Private Organization Accreditation

Catholic Charities alleviates human suffering and improves the quality of life of 100,000 people annually, regardless of religious background. A staff of 600 provides support and services related to housing, food, mental health, children's services, addiction treatment, and domestic violence services.


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

PA-BSM 4: Restrictive Behavior Management Intervention Training

Personnel who use restrictive behavior management interventions, and foster parents who use manual restraint, are trained and evaluated on an annual basis.

Interpretation: COA recommends that agencies evaluate training programs and models to select a comprehensive and safe curriculum for use with personnel, foster parents, and service recipients.

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

Rating Indicators
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. 
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.
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.
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 restrictive behavior management training curriculum(s)
    State Administered Agency (Regional Office)
    • No Self-Study Evidence
    All Agencies
    • Training curriculum that addresses PA-BSM 4.01 and PA-BSM 4.02
    • Documentation of restrictive behavior management training provided
    All Agencies
    • Interview:
      1. Clinical or program directors
      2. Supervisors
      3. Relevant personnel
      4. Foster parents required to participate in restrictive behavior management training

  • FP
    PA-BSM 4.01

    Personnel designated to use restrictive behavior management interventions, and foster parents who use manual restraint, receive annual training on permitted interventions, including:

    1. when it is appropriate to use a restrictive intervention;
    2. proper and safe use of interventions, including time limits for use;
    3. understanding the experience of being placed in seclusion or a restraint;
    4. signs of distress;
    5. response techniques to prevent and reduce injury; and
    6. negative effects that can result from misuse of restrictive interventions.

  • FP
    PA-BSM 4.02

    Annual training for personnel authorized to conduct assessment and evaluation of individuals undergoing a restrictive behavior management intervention covers recognizing and assessing:

    1. physical and mental status, including signs of physical distress;
    2. nutritional and hydration needs;
    3. readiness to discontinue use of the intervention; and
    4. when medical or other emergency personnel are needed.

  • FP
    PA-BSM 4.03

    Personnel and foster parents who receive training on restrictive behavior management interventions receive a post-test and are observed in practice to ensure competency.

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