Private Organization Accreditation

Children's Home Society of Florida delivers a unique spectrum of social services designed to protect children at risk of abuse, neglect or abandonment; to strengthen and stabilize families; to help young people break the cycle of abuse and neglect; and to find safe, loving homes for children.


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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Child and Family Services promote child and family well-being, protect children’s safety, stablilize and strengthen families, and ensure permanency.

PA-CFS 20: Treatment Foster Care

Children with significant emotional, behavioral, medical, or developmental needs receive structured treatment within a therapeutic family setting that promotes well-being, family connections, and community integration.

NA The agency does not provide treatment foster care services.

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 service delivery 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
    • A description of: 
      1. Treatment model
      2. Needs of children served in the program
      3. Team roles and functioning
      4. Treatment services
    • Procedures for: 
      1. Treatment planning and review
      2. Worker contact and meetings
      3. Discharge
    • Training curricula, including staff and foster parent treatment model training curricula
    • Criteria for selection of treatment foster parents
    • On-call schedule for treatment foster care programs
    • Formal agreements with therapeutic facilities and/or providers that serve children and families in the program
    • Documentation of staff and treatment foster parent attendance at training, including treatment model training
    • Interview:
      1. Agency leadership
      2. Relevant personnel
      3. Treatment team members
      4. Children and families served
      5. Resource parents
    • Review case records
    • Review resource parent records

  • PA-CFS 20.01

    The treatment foster care program follows an articulated treatment model, and program personnel receive training and support that enable them to understand and implement the program’s approach to treatment.

    Interpretation: The treatment model should be evidence-based or evidence-informed or contain core components that are either evidence-based or evidence-informed. Program personnel should receive pre-service and in-service training as well as ongoing support and supervision to understand and implement the treatment approach.

  • PA-CFS 20.02

    Treatment foster care services are delivered by individualized treatment teams that include:

    1. family members; 
    2. treatment foster parents; 
    3. child welfare agency workers;
    4. treatment foster care program personnel, including the program supervisor, case managers, and clinicians or clinical consultants;
    5. education representatives or personnel; and
    6. a range of specialized providers, as appropriate to children’s needs.

    Interpretation: Depending on the needs of children, specialized providers may include, but are not limited to: behavior support specialists; nurses and physicians; psychiatric nurses and psychiatrists; and rehabilitation therapists. Treatment teams should include at least one agency or contract employee, in addition to the supervisor, who has an advanced degree in social work or a related field and at least two years of professional experience working with children with specialized treatment needs.

    Note: See PA-CFS 20.05 below for more information regarding appropriate treatment services.

  • PA-CFS 20.03

    Preliminary treatment plans developed prior to placement identify:

    1. diagnoses;
    2. strategies to ensure children’s adjustment to treatment families; and
    3. short-term goals for the first 30 days of out-of-home care.

  • FP
    PA-CFS 20.04

    Within 30 days of placement treatment teams develop individualized, comprehensive treatment plans that: 

    1. identify, incorporate, and build on children’s strengths and assets;
    2. specify diagnoses and presenting problems that prompted the referral to treatment foster care or were identified during assessment;
    3. address needs in major developmental areas;
    4. specify short- and long-term therapeutic interventions; and
    5. address stressors in the children’s environment that are trauma reminders or contribute to their emotional or behavioral issues.

  • FP
    PA-CFS 20.05

    The agency coordinates and ensures the provision of needed services, including specialized treatment services. 

    Interpretation: Services should be provided by specialized providers as appropriate to children’s emotional, behavioral, medical, or developmental needs, as addressed in PA-CFS 20.02.  Needed therapeutic, rehabilitative, and support services may include, but are not limited to:

    1. individual, family, and/or group therapy, 
    2. social skills groups, and 
    3. medical treatment. 
    The agency should provide formal and informal support to other service providers in order to maximize service benefits and best meet the specialized needs of the children in the program.

    Note: See PA-CFS 2 for more information regarding the importance of collaboration, coordination, and partnerships.

  • FP
    PA-CFS 20.06

    Formal relationships are established with: 

    1. mental health facilities, medical institutions including neonatal and pediatric facilities, and other rehabilitation service providers to ensure the availability of requisite medical and mental health services; and 
    2. a board-certified physician with appropriate experience who assumes responsibility for medical elements of a program that serves children with significant medical needs.

    Interpretation: The board-certified physician can provide service as an employee or contractor, or through formal arrangement. Experience should be appropriate to the level and intensity of service, as well as the needs of the population served.

    Note: See PA-CFS 2 for more information regarding the importance of collaboration, coordination, and partnerships.

  • FP
    PA-CFS 20.07

    Comprehensive treatment plans are:

    1. discussed weekly by the treatment team to coordinate an effective response to current issues and behaviors;
    2. reviewed monthly to evaluate progress towards treatment goals; and 
    3. officially updated every 90 days to evaluate progress and the continued need for treatment foster care.

    Interpretation: Weekly communication between treatment team members can occur by teleconference, when necessary.

    Note: See PA-CFS 9 for more information regarding expectations for ongoing assessment and case review.

  • FP
    PA-CFS 20.08

    The agency selects treatment foster parents based on established criteria that include: 

    1. proven experience as resource parents, work experience in a setting such as a group home or residential center, or specialized training in treatment foster care; 
    2. three non-relative references; and 
    3. attainment of at least twenty-one years of age.

  • FP
    PA-CFS 20.09

    Treatment foster parents receive the support of: 

    1. weekly contact by the assigned worker; 
    2. in-person contact every two weeks and more frequently when indicated; 
    3. on-call crisis intervention 24-hours a day, seven days a week; and 
    4. the availability of additional personnel, technical assistance, respite options, and training.

    Interpretation: Additional personnel should be available during critical or stressful periods, such as the time from the end of the school day until bedtime.

    Note: See PA-CFS 15 for additional expectations regarding worker contact with treatment foster parents, birth parents, and children. As noted in PA-CFS 15.05, workers should meet with parents at least once per month, and with children at least twice per month

  • PA-CFS 20.10

    Treatment foster parents assume primary responsibility for:

    1. implementing in-home treatment strategies;
    2. assisting children to understand treatment goals and interventions; 
    3. documenting children’s behaviors and progress in targeted areas; and
    4. acting as liaisons with clinical personnel.

    Interpretation: Treatment foster parents should receive ongoing training and support designed to help them assume these responsibilities. See PA-CFS 25 and 26 for more information regarding the training and support to be provided to all resource parents.

  • PA-CFS 20.11

    Discharge reports are tailored to support the transition to the next home or program, and document:

    1. the course of treatment and treatment recommendations;
    2. the transfer of records and appointment information; and
    3. the nature, frequency, and duration of follow-up services, when applicable.

    Note: The agency should maintain documentation on the provision of follow-up services.

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