WHO IS ACCREDITED?

Private Organization Accreditation

Family Services of Southeast Texas strengthens families through accessible, affordable counseling services and education for issues affecting family life, mental health and employment.  We also provide comprehensive domestic violence shelter and support services.
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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 with cognitive, psychiatric, behavioral, and/or substance use conditions and serious emotional disturbances who receive Day Treatment Services improve psychosocial, educational, vocational, and cognitive functioning, and learn to manage their symptoms.

DTX 6: Interdisciplinary Program

Participants regularly attend an interdisciplinary program of treatment, education, and activity that fosters active participation and incorporates available social supports.

Interpretation: The availability of social supports to individuals varies, and incorporation of supports should be to the greatest extent possible.

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 (HR 6.02) and training (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
    • A description of services
    • Provide procedures for obtaining clearance for persons served to participate in the described activities
    • Interview:
      1. Clinical or program director
      2. Relevant personnel
      3. Individuals served
    • Review case records

  • DTX 6.01

    The day treatment program:

    1. aids in the transition from in-patient to out-patient care;
    2. addresses needs not met by less intensive programming;
    3. offers an alternative to more restrictive care; and
    4. works with individuals and other providers to ensure continuity of care.

  • DTX 6.02

    Participants are engaged in therapeutic activities designed to develop and maintain a normalizing routine, enhance personal and interpersonal skills and behaviors, and address identified problem areas.


  • DTX 6.03

    Services are appropriate to the program model and the service population and the program includes:

    1. individual and group treatment;
    2. family therapy;
    3. educational programming;
    4. psychoeducational groups;
    5. medication evaluation and monitoring;
    6. expressive therapies;
    7. recreational activities;
    8. pre-vocational training;
    9. independent living skills training; and
    10. other planned, structured activities.

    Interpretation: While programs should include all service areas identified in elements a through i, the structure and content of these services will vary depending on the program model, the needs of the service population, and the needs of each individual.

    Note: Refer to DTX 6.07 for further requirements around planning day treatment activities and refer to DTX 8 for further requirements around education services.


  • DTX 6.04

    Participants are helped to develop and expand their informal support networks, including connections with friends, extended family, and community members.

    Research Note: Early research indicates that the availability of social support has a positive association with clinical outcomes.


  • DTX 6.05

    Therapeutic programming provides scheduled sessions for a minimum of:

    1. nine hours per week in intensive outpatient programs; or
    2. sixteen to twenty hours per week in partial hospitalization programs.

    Interpretation: Outpatient day treatment programs may operate for fewer than nine hours per week when the frequency and intensity of services is appropriate to individual needs and a rationale is provided in individual service plans.


  • DTX 6.06

    The organization helps individuals establish and strengthen links to needed support services, including:

    1. supported housing;
    2. supported employment;
    3. medical care;
    4. substance use treatment;
    5. public benefits;
    6. child care;
    7. educational services;
    8. respite care; and
    9. peer support.

  • DTX 6.07

    When planning day treatment activities the organization takes into account group characteristics and the individual’s:

    1. age and developmental level;
    2. emotional stability;
    3. personality;
    4. skills; and
    5. gender.

  • DTX 6.08

    A program that serves a mix of individuals who live in residential care and in the community ensures that:

    1. residents and non-residents receive a comprehensive program that is tailored to individual needs;
    2. mechanisms for communication between day and residential programs are in place; and
    3. responsibilities of residential and day programs are clearly delineated.

    NA The organization does not serve a mixed population of residents and non-residents.


  • FP
    DTX 6.09

    Individuals and involved family members participate in the development of a crisis plan and an advanced mental health directive consistent with applicable law or regulation, when appropriate.

    Interpretation: Advanced mental health directives, also known as advanced psychiatric directives, enable a person with a mental illness to make decisions about the mental health care they want to receive when they may be incapacitated. Advanced mental health directives go into effect if the person is unable to make decisions for him/herself and are revocable. Advanced directives frequently address such issues as: preferences for hospitals, medications, and specific interventions; and designating a person to make decisions about their care on their behalf.


  • FP
    DTX 6.10

    The organization evaluates service recipients for their ability to participate in athletic activities and obtains as necessary:

    1. written, signed permission slips from service recipients’ legal guardians;
    2. a medical records release;
    3. a signed document from a qualified medical professional stating that the service recipient is physically capable of participating; or
    4. an adult waiver and release of liability. 

    Update:

    • Revised Standard - 03/15/17
      Standard was revised to only address athletic activities. Elements b-d were added to the standard. 

    NA The organization does not offer athletic activities to service recipients.

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