Private Organization Accreditation

Heartland for Children is the not-for-profit agency responsible for the foster care system in Polk, Highlands, and Hardee Counties.


Children's Foundation of Mid America

James W. Thurman, President/CEO

Children’s Foundation of Mid America has been accredited through COA since 1983. The process of accreditation ensures that we meet or exceed the highest standards in the industry.
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Individuals who participate in Opioid Treatment Programs improve social, emotional, and vocational functioning, achieve optimal productivity, and attain the recovery they seek.

PA-OTP 20: Personnel

Opioid treatment program personnel are trained and competent to carry out tasks related to their positions.

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
    • Table of contents of training curricula
    • Procedures and criteria used for assigning and evaluating workloads
    • Documentation of training
    • Training curricula
    • Policy and procedures addressing employee health and vaccinations and other documents as necessary
    • Documentation of workload assessment
    • Interview:
      1. Supervisors
      2. Personnel
    • Review personnel files

  • PA-OTP 20.01

    A medical director assumes responsibility for:

    1. administering medical services; and
    2. carrying out other duties prescribed by law or regulation to be assumed by a physician in an opioid treatment program.

  • PA-OTP 20.02

    The medical director and program administrator or sponsor stay current with all applicable federal, state, and local laws and regulations applicable to opioid treatment programs, including those that address technology-based service delivery.

  • PA-OTP 20.03

    The clinical team makes level of care, treatment, and termination-of-service decisions with service recipients and includes the participation of a physician in the review and decision-making process.

    Interpretation:A physician, often in the role of a consultant, supervises and prescribes needed medical care or examinations.

  • FP
    PA-OTP 20.04

    All personnel and consulting providers are annually screened for tuberculosis and receive a hepatitis B vaccination if they are considered to be at risk for exposure to hepatitis.

  • PA-OTP 20.05

    Personnel receive ongoing in-service training about:

    1. the concept of addiction as a disease;
    2. establishing a working alliance with individuals receiving treatment;
    3. the goals of opioid treatment in regard to other drug use;
    4. the latest information, theories, and techniques in identification, diagnosis, and treatment of alcohol and other drug problems, including the harm reduction model; and
    5. interventions that demonstrate respect for sociocultural values, personal goals, lifestyle choices, and complex family interactions.

    Research Note: There are many factors associated with retention of participants in treatment, including severity of psychiatric symptoms. Research suggests that a therapeutic alliance is associated with treatment outcomes, and individuals with more severe psychiatric symptoms are more likely to complete treatment if they have a strong alliance with the service provider.

  • PA-OTP 20.06

    Ongoing in-service training for personnel also addresses:

    1. relapse prevention;
    2. recognition of co-occurring health and mental health conditions and integrated services available to meet them;
    3. management of drug overdose;
    4. special treatment needs of women;
    5. criminal justice issues, as appropriate;
    6. the benefits and limitations of tests that screen for drug use; and
    7. HIV/AIDS symptoms, risk-reduction and infection control guidelines, testing, and counseling techniques and skills.

  • PA-OTP 20.07

    Direct service personnel workloads support the achievement of client outcomes, are regularly reviewed, and are based on an assessment of the following:

    1. the qualifications, competencies, and experience of the worker, including the level of supervision needed;
    2. the work and time required to accomplish assigned tasks and job responsibilities; and
    3. service volume, accounting for assessed level of needs of new and current clients and referrals.
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