WHO IS ACCREDITED?

Private Organization Accreditation

Family Services of Southeast Texas strengthens families through accessible, affordable counseling services and education for issues affecting family life, mental health and employment.  We also provide comprehensive domestic violence shelter and support services.
read more >>

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.
read more>>

Purpose

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

OTP 21: Personnel Qualifications

The organization retains, or contracts with, personnel who are credentialed to work with service recipients.

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., 
  • With some exceptions, staff (direct service providers, supervisors, and program managers) possess the required qualifications, including: education, experience, training, skills, temperament, etc., but the integrity of the service is not compromised.
    • Supervisors provide additional support and oversight, as needed, to staff without the listed qualifications.
    • Most staff who do not meet educational requirements are seeking to obtain them.
  • With some exceptions staff have received required training, including applicable specialized training.
    • Training curricula are not fully developed or lack depth.
    • A few personnel have not yet received required training.
    • Training documentation is consistently maintained and kept up-to-date with some exceptions.
  • A substantial number of supervisors meet the requirements of the standard, and the organization provides training and/or consultation to improve competencies.
    • Supervisors provide structure and support in relation to service outcomes, organizational culture and staff retention.
  • With a few exceptions caseload sizes are consistently maintained as required by the standards.
  • Workloads are such that staff can effectively accomplish their assigned tasks and provide quality services, and are adjusted as necessary in accord with established workload procedures.
    • Procedures need strengthening.
    • With few exceptions procedures are understood by staff and are being used.
  • With a few exceptions specialized staff are retained as required and possess the required qualifications.
  • Specialized services are obtained as required by the standards.
3
Practice requires significant improvement, as noted in the ratings for the Practice standards.  Service quality or program functioning may be compromised; e.g.,
  • One of the Fundamental Practice Standards received a rating of 3 or 4.
  • A significant number of staff, e.g., direct service providers, supervisors, and program managers, do not possess the required qualifications, including: education, experience, training, skills, temperament, etc.; and as a result the integrity of the service may be compromised.
    • Job descriptions typically do not reflect the requirements of the standards, and/or hiring practices do not document efforts to hire staff with required qualifications when vacancies occur.
    • Supervisors do not typically provide additional support and oversight to staff without the listed qualifications.
  • A significant number of staff have not received required training, including applicable specialized training.
    • Training documentation is poorly maintained.
  • A significant number of supervisors do not meet the requirements of the standard, and the organization makes little effort to provide training and/or consultation to improve competencies.
  • There are numerous instances where caseload sizes exceed the standards' requirements.
  • Workloads are excessive and the integrity of the service may be compromised. 
    • Procedures need significant strengthening; or
    • Procedures are not well-understood or used appropriately; or
  • Specialized staff are typically not retained as required and/or many do not possess the required qualifications; or
  • Specialized services are infrequently obtained as required by the standards.
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.,

?For example:
  • 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
    • Program staffing chart that includes lines of supervision
    • List of program personnel that includes:
      1. name;
      2. title;
      3. degree held and/or other credentials;
      4. FTE or volunteer;
      5. length of service at the organization;
      6. time in current position
    • Job descriptions
    • Interview:
      1. Supervisors
      2. Personnel
    • Review personnel files
    • Verify the employment or contact with qualified clinicians

  • OTP 21.01

    The medical director is a licensed physician with at least one year of experience in addiction medicine or addiction psychiatry.


  • OTP 21.02

    Direct service personnel are qualified by one of the following:

    1. an advanced degree in social work, medicine, psychology, pastoral counseling, marriage and family counseling, mental health or substance use counseling, or psychiatric nursing, and in-service or other training in the treatment of substance use conditions;
    2. a bachelor’s degree in social work or a related human service field with specialized training and experience in the area of substance use treatment;
    3. certification by the designated authority when the state has a mechanism for certifying drug abuse counselors;
    4. personal experience with drug use recovery and specialized training and demonstrated skills in the area of substance use treatment; or
    5. specific and relevant training in the treatment of substance use and a minimum of two years’ work experience in a substance use treatment service.

  • OTP 21.03

    Supervisors are qualified by:

    1. an advanced degree in a human service field from an accredited institution and a minimum of two years’ post-graduate professional experience; and/or
    2. specialized training and experience in substance use diagnosis and treatment and additional training in supervision; and/or
    3. certification by the designated authority in their state as approved drug counseling supervisors.

  • OTP 21.04

    Personnel who administer and dispense opioid treatment medication are:

    1. practitioners licensed and registered under the appropriate federal and state laws; or
    2. supervised by a licensed practitioner.

    Interpretation: In some states, practitioners other than licensed physicians are permitted to administer and dispense opioid treatment medications. An “agent” must be a pharmacist, registered nurse, licensed practical nurse, physician assistant, or a healthcare professional authorized by federal and/or state law to administer and dispense opioid treatment medication.


  • OTP 21.05

    Social work, medical, psychological, and psychiatric consultants with specialized training in the treatment of substance use are available through formal agreement when not represented among the organization’s personnel.

Copyright © 2018 Council on Accreditation. All Rights Reserved.  Privacy Policy and Terms of Use