Private Organization Accreditation

HeartShare assist individuals with developmental disabilities through education, day, residential and recreation programs, case management, and health services, and provides foster care/adoption services, counseling, after school and energy assistance programs, and programs for people with HIV/AIDS.


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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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 4: Rehabilitation Plan

Each person participates in the development and ongoing review of a rehabilitation plan that supports:

  1. the attainment of agreed upon goals;
  2. improvement in the person’s quality of life and ability to manage within the community; and
  3. development of desired skills.

Interpretation: If the person is receiving services from any other of the agency’s programs, the rehabilitation plan may be part of the overall service plan.

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
    • Rehabilitation planning procedures
    • Documentation of case review
    • Interview:
      1. Clinical or program director
      2. Relevant personnel
      3. Individuals or families served
    • Review case records

  • PA-PSR 4.01

    The rehabilitation plan is :

    1. ?based on the strengths and needs identified in the assessment;
    2. developed in a timely manner with the full participation of the service recipient and their family, as appropriate; and
    3. expedited when crisis or urgent need is identified.

    Interpretation: Rehabilitation planning is conducted so that the service recipient retains as much personal responsibility and self-determination as possible and desired. Individuals with limited ability in making independent choices receive help with making or learning to make decisions.

    Interpretation: Family members should always be included in the service planning when appropriate, as determined by the service recipient. If the service recipient determines that it is not appropriate, it should be documented as such.

  • PA-PSR 4.02

    A family-centered rehabilitation plan is developed with the participation of the service recipient’s family and/or significant others when agreed to by the person.

  • PA-PSR 4.03

    The service recipient, family members as appropriate, and personnel collaboratively develop a written, individualized rehabilitation plan that is based on the assessment and supports:

    1. attainment of service goals;
    2. improvement in the person’s quality of life and ability to manage within the community; and
    3. development of desired skills.

  • PA-PSR 4.04

    The rehabilitation plan, includes:

    1. agreed upon goals, desired outcomes, and timeframes for achieving them;
    2. services and supports to be provided, and by whom; and
    3. the service recipient’s signature.

  • PA-PSR 4.05

    During service planning the agency explains:

    1. available options; and
    2. the benefits, alternatives, and consequences of planned services.

  • PA-PSR 4.06

    The rehabilitation plan addresses, as appropriate:

    1. services provided by other programs and/or providers;
    2. unmet service and support needs;
    3. psychological and emotional needs;
    4. vocational goals;
    5. cultural interests;
    6. possibilities for maintaining and strengthening family relationships;
    7. development of life skills, including preparation to work or continuation of schooling; and
    8. the need for support of the service recipient’s informal social network.

    Interpretation: Experiences with family rejection and capacity for increasing family acceptanace and support are a part of the assessment for family relationships. It also includes culturally appropriate education and guidances to help service recipients identifying as part of the LGBT community to decrease family rejection and increase family support.

  • PA-PSR 4.07

    The worker and a supervisor, or a clinical, service, or peer team, review the rehabilitation plan quarterly to assess:

    1. service plan implementation;
    2. progress toward achieving service goals and desired outcomes; and
    3. the continuing appropriateness of the service goals.

    Interpretation: Experienced workers may conduct reviews of their own cases. In such cases, the worker’s supervisor reviews a sample of the worker’s evaluations as per the requirements of the standard. Timeframes for review should be adjusted depending upon: issues and needs of persons receiving service and frequency and intensity of services provided.

  • PA-PSR 4.08

    The worker and service recipient regularly review progress toward achievement of agreed upon goals and sign revisions to service goals and plans.

  • PA-PSR 4.09

    Family members and significant others, as appropriate, and with the consent of the service recipient are advised of ongoing progress and invited to participate in case conferences.

    Interpretation: The agency facilitates the participation of family and significant others by, for example, helping arrange transportation, or including them in scheduling decisions.

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