Private Organization Accreditation

Southeastern Regional Mental Health, Developmental Disabilities and Substance Abuse Services is a Local Management Entity, covering the geographic areas of Bladen, Columbus, Robeson, and Scotland counties. SER ensures continuity of care to consumers through access to a quality of care system available 24/7/365 days a year through management of our network provider services.


Barry Gourley

Volunteer Roles: Endorser; Peer Reviewer

It is an honor to be a COA volunteer. I’ve had a great opportunity to work with fabulous COA volunteers, I’ve grown professionally in the COA accreditation process and I’ve met some wonderful people across this nation who are working hard to help and support children and families.
read more>>


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 6: Child and Youth Permanency

The organization participates in or facilitates permanency planning with residents and their families and/or legal guardians to promote physical, emotional, and legal permanence for children. 

Interpretation: Permanency planning is a child-centred process that aims to ensure children have enduring relationships that last a lifetime, offer the social and legal status of family membership, and support their connections with extended family, non-custodial parents, and others identified by the child such as teachers, clergy, mentors, and to their cultures and communities of origin.

When the organization is not responsible for facilitating permanency planning, it documents all participation in the process and any efforts to connect children to positive relationships with significant adults. 

In addition, organizations demonstrate their role in supporting timely permanency planning through regular case record documentation and official reports which comment on children’s and/or families’ progress towards permanency goal(s).

Note: Throughout this section of standards (CA-GLS 6), the term “children” includes infants, toddlers, school- age children, and youth. 

NA The organization does not provide out-of-home care for children in the custody of a public authority/agency.

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
    • Permanency planning procedures
    • Procedures for finding and notifying kin 
No On-Site Evidence
    • Interview:
      1. Program director
      2. Relevant personnel
      3. Persons served
    • Review case records

  • CA-GLS 6.01

    In compliance with applicable legislation, regulations and/or contracts,  permanency planning occurs with children and families according to the following standard timeframes:

    1. within 60 days of placement a court-determined permanency plan is developed;
    2. at least every 6 months a court or administrative review of progress towards permanency occurs;
    3. within 12 months of placement, and every 12 months thereafter, a permanency hearing evaluates the permanency goal and  determines the need for an alternative goal; and
    4. after a child has been in placement for 15 of the most recent 22 months, a legally-exempted permanency decision is made or proceedings are initiated for the termination of parental rights.

    Interpretation: Permanency planning should occur with the team of people that support and provide services for the family, as appropriate.  This planning often occurs in conjunction with service planning.  Resource parents are notified and entitled to participate in any review or hearing. 

    The length of time a child has been in care cannot be the only justification for terminating parental rights. In order to support parents that are actively making progress towards reunification but need more time, the organization can work with the public authority to determine a compelling reason for not filing for the termination of parental rights. The mental health status and readiness of the child should also be taken into consideration when assessing permanency goal.  

    NA The organization only provides services to children in which there is no dependency/family court involvement. 

  • CA-GLS 6.02

    Permanency planning is child-driven and children are actively involved in the process as appropriate to their age and developmental level.

    Interpretation: Child-driven permanency planning involves youth at every stage of the process including conversations about what permanency means to them, the discovery of extended family and other significant adults, and the formation of a permanency team that will support their desired outcomes and have an ongoing role in their lives. 

    Children’s ages should not limit the consideration of all permanency options.

  • CA-GLS 6.03

    The organization collaborates with children, parents, and the local child welfare agency to identify, notify, and engage relatives, non-custodial parents, and other close, supportive adults that can be resources or supports for placement and permanency. 

    Interpretation: The organization is expected to be diligent and purposeful in identifying and engaging supportive resources. As appropriate to their role, organizations should have established procedures for identification of kin that involves a combination of engaging children and family members in identification and the use of technological resources for family-finding. Notification should be provided in multiple forms, including written form in order to ensure accountability and maintain a record of efforts to notify.  

    Research Note: Family-finding efforts support the increased identification and involvement of incarcerated parents and their families in the permanency plan. Unless the court has determined that reasonable efforts to support reunification are suspended, public agencies are mandated to work with incarcerated parents as with other parents. This involvement is important for children’s well-being and may increase motivation for incarcerated parents to work for reunification or participate in the development of an alternative plan.

  • CA-GLS 6.04

    Concurrent planning includes:

    1. early, preliminary, and reasoned assessment of the potential for reunification, the best interests of the child, and the need for an alternative plan;
    2. full disclosure to all involved parties of permanency options, expectations, and legal timelines;
    3. early identification and involvement of potential family resources including non-custodial parents, relatives of incarcerated parents, extended family members, family members outside of the country, and family-like supports; 
    4. early placement with a permanent family resource or pre-adoptive resource family; and
    5. counseling parents about relinquishment and permanency options if needed.

    Interpretation: Legislation, regulations and/or contracts may provide guidance about when concurrent planning is appropriate, and how concurrent planning is to be conducted. When concurrent planning is not formalized, workers can be proactive with regard to the early identification of different permanency options for children, as is the intention of concurrent planning. 

  • CA-GLS 6.05

    Case records document efforts made to support parents towards reunification, including:

    1. involvement in service planning, decision-making and service selection;
    2. access to needed services; 
    3. ongoing, constructive, and progressive contact and time spent with the child;
    4. reduction of barriers to contact, time together, and involvement in the child’s care; and
    5. use of formal and informal resources, supports, and community services to prepare the family for reunification and aid in the transition process.

    Interpretation: Documentation must be in a format legally admissible as evidence to facilitate court proceedings.

    NA The organization does not provide services to parents. 

Copyright © 2019 Council on Accreditation. All Rights Reserved.  Privacy Policy and Terms of Use