WHO IS ACCREDITED?

Private Organization Accreditation

Northside Psychological Services is a combination of both private practice and community mental health provider. We provide services to children and adults (EAP, private insurance, private pay, etc.) in our private practice setting. In our Community Care Program, we provide services to children and adolescents in their homes.
read more >>

ORGANIZATION TESTIMONIAL

Family Services of the North Shore

Kathleen Whyte, Manager of Human Resources / Accreditation Coordinator

Family Services of the North Shore is about to enter our third accreditation cycle with COA. Accreditation has provided us with a framework that enables us to demonstrate accountability to our clients, our funders and our donors. There is no question that the accreditation process and COA have benefited our agency.
read more>>

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 3: Safety Training

Personnel and foster parents receive behavior support training that promotes a safe work and service environment, and a reduction in emergency situations.

Note: Refer to PA-ASE for standards regarding safety in the service environment.

Rating Indicators
1
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
2
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.
3
Partial Implementation, Concerning Performance
  • A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  
  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
4
Unsatisfactory Implementation or Performance
  • A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed administration and management infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
Please see Rating Guidance for additional rating examples. 

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 
    • Table of contents for personnel and foster parent BSM training curriculum
    • List of personnel and foster parents required to receive competency based training and the dates training was received
    State Administered Agency (Regional Office)
    • Regional list of personnel and foster parents required to receive competency based training and the dates training was received
    All Agencies
    • Training curriculum for personnel and foster parents that addresses:
      1. recognizing and responding to behavior management issues
      2. de-escalation
    • Personnel records that document BSM training
    All Agencies
    • Interview:
      1. Relevant personnel
      2. Foster parents required to participate in behavior support and management training

  • FP
    PA-BSM 3.01

    All personnel and foster parents receive initial and ongoing competency-based training, appropriate to their responsibilities, on the agency’s behavior support and management intervention policies, procedures, and practices.

    Interpretation: For example, non-direct service personnel should be trained on how to appropriately respond to incidents of out-of-control behavior that they may observe.


  • FP
    PA-BSM 3.02

    Personnel and foster parents receive training that includes:

    1. recognizing aggressive and out-of-control behavior, psychosocial issues, medical conditions, and other contributing factors that may lead to a crisis;
    2. understanding how staff behavior can influence the behavior of service recipients; and
    3. limitations on the use of restrictive interventions.

    Interpretation: Training should also address management of age-appropriate, but potentially dangerous behavior, for example, ways to protect a child who runs into the street so as not to harm him/her.


  • FP
    PA-BSM 3.03

    Training addresses methods for de-escalating volatile situations, including:

    1. listening and communication techniques, such as negotiation and mediation;
    2. involving the person in regaining control and encouraging self-calming behaviors;
    3. separation of individuals involved in an altercation;
    4. offering a voluntary escort to guide the person to a safe location;
    5. time out to allow the person to calm down; and
    6. other non-restrictive ways of de-escalating and reducing episodes of aggressive and out-of-control behavior.

    Research Note: Literature indicates that when staff are trained and supported in the use of alternate methods in crisis situations, the use of seclusion and restraint is reduced dramatically.

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