WHO IS ACCREDITED?

Private Organization Accreditation

Consumer Credit Counseling Service of the Savannah Area's mission is to provide the best non-profit community service, dedicated to delivering professional and confidential counseling, debt management, housing counseling and consumer education to all segments of the community regardless of ability to pay.
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ORGANIZATION TESTIMONIAL

ClearPoint Credit Counseling Solutions

Tim Spearin, Vice President, Quality Assurance

ClearPoint Credit Counseling Solutions has been accredited by the Council on Accreditation (COA) since 1996.  Reaccreditation attests that a member organization continues to meet the highest national operating standards as set by the COA.  It also provides assurance that ClearPoint Credit Counseling Solutions is performing services which the community needs, conducting its operations and funds successfully.
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Purpose

The agency’s behavior support and management policies and practices promote positive behavior and protect the safety of service recipients and staff.

FOC
PA-BSM 2: Behavior Support and Management Practices

A culture and structure exists within every facility and foster home that promotes respect, healing, and positive behavior and prevents the need for restrictive behavior management interventions.

Table of Evidence

Self-Study Evidence On-Site Evidence On-Site Activities
    County/Municipality Administered Agency, State Administered Agency (Central Office), or other Public Entity
    • Written information about practices provided to service recipients
    • Procedures for screening and/or assessing service recipients for potential need/risk regarding behavior management support and management interventions, including contraindications
    • Protocol for notifying parents/guardian and for obtaining consent
    • For agencies using restrictive behavior management interventions, procedures for developing behavior management plans
    • A description of activities (training, support groups, etc) that support staff and resource families’ promotion of positive behavior, respect, and healing
    State Administered Agency (Regional Office)
    • A description of regional activities (training, support groups, etc) that support staff and resource families’ promotion of positive behavior, respect and healing
No On-Site Evidence
    All Agencies
    • Interview:
      1. Parents/legal guardians
      2. Persons served
      3. Personnel at all levels
    • Case record review

  • FP
    PA-BSM 2.01

    The agency:

    1. provides an explanation for and offers a copy of its written behavior support and management philosophy and procedures to service recipients or their parents or legal guardians at admission;
    2. informs service recipients or parents or legal guardians of strategies used to maintain a safe environment and prevent the need for restrictive behavior management interventions;
    3. has procedures that address harassment and violence towards other service recipients, personnel, and, as applicable, foster parents;
    4. obtains the service recipient’s or parent’s or legal guardian’s consent when restrictive behavior management interventions are part of the treatment modality; and
    5. when the service recipient is a minor, notifies the parents or legal guardians promptly when the minor is involved in an incident involving harassment or violence or when a restrictive intervention was used.

    Interpretation: Consent should be reviewed on an annual basis. The service recipient, and/or parent or legal guardian, has the right to refuse consent to treatment and the agency may determine that the individual cannot be served as a result of refusal. When an agency serves youth involved with the juvenile justice system and services are involuntary, obtaining consent may not be relevant.

    Interpretation: COA recognizes that it may be difficult for agencies providing residential juvenile justice services to involve youths’ parents or legal guardians, especially when youth are placed outside of their communities and far from their families; however, agencies should still strive to involve families to the extent possible. In any instance when promptly notifying parents or legal guardians in the wake of an intervention proves difficult, the agency should document its efforts to initiate contact in the case record. See PA-JJR 4.03 for guidance on ways to minimize barriers to family participation.

    Research Note: The service recipient, and/or parent or legal guardian, has the right to refuse consent to treatment and the agency may determine that the individual cannot be served as a result of refusal. Such consent should not exceed one year.


  • PA-BSM 2.02

    Personnel and foster parents support positive behavior by:

    1. developing positive relationships with service recipients;
    2. building on strengths and reinforcing positive behavior; and
    3. responding consistently to all incidents of harassment or violence.

  • FP
    PA-BSM 2.03

    The agency prohibits:

    1. the use of restrictive behavior management interventions by service recipients, peers, or any person other than trained, qualified staff, or foster parents;
    2. excessive or inappropriate use of restrictive behavior management interventions as, for example, a form of use of restrictive behavior management interventions in response to property damage that does not involve imminent danger to self or others.

    Interpretation: “Excessive or inappropriate use” of restrictive behavior management interventions refers to use that is not consistent with the requirements of PA-BSM 5.

    Interpretation: As referenced in PA-BSM 1.02, agencies serving youth involved with the juvenile justice system may also be authorized to use restrictive interventions to prevent escapes or protect property, but should only do so when absolutely necessary, as referenced throughout these standards.

    NA The agency prohibits the use of restrictive behavior management interventions.


  • FP
    PA-BSM 2.04

    Each service recipient participates in a screening of the potential risk of harm to self or others to determine the need for behavior support and management interventions.

    Interpretation: Agencies that prohibit the use of restrictive behavior management interventions may conduct a program wide assessment of the potential risk of harm by or to clients to determine the most appropriate behavior support and management interventions. Any agency that provides direct care and supervision to children, vulnerable adults, or individuals with a history of danger to self or others must conduct individual screenings.


  • FP
    PA-BSM 2.05

    Service recipients identified as being in need of restrictive behavior management interventions are assessed for:

    1. antecedents to harassing, violent, or out-of-control behavior;
    2. the effectiveness of previous uses of behavioral interventions;
    3. psychological and social factors that can influence use of such interventions; and
    4. medical conditions or factors that could put the person at risk.

    Interpretation: Medical factors may include issues related to use of medications, such as an insulin imbalance. Psychological and social factors may include psychosis, history of abuse or other trauma, or claustrophobia.

    Interpretation: This standard is typically related to PA-BSM 2.04. However, when agencies serving youth involved with the juvenile justice system also use restrictive behavior management interventions for other purposes (such as to prevent escapes during transport), any youth who might be subject to these interventions should be assessed for the factors listed in this standard, regardless of whether the screening addressed in PA-BSM 2.04 indicates risk of harm to self or others.

    Research Note: Control of one person over another can be a common element in traumatic events involving abuse or violence. For individuals with a history of trauma, undergoing a restrictive behavior management intervention can be extraordinarily retraumatizing.

    NA The agency prohibits the use of restrictive behavior management interventions.


  • PA-BSM 2.06

    A behavior support and management plan is based on assessment results and:

    1. identifies strategies that will help the person de-escalate their behavior and prevent harassing, violent, or out-of-control behavior;
    2. specifies interventions that may or may not be used;
    3. is modified as necessary; and
    4. is developed and signed by the person, his/her parent or legal guardian, and the foster parent or personnel, as appropriate.

    Note: The behavior support plan, sometimes called a crisis plan, can be part of, and reviewed with, the overall service or treatment plan.

    Note: Agencies serving youth involved with the juvenile justice system should refer to the Interpretation to PA-BSM 2.01 regarding the involvement of youths’ parents or legal guardians.

    NA The agency prohibits the use of restrictive behavior management interventions.

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