WHO IS ACCREDITED?

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.
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ORGANIZATION TESTIMONIAL

Advantage Credit Counseling Service

Mary Loftus, VP, Agency Service

Our agency is preparing for reaccreditation under the Eighth Edition Standards. The COA site is well organized and very easy to use. Our team of employees working on the reaccreditation process has found the tools index to be very helpful, particularly some of the templates.
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Purpose

Individuals who participate in Opioid Treatment Programs improve social, emotional, and vocational functioning, achieve optimal productivity, and attain the recovery they seek.

OTP 1: Access to Service

Individuals are promptly admitted for services.

Rating Indicators
1
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.
2
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.
3
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.
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
    • Access procedures
    • Blank consent form
    • Interview:
      1. Clinical or program director
      2. Relevant personnel
      3. Persons served
    • Review case records
    • Observe facilities

  • OTP 1.01

    Services are provided in a welcoming environment that is conducive to rehabilitation, and operating hours are based on the needs of the service population.


  • FP
    OTP 1.02

    Pregnant women and individuals with urgent needs and emergency medical or psychiatric situations receive priority admission.


  • FP
    OTP 1.03

    Prior to admission each service recipient, or a parent or legal guardian, completes and signs a consent form.


  • OTP 1.04

    Individuals under 18 years of age are eligible for treatment only if they have experienced two documented, unsuccessful attempts at short-term detoxification or drug-free treatment.


  • OTP 1.05

    Service recipients have emergency access to staff 24 hours a day, seven days a week.


  • OTP 1.06

    The organization does not serve individuals receiving services from other OTPs, except in extenuating circumstances, and the case record contains:

    1. results of a review to determine if the person is enrolled in another OTP; and
    2. justification of extenuating circumstances as determined by the medical director or physician, when they exist.

  • OTP 1.07

    The organization is responsible for the safety and quality of services provided via information and communications technology. 

    NA The organization does not provide services via information and communications technology. 

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