WHO IS ACCREDITED?

Private Organization Accreditation

Sweetser, a Maine non-profit agency operating since 1828, provides comprehensive mental and behavioral health and substance abuse treatment services. Statewide, it serves around 15,000 consumers a year, including children, adults, and families in outpatient, office-based, and residential settings.
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ORGANIZATION TESTIMONIAL

Brewer-Porch Children's Center

James W. Thompson, Executive Director

The COA standards as applied to the operations at Brewer-Porch Children’s Center at The University of Alabama has given the administration an opportunity to examine best practice and improve the quality of care provided to clients.
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Purpose

Individuals with cognitive, psychiatric, behavioral, and/or substance use conditions and serious emotional disturbances who receive Day Treatment Services improve psychosocial, educational, vocational, and cognitive functioning, and learn to manage their symptoms.

PA-DTX 5: Service Philosophy, Modalities, and Interventions

The service philosophy:

  1. sets forth a logical approach for how program activities and interventions will meet the needs of service recipients;
  2. guides the development and implementation of program activities and services based on the best available evidence of effectiveness; and
  3. outlines the service modalities and interventions that personnel may employ.

Interpretation: A program model or logic model can be a useful tool to help staff think systematically about how the program can make a measureable difference by drawing a clear connection between the service population’s needs, available resources, program activities and interventions, program outputs, and desired outcomes.

Table of Evidence

Self-Study Evidence On-Site Evidence On-Site Activities
    • Include service philosophy in the Narrative
    • Policies for prohibited interventions
    • Procedures for the use of non-traditional or unconventional practices
    • Table of contents of training curricula
    • Documentation of training
    • Interview:
      1. Clinical or program director
      2. Relevant personnel
      3. Individuals served

  • PA-DTX 5.01

    The program is guided by a philosophy that provides a logical basis for the services and support to be delivered to individuals based on program goals and the best available evidence of service effectiveness.


  • FP
    PA-DTX 5.02

    If the agency permits the use of service modalities and interventions it defines as non-traditional or unconventional, it:

    1. explains any benefits, risks, side effects, and alternatives to the service recipient or a legal guardian;
    2. obtains the written, informed consent of the individual or his/her legal guardian;
    3. ensures that personnel receive sufficient training, and/or certification when it is available; and
    4. monitors the use and effectiveness of such interventions.

    Interpretation: Examples of non-traditional and unconventional service modalities or interventions include, but are not limited to: hypnosis, acupuncture, and modalities or interventions that involve physical contact, such as massage therapy.

    NA The agency does not permit non-traditional or unconventional modalities or interventions.


  • FP
    PA-DTX 5.03

    Agency policy prohibits:

    1. corporal punishment;
    2. the use of aversive stimuli;
    3. interventions that involve withholding nutrition or hydration, or that inflict physical or psychological pain;
    4. the use of demeaning, shaming, or degrading language or activities;
    5. forced physical exercise to eliminate behaviors;
    6. unwarranted use of invasive procedures or activities as a disciplinary;
    7. punitive work assignments;
    8. punishment by peers; and
    9. group punishment or discipline for individual behavior.

  • FP
    PA-DTX 5.04

    An intervention is discontinued immediately if it produces adverse side effects or is deemed unacceptable according to prevailing professional standards.

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