WHO IS ACCREDITED?

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.
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ORGANIZATION TESTIMONIAL

The Village for Families & Children, Inc.

Galo A. Rodriguez, M.P.H., President & CEO

COA Peer Reviewers demonstrated their expertise through their knowledge of COA standards as well as experience in the behavioral health field. In addition, COA’s seminars and tools were very helpful in guiding us through the accreditation process.
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Purpose

Child Protective Services protect children from abuse and neglect and increase child well-being and family stability.

CPS 7: Assessment

Families participate in an individualized, strengths-based, family-focused, and culturally responsive assessment that informs service and permanency planning.

Update:

  • Added Interpretation - 10/31/17
     

Interpretation: The Assessment Matrix - Private, Public, Canadian, Network determines which level of assessment is required for COA’s Service Sections.The assessment elements of the Matrix can be tailored according to the needs of specific individuals or service design.

Interpretation: Tribal representatives, or individuals with knowledge of the tribe and tribal customs, should be involved in the assessment to improve the quality of the assessment by ensuring that it is culturally grounded and involves the family and tribal community.

NA The organization does not conduct assessments.

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
  • Culturally responsive assessments are the norm and any issues with individual staff members are being addressed through performance evaluations (HR 6.02) and training (TS 2.05); or
  • Active client participation occurs to a considerable extent; or
  • Diagnostic tests are consistently and appropriately used, but interviews with staff indicate a need for more training (TS 2.08).
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
  • Assessment and reassessment timeframes are often missed; or
  • Assessment are sometimes not sufficiently individualized;
  • Culturally responsive assessments are not the norm and this is not being addressed in supervision or training; or
  • Staff are not competent to administer diagnostic tests , or tests are not being used when clinically indicated; or
  • Client participation is inconsistent; 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.,
  • There are 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
    • Assessment procedures
    • Copy of the assessment tool
No On-Site Evidence
    • Interview:
      1. Program director
      2. Supervisors
      3. Relevant personnel
    • Review case records

  • CPS 7.01

    The family is the primary source of information about the need for service.

    Interpretation: Collateral sources of information should be sought to help confirm or enhance assessment information. The organization adapts the assessment process to protect the safety of victims of domestic violence.

    Interpretation: Extended family members may participate in the assessment process if their involvement is appropriate.


  • CPS 7.02

    The information gathered for assessments:

    1. includes underlying conditions and environmental and historical factors that may contribute to concerns identified in initial screening, investigation, and risk and safety assessments;
    2. identifies child and family strengths, protective factors, and needs;
    3. includes the potential impact of maltreatment on the child;
    4. includes factors and characteristics pertinent to making an appropriate placement, if necessary;
    5. identifies potential family resources for the child and the parents; and
    6. is limited to material pertinent for providing services and meeting objectives.

    Interpretation: The child’s extended family and other community members should be considered as valuable family resources for the child and the parents.


  • CPS 7.03

    Assessments are conducted in a strengths-based, culturally responsive manner to identify values, beliefs, practices, and resources that can increase service participation and support the achievement of agreed upon goals.

    Interpretation: Culturally responsive assessments can include attention to geographic location, language, political status, tribal affiliation, and religious, racial, ethnic and cultural background. Other important factors that contribute to a responsive assessment include attention to age, sexual orientation, and developmental level.


  • CPS 7.04

    Assessments are completed within timeframes established by the organization and are updated periodically.

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