Private Organization Accreditation

HeartShare assist individuals with developmental disabilities through education, day, residential and recreation programs, case management, and health services, and provides foster care/adoption services, counseling, after school and energy assistance programs, and programs for people with HIV/AIDS.


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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Group Living Services allow individuals who need additional support to regain, maintain, and improve life skills and functioning in a safe, stable, community-based living arrangement.

GLS 11: Services for Substance Use Conditions

The organization provides substance use prevention and recovery services.

Note: GLS 11 applies to all group living programs regardless of the population served to emphasize and support prevention and recovery for residents with substance use conditions. In addition, programs whose primary service is residential substance use treatment will also complete the standards for Services for Mental Health and/or Substance Use Disorders (MHSU).

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 providing or arranging substance use prevention and recovery services
    • List of referral resources for substance abuse services
    • Documentation of residents with co-occurring conditions
    • Interview:
      1. Program director
      2. Relevant personnel
      3. Residents
    • Review case records

  • GLS 11.01

    The organization provides or makes formal arrangements with appropriate organizations to provide substance use prevention and education services according to the needs and developmental stage of the resident population.

  • GLS 11.02

    The organization maintains a list of referral resources for a full continuum of services to meet the needs of residents with alcohol and other substance use-related problems.

    Interpretation: Organizations can maximize the likelihood of a successful referral by creating MOUs or linkage agreements with providers that specialize in substance use prevention and recovery services. These types of arrangements should outline the services provided, the goals and objectives of the collaboration, and the roles and responsibilities of all parties involved.

  • GLS 11.03

    Referrals to self-help or peer support group services are provided to individuals and family members as appropriate.

    Interpretation: Organizations’ policies and/or procedures should promote referrals to culturally and linguistically competent service providers when possible.

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