Private Organization Accreditation

Debt Education and Certification Foundation (DECAF), a private non-profit 501(c)(3) organization, provides high-quality financial education and counseling, with nationwide outreach throughout the U.S. DECAF is HUD-approved, and recognized as one of the 100 Best Companies to Work for in Texas.


Holy Family Institute

Sister Linda Yankoski, President/CEO

The Council On Accreditation provides all stakeholders involved in the delivery of social services the assurance that the organization is credible, effective, and is committed to quality improvement. The COA process is an important tool for anyone involved in leading an organization to establish best practices and maintaining and updating these practices over time.
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Juvenile Justice Residential Services promote public safety by providing youth with a supportive, structured setting that helps them address their needs and develop the attitudes and skills needed to make responsible choices, avoid negative behaviors, and become productive, connected, and law-abiding citizens.

JJR 6: Health Services

Youth receive health services and guidance that promote good health and well-being.

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 health services
    • Health related procedures
    • Health education material
    • Interview:
      1. Program director
      2. Relevant personnel
      3. Youth served
    • Verify employment of qualified medical practitioner either directly or via contract
    • Review case records

  • FP
    JJR 6.01

    Youth receive a health assessment conducted by a qualified medical practitioner that includes:

    1. a health examination within seven days of admission; and
    2. a dental screening within seven days of admission, and a dental examination within sixty days of admission.

    Interpretation: If the organization obtains a health record showing that the youth recently received a dental examination, it may not be necessary to conduct another examination within sixty days of admission.  In those cases, the organization should ensure that the examination is conducted within six months of the date the last exam was completed (e.g., if the youth had an exam two months before admission, the next exam should occur within four months after admission).  Dental screenings should still occur according to the timeframes referenced in the standard.

    Note: Screenings for urgent risks and needs are addressed in JJR 1.02.

    Note: Regarding element (b) of the standard, the organization will receive a rating of 2 if it: (1) conducts screenings to identify any urgent dental needs, and ensures the follow-up services needed to address these needs are provided, (2) ensures youth have access to services if dental issues arise after the screening, and (3) ensures that all youth receive a dental examination within six months of admission, with appropriate follow-up thereafter.

  • FP
    JJR 6.02

    Youth receive services needed to address any health-related issues identified during the assessment and have access to ongoing health care, including sick call, by a qualified medical practitioner.

  • FP
    JJR 6.03

    In case of emergency, a physician or other qualified medical practitioner assumes 24-hour on-call medical responsibility.

    Interpretation: It is permissible to use a local medical facility for emergency services, provided the organization has a written agreement with the facility.

  • JJR 6.04

    Health records include a written summary of the youth’s known medical history, including immunizations, operations, illnesses, prior reactions to medications, and allergies.

    Interpretation: Copies of the medical history should be provided to youth or their legal guardians upon request.

  • JJR 6.05

    To promote physical health and development of healthful habits, youth are provided with nutritious meals and snacks, and engaged in adequate exercise.

  • JJR 6.06

    To promote their ability to maintain better health practices, youth receive appropriate support and education regarding:

    1. proper nutrition and exercise;
    2. personal hygiene;
    3. substance use and smoking;
    4. sexual development;
    5. safe and healthy relationships;
    6. prevention and treatment of diseases, including sexually transmitted diseases;
    7. HIV/AIDS prevention; and
    8. pregnancy prevention and responsible parenting.

    NA The organization provides only detention services.

  • JJR 6.07

    Direct service workers promote good health habits and healthy living.

  • FP
    JJR 6.08

    Pregnant youth 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. pediatric care, including well-baby visits and immunizations; and
    8. children’s health insurance programs.

    NA The organization does not serve pregnant youth.

  • JJR 6.09

    Pregnant youth are educated about the following prenatal health topics:

    1. fetal growth and development;
    2. the importance of prenatal care;
    3. nutrition and proper weight gain;
    4. appropriate exercise;
    5. medication use during pregnancy;
    6. effects of tobacco and substance use on fetal development;
    7. what to expect during labor and delivery; and
    8. benefits of breastfeeding.

    Interpretation: These topics may be addressed by qualified medical personnel in the context of the prenatal health care referenced in JJR 6.08.

    NA The organization does not serve pregnant youth.

    NA The organization provides only detention services.

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