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.


Rochelle Haimes, ACSW

Volunteer Roles: Commissioner; Peer Reviewer; Standards Panel Member; Team Leader

Rochelle is a Consultant working with a variety of private organizations to become accredited. Her primary area of expertise is in facilitating the development of PQI systems and activities. Her previous experience with both small and large organizations is the cornerstone for her long-standing volunteer activities as a Peer reviewer and as a Team Leader.
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Adults with serious and persistent mental illness who participate in Psychiatric Rehabilitation Services achieve their highest level of self-sufficiency and recovery through gains in personal empowerment, hopefulness, and competency.

PA-PSR 2: Screening and Intake

The agency’s screening and intake practices ensure that applicants receive prompt and responsive access to appropriate services.


  • Added Note - 02/07/18

Note: Agencies should review state Medicaid plans or other third party reimbursement requirement to ensure they are meeting required timeframes for conducting assessments. 

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
    • Screening and intake procedures
No On-Site Evidence
    • Interview:
      1. Clinical or program director
      2. Relevant personnel
      3. Individuals or families served
    • Review case records

  • PA-PSR 2.01

    Individuals are screened and informed about:

    1. how well the individual’s request matches the agency’s services; and
    2. what services will be available and when.

    NA Another agency is responsible for screening, as defined in a contract.

  • PA-PSR 2.02

    The agency provides or recommends the most appropriate and least restrictive or intrusive service alternative for the person.

  • PA-PSR 2.03

    Prompt, responsive intake practices:

    1. are culturally responsive;
    2. are trauma-informed;
    3. ensure equitable treatment;
    4. give priority to urgent needs and emergency situations;
    5. support timely initiation of services; and
    6. provide for placement on a waiting list, if applicable.


    • Revised Standard - 02/07/18

    Interpretation: Vulnerable populations such as lesbian, gay, bisexual, and transgender (LGBT) individuals, are at high risk of violence and harassment. The agency should ensure these service recipients are safe and welcomed by staff. To ensure that transgender individuals are treated with respect and feel safe, intake forms and procedures should allow individuals to self-identify their gender as well as their first name and preferred pronouns.

    Note: Refer to the interpretation at PA-PSR 1 regarding the definition of “culturally-responsive.”

  • PA-PSR 2.04

    Individuals who cannot be served, or cannot be served promptly, are referred or connected to appropriate resources.


    • Added Interpretation - 02/07/18

    Interpretation: When it is not possible to directly connect the individual to services, documentation of such and the reason why is provided in the case record, including why the agency is unable to connect them to services.

    Interpretation: When it is not possible to directly connect the individual to services, documentation of such and the reason why is provided in the case record, including why the agency is unable to connect them to services.

    NA The agency accepts all clients.

  • PA-PSR 2.05

    During intake, the agency gathers information to identify critical service needs and/or determine when a more intensive service is necessary, including:

    1. personal and identifying information;
    2. health and mental status, including emergency health needs; and
    3. safety concerns, including imminent danger or risk of future harm.


    • Revised Standard - 02/07/18

    Interpretation: Agencies may respond to identified suicide risk by connecting the individual to more intensive services; facilitating the development of a safety and/or crisis plan; or contacting emergency responders, 24-hour mobile crisis teams, emergency crisis intervention services, crisis stabilization, or 24-hour crisis hotlines, as appropriate.

  • PA-PSR 2.06

    The agency defines in writing:

    1. eligibility criteria;
    2. scope of services and supports, special areas of expertise and range of behavioral/emotional concerns addressed;
    3. opportunities for active family participation and support; and
    4. opportunities for active participation in community activities.


    • Added Standard - 02/07/18

    Research Note: The literature indicates the more information individuals receive during screening and intake, the more likely it is they will remain engaged in the services.

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