WHO IS ACCREDITED?

Private Organization Accreditation

White's Residential & Family Services is Indiana's largest social services agency offering accredited and comprehensive residential, foster care, independent living, adoption, and home-based services.
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ORGANIZATION TESTIMONIAL

Family Services of the North Shore

Kathleen Whyte, Manager of Human Resources / Accreditation Coordinator

Family Services of the North Shore is about to enter our third accreditation cycle with COA. Accreditation has provided us with a framework that enables us to demonstrate accountability to our clients, our funders and our donors. There is no question that the accreditation process and COA have benefited our agency.
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Purpose

Youth participating in Psychosocial Services (CA-YPS) receive community based services that facilitate childhood development and resiliency using a holistic approach that improves family functioning and increases child well-being and safety.

CA-YPS 1: Service Philosophy, Modalities, and Interventions

The service philosophy:

  1. sets forth a logical approach for how program activities and interventions will meet the needs of youth;
  2. ensures that services are youth-guided, family-driven, culturally and linguistically competent, and trauma-informed;
  3. guides the implementation and development of program activities and services based on the best available evidence of effectiveness; and
  4. outlines the service modalities and interventions that personnel may employ.

Interpretation: A program model or logic model can be a useful tool to help staff think systematically about how the program can make a measurable difference by drawing a clear connection between the service population’s needs, available resources, program activities and interventions, program outputs, and desired outcomes.

Research Note: Regarding element b, organizations that are family-driven empower, educate, engage, and promote voice and choice of families. Offering youth decision-making power in their treatment leads to greater feelings of involvement and investment in their treatment.

Research Note: Best practice supports building healthy relationships between youth and adults in their life, which is associated with resiliency and modifying the negative impact of future adversity.

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
  • Written service philosophy needs improvement or clarification; or
  • Procedures need strengthening; or
  • With few exceptions procedures are understood by staff and are being used; 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 rare instances required consent was not obtained; or
  • Monitoring procedures need minor clarification; or
  • With few exceptions the policy on prohibited interventions is understood by staff, or the written policy needs minor clarification.
3
Practice requires significant improvement, as noted in the ratings for the Practice standards. Service quality or program functioning may be compromised; e.g.,
  • The written service philosophy needs significant improvement; or
  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Documentation is inconsistent or in in some instances is missing and no corrective action has not been initiated; or
  • Required consent is often not obtained; or
  • A few personnel who are employing non-traditional or unconventional interventions have not completed training, as required; or
  • There are gaps in monitoring of interventions, as required; or
  • Policy on prohibited interventions does not include at least one of the required elements; or
  • Service philosophy is not clearly related to expressed mission or programs of the organization; 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.,
  • There is no written service philosophy; or
  • There are no written policy or 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
    • Service philosophy
    • Procedures for the use of therapeutic interventions
    • Policies for prohibited interventions
    • Documentation of training and/or certification related to therapeutic interventions
    • Interview:
      1. Clinical or program director
      2. Relevant personnel
      3. Individuals or families served
    • Review Case Records

  • CA-YPS 1.01

    The program is guided by a philosophy that provides a logical basis for the services and support to be delivered to youth in a trauma-informed and culturally and linguistically competent manner, based on program goals and the best available evidence of service effectiveness.


  • FP
    CA-YPS 1.02

    Prior to providing any therapeutic interventions, the organization: 

    1. explains any benefits, risks, side effects, and alternatives to the youth or a primary caregiver;
    2. obtains the written, informed consent of the individual and his/her primary caregiver;
    3. ensures that personnel receive sufficient training, and/or certification when it is available; and
    4. monitors the use and effectiveness of such interventions.

    Interpretation: Organizations that choose to engage in modalities or interventions that do not have an established evidence base should ensure that practices do not cause physical or psychological harm by demonstrating in their procedures that they have acknowledged the potential risks of implementing such methods and subsequently taken appropriate measures to minimize risks.


  • FP
    CA-YPS 1.03

    Organization policy prohibits:

    1. corporal punishment;
    2. the use of aversive stimuli;
    3. interventions that involve withholding nutrition or hydration, or that inflict physical or psychological pain;
    4. the use of demeaning, shaming, or degrading language or activities;
    5. forced physical exercise to eliminate behaviours;
    6. unwarranted use of invasive procedures or activities as a disciplinary action;
    7. punitive work assignments;
    8. punishment by peers; and
    9. group punishment or discipline for individual behaviour.


  • FP
    CA-YPS 1.04

    An intervention is discontinued immediately if it produces adverse side effects or is deemed unacceptable according to prevailing professional standards.

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