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.


Mike Angstadt

Volunteer Roles: Commissioner; Hague Evaluator; Lead Evaluator; Peer Reviewer; Team Leader

Serving as a Team Leader for COA has been an enriching experience in many ways. Utilizing the Contextual Accreditation process to discern the means in which agencies, offering a variety of services, located throughout the US, Canada ,the Philippines and other countries provide best and most promising practices to their consumers has been particularly rewarding. read more>>


Juvenile Justice Case Management Services coordinate the services and supervision that can help youth address problems and develop the attitudes and skills needed to make responsible choices, avoid negative behaviors, and become productive, connected, and law-abiding members of their communities.

JJCM 3: Service Planning

Youth participate in the development of service plans that are the basis for delivery of appropriate support, services, and supervision.

Interpretation: When the organization provides case management services to youth in residential placements, the organization should partner with personnel at the residential facility to develop an appropriate plan.

When services are provided as aftercare that follows another more intensive program, “service plans” may actually be “reentry plans” developed before youth were released from their previous placements. However, the organization is still expected to partner with personnel at those previous placements to facilitate effective planning and ensure that the standards are implemented.

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
  • In a few instances client or staff signatures are missing and/or not dated; 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
  • In a number of instances client or staff signatures are missing and/or not dated (RPM 7.04); or
  • Quarterly reviews are not being done consistently; or
  • Level of care for some clients is inappropriate; or
  • Service planning is often done without full client participation; or
  • Appropriate family involvement is not documented; or
  • Documentation is routinely incomplete and/or missing; 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.
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
    • Service planning procedures
No On-Site Evidence
    • Interview:
      1. Program director
      2. Relevant personnel
      3. Youth served and their families
    • Review case records

  • JJCM 3.01

    A service plan is developed in a timely manner, and expedited service planning is available when needed.

    Interpretation: Organizations providing aftercare services should strive to develop plans before youth are released from their previous placements, as referenced in the Interpretation to JJCM 3.

  • JJCM 3.02

    Youth, their family members, and relevant personnel are involved in developing service plans.

    Interpretation: Relevant personnel can include personnel from other organizations and agencies. For example, as referenced in the Interpretation to JJCM 3, organizations providing case management to youth in residential placement should partner with personnel at the residential facility, and organizations providing aftercare services should partner with staff at the youth’s previous placement. Regardless of personnel involved, service planning should be conducted so that youth retain as much personal responsibility as possible and appropriate.

    Although COA recognizes that engaging family members can be difficult, organizations should still strive to involve them to the extent possible and appropriate, and must follow any applicable laws or regulations requiring the involvement of parents or legal guardians. See JJCM 3.04, 3.05 5.07, and 6.04 for further information and guidance regarding the participation of parents or legal guardians and other family members.

  • JJCM 3.03

    During service planning the organization explains:

    1. the range of services available;
    2. how the organization can support the achievement of desired outcomes;
    3. how youth and their progress will be monitored;
    4. any special terms or conditions, including conditions ordered by the court or public authority with jurisdiction over the youth;
    5. benefits to be gained if the plan is fulfilled; and
    6. possible consequences of noncompliance.

    Interpretation: Relevant terms or conditions can include, but are not limited to: mandated curfews, school attendance, and drug testing.

  • JJCM 3.04

    The service plan is based on the assessment and includes:

    1. desired goals and outcomes, and timeframes for achieving them;
    2. services and supports to be provided, and by whom;
    3. any unmet service and support needs;
    4. the level of supervision needed, including the number and type of contacts required; and
    5. the signature of the youth and a parent or legal guardian.

    Interpretation: Like assessments, service plans should be responsive to the age, developmental level, gender, language, religion, race, ethnicity, cultural background, and sexual orientation of youth, as well as to the characteristics of, and resources available in, the communities in which they reside.

    Note: See the Interpretation to JJCM 3.02.

  • JJCM 3.05

    The organization encourages family involvement by:

    1. including family members in scheduling decisions;
    2. allowing participation through teleconferencing;
    3. assisting with transportation and childcare, as needed and to the extent possible; and
    4. helping personnel develop and maintain positive relationships with family members.

    Interpretation: Personnel should demonstrate: (a) sensitivity to the willingness of the family to be engaged; (b) respect for family members’ autonomy and confidentiality; (c) a non-threatening manner; (d) flexibility; and (e) persistence.

    Note: See the Interpretation to JJCM 3.02.

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