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.


Audrey Coleman, RN-MSN

Volunteer Roles: Military Reviewer; Peer Reviewer; Team Leader

My first experience with COA was in 1999 with what was a NC Area Program. I started as a peer reviewer in 2005, doing two to four site visits a year. I am also a team leader and have recently been approved to be a military reviewer.
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Group Living Services allow individuals who need additional support to regain, maintain, and improve life skills and functioning in a safe, stable, community-based living arrangement.

PA-GLS 10: Services for Pregnant and Parenting Residents

The agency utilizes a family-driven treatment model to empower pregnant and parenting residents and supports and promotes the well-being of their children and other family members.

Note: “Parenting residents” refers to residents that bring their children with them to the treatment program. Agencies will be responsible for determining whether a child should be admitted to the treatment program.

Research Note: Research on women’s substance use, dependence, and treatment shows that relationships, especially with family members and children, play an important role in women’s substance use, treatment, and relapse. Integrated programs providing family-focused substance use treatment have shown efficacy in reducing substance use, higher rates of treatment completion, higher rates of post-treatment sobriety, improved parenting skills, as well as developmental improvements in the children accompanying them to care.

NA The agency does not serve pregnant and/or parenting residents.

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 services
    • Procedures for linking children to services and providing ongoing monitoring and follow-up
    • Procedure for evaluating educational needs and collaborating with schools, if applicable
    • Policy prohibiting corporal punishment
No On-Site Evidence
    • Interview:
      1. Program director
      2. Relevant personnel
      3. Residents
      4. Residents' children
    • Review case records

  • PA-GLS 10.01

    The agency provides or arranges for children accompanying their parents in residential care to receive services that address, as appropriate:
    1. health and medical needs;
    2. mental health needs;
    3. trauma history; 
    4. educational and recreational needs; 
    5. social needs;
    6. developmental needs, including any developmental delays; 
    7. attachment to parents and extended family; and
    8. behavioral issues.

    Interpretation: Many children accompanying their parents in care are in need of therapeutic, health, developmental, and other services to address specific delays and conditions. Simply allowing the children to stay with their mothers is not adequate to meet the needs of the family. Older children may need additional services such as substance abuse education or treatment services, such as tobacco cessation. 

    NA The agency does not allow residents to bring their children to the treatment program.

  • PA-GLS 10.02

    To promote child safety and well-being, the agency supports residents’ efforts to care for and nurture their children, and:
    1. offers age-appropriate programming that meets children’s social, emotional, cognitive, and physical needs; or
    2. links children with appropriate services offered by other community providers.

    Interpretation: Examples of appropriate programming services can include play groups, recreational activities, educational activities, counseling, and therapeutic services. Additional services for younger children may include therapeutic day care, Head Start, and other early childhood programs. Examples of programs for older youth may include peer support groups, afterschool programs and tutoring, recreational activities, and employment assistance.

    NA The agency does not allow residents to bring their children to the treatment program. 

  • PA-GLS 10.03

    Agencies evaluate the educational status and needs of school-age children and youth and:
    1. inform residents of their children’s educational rights;
    2. help residents coordinate educational services with relevant school districts; and
    3. assist children and youth to stay current with the curricula.

    Research Note: Older youth often deal with problems related to delinquency, low academic performance and grade failure, learning disabilities, poor peer relationships, lack of a suitable homework environment, and truancy.

    NA The agency does not allow residents to bring their children to the treatment program.

  • PA-GLS 10.04

    The agency provides or arranges child care while the resident is receiving treatment services.

    NA The agency does not allow residents to bring their children to the treatment program. 

  • FP
    PA-GLS 10.05

    To promote positive parenting practices, the agency:
    1. prohibits corporal punishment of children by either the parent or provider; 
    2. promotes, encourages, and educates both parents and providers about alternatives to corporal punishment; and 
    3. provides or refers parents to parent education classes or workshops.

    Interpretation: The agency must have a board-approved policy that prohibits corporal punishment and should maintain documentation that all providers and residents are informed of this policy.

    NA The agency does not allow residents to bring their children to the treatment program.

  • PA-GLS 10.06

    Pregnant residents are provided or linked with specialized services that include, as appropriate:
    1. pregnancy counseling;
    2. prenatal health care;
    3. genetic risk identification and counseling services;
    4. fetal alcohol syndrome screening;
    5. labor and delivery services;
    6. postpartum care;
    7. mental health care;
    8. pediatric health care, including well-baby visits and immunizations; 
    9. peer counseling services; and
    10. children’s health insurance programs.

    Interpretation: Regarding element (f), expectant mothers should be screened for depression, informed about postpartum depression, and connected to available support and treatment services. 

    NA The agency does not serve pregnant residents.

  • PA-GLS 10.07

    Pregnant residents are educated about the following prenatal health topics:
    1. fetal growth and development;
    2. the importance of prenatal care;
    3. nutrition and proper weight gain;
    4. appropriate exercise;
    5. medication use during pregnancy;
    6. effects of tobacco and substance use on fetal development;
    7. what to expect during labor and delivery; and
    8. benefits of breastfeeding.

    Interpretation: These topics may be addressed by qualified medical personnel in the context of prenatal health care.

    NA The agency does not serve pregnant residents.

  • PA-GLS 10.08

    Pregnant and parenting residents are helped to develop skills and knowledge related to:
    1. basic caregiving routines;
    2. child growth and development;
    3. meeting children’s social, emotional, and physical health needs;
    4. environmental safety and injury prevention;
    5. parent-child interactions and bonding;
    6. age-appropriate behavioral expectations and appropriate discipline; 
    7. family planning; and 
    8. developing supportive relationships with family members or caring adults and establishing a functioning support network.

    Interpretation: Agencies should tailor how topics are addressed based on service recipients’ needs. For example, when serving expectant parents or parents of young children, education on environmental safety and injury prevention should address topics such as safe practices for sleeping and bathing.  

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