WHO IS ACCREDITED?

Private Organization Accreditation

Germaine Lawrence is a residential treatment center for girls ages 12-18 with complex behavioral, psychological and learning challenges.   Girls live at our programs while receiving special education, individual, family and group therapy; psychiatric and primary medical care; and a wide variety of therapeutic activities and interventions.
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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.
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Purpose

Adults with serious and persistent mental illness who participate in Psychiatric Rehabilitation Services achieve their highest level of self-sufficiency and recovery through gains in personal empowerment, hopefulness, and competency.

CA-PSR 4: Rehabilitation Plan

Each person participates in the development and ongoing review of a rehabilitation plan that supports:

  1. the attainment of agreed upon goals;
  2. improvement in the person’s quality of life and ability to manage within the community; and
  3. development of desired skills.

Interpretation: If the person is receiving services from any other of the organization’s programs, the rehabilitation plan may be part of the overall service plan.

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
  • In a few instances client or staff signatures are missing and/or not dated; 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
  • In a number of instances client or staff signatures are missing and/or not dated (CA-RPM 7.04); or
  • Quarterly reviews are not being done consistently; or
  • Level of care for some clients is inappropriate; or
  • Service planning is often done without full client participation; or
  • Appropriate family involvement is not documented; or
  • Documentation is routinely incomplete and/or missing; or
  • Assessments are done by referral source and no documentation and/or summary of required information present in case record; 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
    • Rehabilitation planning procedures
    • Documentation of case review
    • Interview:
      1. Clinical or program director
      2. Relevant personnel
      3. Individuals or families served
    • Review case records

  • CA-PSR 4.01

    The rehabilitation plan is:

    1. based on the strengths and needs identified in the assessment;
    2. developed in a timely manner with the full participation of the service recipient and their family, as appropriate; and
    3. expedited when crisis or urgent need is identified.

    Update:

    • Revised Standard - 02/07/18

    Interpretation: Rehabilitation planning is conducted so that the service recipient retains as much personal responsibility and self-determination as possible and desired. Individuals with limited ability in making independent choices receive help with making or learning to make decisions.

    Interpretation: Family members should always be included in the service planning when appropriate, as determined by the service recipient. If the service recipient determines that it is not appropriate, it should be documented as such.


  • CA-PSR 4.02

    A family-centred rehabilitation plan is developed with the participation of the service recipient’s family and/or significant others when agreed to by the person.


  • CA-PSR 4.03

    The service recipient, family members as appropriate, and personnel collaboratively develop a written, individualized rehabilitation plan that is based on the assessment and supports:

    1. attainment of service goals;
    2. improvement in the person’s quality of life and ability to manage within the community; and
    3. development of desired skills.

  • CA-PSR 4.04

    The rehabilitation plan, includes:

    1. agreed upon goals, desired outcomes, and timeframes for achieving them;
    2. services and supports to be provided, and by whom; and
    3. the service recipient’s signature.

  • CA-PSR 4.05

    During service planning the organization explains:

    1. available options; and
    2. the benefits, alternatives, and consequences of planned services.

  • CA-PSR 4.06

    The rehabilitation plan addresses, as appropriate:

    1. services provided by other programs and/or providers;
    2. unmet service and support needs;
    3. psychological and emotional needs;
    4. vocational goals;
    5. cultural interests;
    6. possibilities for maintaining and strengthening family relationships;
    7. development of life skills, including preparation to work or continuation of schooling; and
    8. the need for support of the service recipient’s informal social network.

    Interpretation: Experiences with family rejection and capacity for increasing family acceptanace and support are a part of the assessment for family relationships. It also includes culturally appropriate education and guidances to help service recipients identifying as part of the LGBT community to decrease family rejection and increase family support.


  • CA-PSR 4.07

    The worker and a supervisor, or a clinical, service, or peer team, review the rehabilitation plan at least quarterly, or as frequently as deemed necessary by the service provider and supervisor, to assess:

    1. service plan implementation;
    2. progress towards achieving service goals and desired outcomes; and
    3. the continuing appropriateness of the service goals.

    Update:

    • Revised Standard - 02/07/18

    Interpretation: Experienced workers may conduct reviews of their own cases. In such cases, the worker’s supervisor reviews a sample of the worker’s evaluations as per the requirements of the standard.

    Interpretation: Timeframes for service plan reviews should be adjusted depending upon: issues and needs of the service recipient; changes in the service recipient’s life situations or psychological conditions; and frequency and intensity of services provided.


  • CA-PSR 4.08

    The worker and service recipient regularly review progress towards achievement of agreed upon goals and sign revisions to service goals and plans.


  • CA-PSR 4.09

    Family members and significant others, as appropriate, and with the consent of the service recipient are advised of ongoing progress and invited to participate in case conferences.

    Interpretation: The organization facilitates the participation of family and significant others by, for example, helping arrange transportation, or including them in scheduling decisions.

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