COA standards as applied to the operations at Brewer-Porch Children’s Center at The University of Alabama has given the administration an opportunity to examine best practice and improve the quality of care provided to clients.
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Group Living Services allow individuals who need additional support to regain, maintain, and improve life skills and functioning in a safe, stable, community-based living arrangement.

CA-GLS 10: Services for Pregnant and Parenting Residents

The organization utilizes a family-driven treatment model to empower pregnant and parenting residents and supports and promotes the well-being of their children and other family members.

Note: “Parenting residents” refers to residents that bring their children with them to the treatment program. Organizations will be responsible for determining whether a child should be admitted to the treatment program.

Research Note: Best practice on women’s substance use, dependence, and treatment suggests that relationships, especially with family members and children, play an important role in women’s substance use, treatment, and relapse. Integrated programs providing family-focused substance use treatment have shown efficacy in reducing substance use, higher rates of treatment completion, higher rates of post-treatment sobriety, improved parenting skills, as well as developmental improvements in the children accompanying them to care.  

NA The organization does not serve pregnant and/or parenting residents.

Rating Indicators
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.
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
  • For the most part, established timeframes are met; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations (CA-HR 6.02) and training (CA-TS 2.03); or
  • Active client participation occurs to a considerable extent.
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
  • Timeframes are often missed; or
  • A number of client records are missing important information  or
  • Client participation is inconsistent; or
  • One of the Fundamental Practice Standards received a rating of 3 or 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.,
  • 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
    • A description of services
    • Procedures for linking children to services and providing ongoing monitoring and follow-up
    • Procedures for evaluating educational needs and collaborating with schools
    • Policy prohibiting corporal punishment
No On-Site Evidence
    • Interview:
      1. Program director
      2. Relevant personnel
      3. Residents
      4. Residents’ children
    • Review case records

  • CA-GLS 10.01

    The organization provides or arranges for children accompanying their parents in residential care to receive services that address, as appropriate:

    1. health and medical needs;
    2. mental health needs;
    3. trauma history; 
    4. educational and recreational needs; 
    5. social needs;
    6. developmental needs, including any developmental delays; 
    7. attachment to parents and extended family; and
    8. behavioral issues. 

    Interpretation: Many children accompanying their parents in care are in need of therapeutic, health, developmental, and other services to address specific delays and conditions. Simply allowing the children to stay with their mothers is not adequate to meet the needs of the family. Older children may need additional services such as substance abuse education or treatment services, such as tobacco cessation. 

    NA The organization does not allow residents to bring their children to the treatment program. 

  • CA-GLS 10.02

    To promote child safety and well-being, the organization supports residents’ efforts to care for and nurture their children, and:

    1. offers age-appropriate programming that meets children’s social, emotional, cognitive, and physical needs; or
    2. links children with appropriate services offered by other community providers.

    Interpretation: Examples of appropriate programming services can include play groups, recreational activities, educational activities, counseling, and therapeutic services. Additional services for younger children may include therapeutic day care, Head Start, and other early childhood programs. Examples of programs for older youth may include peer support groups, afterschool programs and tutoring, recreational activities, and employment assistance. 

    NA The organization does not allow residents to bring their children to the treatment program. 

  • CA-GLS 10.03

    Organizations evaluate the educational status and needs of school-age children and youth and:

    1. inform residents of their children’s educational rights;
    2. help residents coordinate educational services with relevant school districts; and
    3. assist children and youth to stay current with the curricula.

    Research Note: Older youth often deal with problems related to delinquency, low academic performance and grade failure, learning disabilities, poor peer relationships, lack of a suitable homework environment, and truancy.

    NA The organization does not allow residents to bring their children to the treatment program. 

  • CA-GLS 10.04

    The organization provides or arranges child care while the resident is receiving treatment services. 

    NA The organization does not allow residents to bring their children to the treatment program. 

  • FP
    CA-GLS 10.05

    To promote positive parenting practices, the organization:

    1. prohibits corporal punishment of children by either the parent or provider; 
    2. promotes, encourages, and educates both parents and providers about alternatives to corporal punishment; and 
    3. provides or refers parents to parent education classes or workshops.

    Interpretation: The organization must have a board-approved policy that prohibits corporal punishment and should maintain documentation that all providers and residents are informed of this policy.

    NA The organization does not allow residents to bring their children to the treatment program. 

  • CA-GLS 10.06

    Pregnant residents are provided or linked with specialized services that include, as appropriate:

    1. pregnancy counseling;
    2. prenatal health care;
    3. genetic risk identification and counseling services;
    4. fetal alcohol syndrome screening;
    5. labor and delivery services;
    6. postpartum care;
    7. mental health care;
    8. pediatric health care, including well-baby visits and immunizations; 
    9. peer counseling services; and
    10. children’s health insurance programs.

    Interpretation: Regarding element (f), expectant mothers should be screened for depression, informed about postpartum depression, and connected to available support and treatment services. 

    NA The organization does not serve pregnant residents.

  • CA-GLS 10.07

    Pregnant residents are educated about the following prenatal health topics:

    1. fetal growth and development;
    2. the importance of prenatal care;
    3. nutrition and proper weight gain;
    4. appropriate exercise;
    5. medication use during pregnancy;
    6. effects of tobacco and substance use on fetal development;
    7. what to expect during labor and delivery; and
    8. benefits of breastfeeding.

    Interpretation: These topics may be addressed by qualified medical personnel in the context of prenatal health care.

    NA The organization does not serve pregnant residents.

  • CA-GLS 10.08

    Pregnant and parenting residents are helped to develop skills and knowledge related to:

    1. basic caregiving routines;
    2. child growth and development;
    3. meeting children’s social, emotional, and physical health needs;
    4. environmental safety and injury prevention;
    5. parent-child interactions and bonding;
    6. age-appropriate behavioral expectations and appropriate discipline; 
    7. family planning; and 
    8. developing supportive relationships with family members or caring adults and establishing a functioning support network.

    Interpretation: Organizations should tailor how topics are addressed based on service recipients’ needs. For example, when serving expectant parents or parents of young children, education on environmental safety and injury prevention should address topics such as safe practices for sleeping and bathing.  

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