Private Organization Accreditation

Children's Home Society of Florida delivers a unique spectrum of social services designed to protect children at risk of abuse, neglect or abandonment; to strengthen and stabilize families; to help young people break the cycle of abuse and neglect; and to find safe, loving homes for children.


Judy Kay, LCSW

Volunteer Roles: Peer Reviewer; Team Leader

In administration for 22 of 24 years at Child Saving Institute, a COA-accredited not-for-profit child welfare agency in Omaha, Nebraska. Retired approximately two years ago, I moved to Tucson, Arizona, where I advocate for children's rights as a Court Appointed Special Advocate (CASA) volunteer to three young children.
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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 7: Services for Families

The individual, family, and organization work together to achieve an optimal level of family participation.

Rating Indicators
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.
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.
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.
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 for involving the family of the primary person served
No On-Site Evidence
    • Interview:
      1. Clinical or program director
      2. Relevant personnel
      3. Individuals or families served
    • Review case records

  • DTX 7.01

    The organization encourages active family participation in the treatment process, including participation in family counseling, unless such involvement is contraindicated.

    Interpretation: Family members of adults are encouraged to participate in services as appropriate for the individual.

  • DTX 7.02

    The organization engages family members by demonstrating:

    1. sensitivity to the willingness of the family to be engaged;
    2. a non-threatening manner;
    3. respect for the person’s autonomy and confidentiality;
    4. flexibility; and
    5. persistence.

  • DTX 7.03

    When involvement of family members or significant others is difficult to achieve, in accord with the wishes of the individual, the organization:

    1. attempts to reestablish contacts and positive interactions between family members through activity and educational programs;
    2. provides individual and group counseling to family members or significant others who accept services; and
    3. aids individuals in identifying ways to build and enhance a social support system.

  • DTX 7.04

    The families or significant others of participants are offered services including:

    1. family psycho-education;
    2. emotional support and therapy;
    3. linkage to community and support services;
    4. care coordination, as needed; and
    5. self-help referrals.
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