WHO IS ACCREDITED?

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.
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ORGANIZATION TESTIMONIAL

Advantage Credit Counseling Service

Mary Loftus, VP, Agency Service

Our agency is preparing for reaccreditation under the Eighth Edition Standards. The COA site is well organized and very easy to use. Our team of employees working on the reaccreditation process has found the tools index to be very helpful, particularly some of the templates.
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Purpose

Individuals who participate in Opioid Treatment Programs improve social, emotional, and vocational functioning, achieve optimal productivity, and attain the recovery they seek.

CA-OTP 14: Opioid Treatment During Pregnancy

The organization provides comprehensive, coordinated treatment services that address medical, prenatal, obstetrical, psychosocial, and addiction concerns for pregnant women.

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
  • 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.
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
  • 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.
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
    • Procedures that address the provision of prenatal care for pregnant women served
    • Information about education and support groups
    • Procedures for withdrawal from methadone for pregnant women
    • Procedures that address monitoring pregnant women and addicted newborns
    • Copies of information provided directly to persons served regarding potential risk for pregnant women
    • Referral procedures
    • Educational curricula and written materials that address potential risk for pregnant women
    • Interview:
      1. Medical director
      2. Relevant personnel
      3. Persons served
    • Review case records

  • CA-OTP 14.01

    Pregnant women are given priority for both interim maintenance therapy and comprehensive maintenance therapy, in accordance with their needs.


  • CA-OTP 14.02

    Organization policies and procedures address the special needs of pregnant women, including:

    1. maintenance at the pre-pregnancy medication dose for women who become pregnant during treatment; 
    2. dosing protocols for newly admitted pregnant women that are equivalent to those used for all other service recipients;
    3. carefully monitoring the methadone dose, especially during the third trimester of pregnancy; and
    4. provision of treatment services for pregnant women with concurrent HIV infection.


  • CA-OTP 14.03

    The organization coordinates and provides prenatal care for pregnant women, including a health evaluation, either directly or by referral to outside medical services, to address their special needs.


  • FP
    CA-OTP 14.04

    Pregnant women who receive opioid treatment are informed about the possible risks associated with:

    1. the effects of treatment on unborn children;
    2. continued use of drugs; and
    3. withdrawal from opioid treatment medication during pregnancy.

  • FP
    CA-OTP 14.05

    When withdrawal from opioid treatment medication is initiated for pregnant women, such withdrawal:

    1. is conducted under the supervision of a physician;
    2. takes place, when possible, in a prenatal unit equipped with foetal monitoring equipment and with regular foetal assessments; and
    3. is not initiated before 14 weeks, nor after 32 weeks, gestation.

    Interpretation: The standard requires a pregnancy test to be performed before withdrawal is initiated.


  • CA-OTP 14.06

    The organization provides parent education and support groups, directly or by referral, that address:

    1. healthy mother-infant interactions;
    2. signs, symptoms, and effects of neonatal abstinence syndrome; and
    3. resources to treat neonatal abstinence syndrome. 

    Interpretation: Parent education addresses topics to improve mother-infant interactions related to maternal, physical, and dietary care, including for example the promotion of breast-feeding.


  • FP
    CA-OTP 14.07

    The program is responsible for ensuring that newborns are medically evaluated if signs or symptoms of neonatal abstinence syndrome appear follosing hospital discharge. 

    Interpretation: Programs that do not have responsibility for the care and treatment of newborns should provide education, information, and referral to ensure that mothers who have infants that may be susceptible to health issues seek comprehensive evaluation and treatment for the infant.

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