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.


Barry Gourley

Volunteer Roles: Endorser; Peer Reviewer

It is an honor to be a COA volunteer. I’ve had a great opportunity to work with fabulous COA volunteers, I’ve grown professionally in the COA accreditation process and I’ve met some wonderful people across this nation who are working hard to help and support children and families.
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Individuals and families that use Housing Stabilization and Community Living Services obtain and maintain stable housing in the community and strengthen personal support systems in order to live as independently as possible.

HSCL 7: Services for Pregnant and Parenting Families

The organization provides services, either directly or by referral, which support child development and family functioning in a child-friendly and safe environment.

Interpretation: Programs that provide some or all supportive services listed in HSCL 7 through collaborative arrangements with other service providers need to show evidence of coordination with and monitoring of services received from collaborating organizations.

Interpretation: Family life and parenting practices are often disrupted during periods of housing instability and homlessness, which can negatively affect the well-being of parents and their children. To support stability, family functioning, and minimize stress, families should be allowed to follow their schedules, routines, and rituals to the greatest extent possible during their stay.

NA The organization does not serve pregnant service recipients or families with children.

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
    • A description of services
    • A description of services and supports for expectant and parenting service recipients
    • Educational curricula for expectant and parenting service recipients
    • Information describing age appropriate recreational and educational activities
    • Procedures for coordinating educational services
    • Procedures and data for evaluating referral resources
    • Procedures outlining how to make appropriate referrals
    • Written agreements with collaborating organizations
    • Documentation in case records for referrals made in response to identified service needs
    • Evidence of coordination with and monitoring of services received from collaborating organizations
    • Interview:
      1. Program director
      2. Relevant personnel
      3. Individuals or families served
    • Review case records
    • Observe facilities and settings

  • HSCL 7.01

    The organization maintains families as a unit and keeps sibling groups together.

    Interpretation: If maintaining a family as a unit is contraindicated, other appropriate placement alternatives may be considered.

    NA The organization does not serve families with children.

  • HSCL 7.02

    The organization evaluates the educational status and needs of children and youth, and:

    1. informs youth and parents of their educational rights;
    2. connects children ages 0-5 with early childhood learning programs;
    3. coordinates educational services with relevant school districts;
    4. assists high school students with Free Application for Federal Student Aid and college applications; and
    5. assists children and youth to stay current with the curricula.

    Interpretation: Regarding element (e), children and youth should have access to a quiet space for reading, studying, and help with school assignments.

    NA The organization does not serve families with children.

  • HSCL 7.03

    The organization meets the developmental needs of children and youth by:
    1. facilitating connections to early intervention and trauma-specific services, as necessary;
    2. informing parents of age-appropriate developmental milestones; and
    3. sharing age- and developmentally-appropriate parenting skills and techniques with parents.


    NA The organization does not serve families with children.

  • HSCL 7.04

    The organization provides, or arranges for, age-appropriate recreational and educational activities in a physical environment that is childproofed and encourages play and physical activity.

    Interpretation: Indoor and outdoor play spaces provide a safe environment with age, developmentally, and culturally appropriate toys and equipment. Examples include: sensory materials, books in the languages spoken by residents, art materials, sorting/stacking toys, and gross-motor equipment. All toys and equipment must be installed and used according to the manufacturer’s instructions. 

    NA The organization does not serve families with children.

    NA The organization only provides homelessness prevention and rapid re-housing services.

  • HSCL 7.05

    Pregnant service recipients are provided or linked with specialized services that include, as appropriate:

    1. pregnancy counseling;
    2. prenatal health care;
    3. genetic risk identification and counseling services;
    4. fetal alcohol syndrome screening;
    5. labor and delivery services;
    6. postpartum care;
    7. mental health care;
    8. pediatric health care, including well-baby visits and immunizations;
    9. peer counseling services; and
    10. children’s health insurance programs.

    Interpretation: Regarding element (g), expectant mothers should be screened for depression, informed about postpartum depression, and connected to available support and treatment services.
    Interpretation: Young residents may need more intensive services that are developmentally appropriate for adolescence and early adulthood. 

    NA The organization does not serve pregnant service recipients.

  • HSCL 7.06

    Pregnant and parenting service recipients are helped to develop skills and knowledge related to:

    1. basic caregiving routines;
    2. child growth and development;
    3. meeting children’s social, emotional, and physical health needs;
    4. environmental safety and injury prevention;
    5. parent-child interactions and bonding;
    6. age-appropriate behavioral expectations and appropriate discipline; 
    7. family planning; and 
    8. establishing a functioning support network of family members or caring adults.

    Interpretation: Organizations should tailor how topics are addressed based on service recipients’ needs. For example, when serving expectant parents or parents of young children, education on environmental safety and injury prevention should address topics such as safe practices for sleeping and bathing.  

    Interpretation:  When an organization does not provide linkages to family planning services because doing so is counter to its mission or beliefs, the organization should disclose this fact to service recipients and provide individuals with a list of other community providers that offer pregnancy support and education services.

    NA The organization does not serve pregnant or parenting service recipients.

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