Private Organization Accreditation

Lutheran Social Services of New England is a high-performing nonprofit organization. LSS is a powerful difference maker and go-to resource, driving ourselves to constantly anticipate futures that are different from the past. For 140 years, LSS has been caring for people in need in New England.


Barry Gourley

Volunteer Roles: Endorser; Peer Reviewer

It is an honor to be a COA volunteer. I’ve had a great opportunity to work with fabulous COA volunteers, I’ve grown professionally in the COA accreditation process and I’ve met some wonderful people across this nation who are working hard to help and support children and families.
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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 5: Service Elements

The program encourages individuals to achieve their highest level of functioning by helping enhance coping abilities and create a supportive community in which to learn and grow.

Table of Evidence

Self-Study Evidence On-Site Evidence On-Site Activities
    • A description of services
    • Procedures for providing services in the community and community integration
    • Mental health directive planning procedures
    • Program brochure
    • Interview:
      1. Clinical or program director
      2. Relevant personnel
      3. Individuals or families served
    • Review case records

  • PA-PSR 5.01

    The program offers at least three of the following services:

    1. case management;
    2. pre-vocational and vocational training;
    3. housing/residential care;
    4. peer support services;
    5. individual supportive therapy;
    6. social rehabilitation services; and/or
    7. educational services.

  • PA-PSR 5.02

    The program works with service recipients to identify and use natural resources and peer support to create a supportive community.


    • Added Research Note - 02/07/18

    Research Note: The research indicates that successful strengths focused interventions make an inventory of both internal resources (e.g., self-efficacy) and external resources (e.g., sociall support) as assets to be utilized in treatment. 

  • PA-PSR 5.03

    Core service components focus on helping individuals improve and manage the quality of their lives through:

    1. development of self care and independent living skills;
    2. medication adherence and an understanding of how to manage their illness;
    3. socialization and use of leisure time;
    4. organizationals skills;
    5. anger management;
    6. coping skills;
    7. conflict skill training;
    8. housing, education, and family support services; and
    9. vocational development.


    • Revised Standard - 02/07/18

    Research Note: Research has suggested that psychoeducation and skills training lead to acquisition of targeted skills, and are associated with reduced relapse, improved social functioning, and decreased family stress.

    Research Note:Studies conducted to examine the impact of placing individuals with mental illness in real world settings and then providing them with the necessary training and supports to successfully maintain those placements indicated positive outcomes in the areas of employment, education, and independent living. Such outcomes include return to work; job tenure; and improvement in hospitalization rates, symptoms, housing stability, and educational and vocational functioning.

  • PA-PSR 5.04

    The program offers service recipients a variety of opportunities to achieve service goals through individual, group, and/or milieu activities, within a culturally sensitive framework that allows each individual to:

    1. learn how to relate positively to others;
    2. anticipate and control behaviors that interfere with inclusion in the community;
    3. experience peer support and feedback;
    4. develop personal awareness and boundaries;
    5. engage in positive problem solving methods;
    6. build on strengths and enhance self-reliance and productivity; and
    7. celebrate competence and success.


    • Revised Standard - 02/07/18

  • FP
    PA-PSR 5.05

    The agency directly provides, coordinates, or formally arranges for:

    1. 24-hour crisis intervention;
    2. crisis residential and other emergency services;
    3. inpatient and outpatient psychiatric services;
    4. medical and dental services;
    5. medication management;
    6. integrated mental health and substance use services;
    7. substance use education and treatment;
    8. public assistance and income maintenance;
    9. work-related services and job placements;
    10. financial services;
    11. legal advocacy and representation; and
    12. transportation.

    Research Note: Assertive community outreach programs provide a majority of treatment, support, and rehabilitation services with minimal referral to outside providers to allow for full integration of services.

    Research Note: Collaboration between agencies and settings can help improve the community functioning of individuals with serious and persistent mental illness.

  • FP
    PA-PSR 5.06

    Service recipients develop advanced mental health directives, when appropriate, and engage in crisis planning that is centered around their strengths and includes way to prevent escalation or decomposition.


    • Revised Standard - 02/07/18

    Interpretation:Advanced mental health directives, also known as advanced psychiatric directives, enable a person with a mental illness to make decisions about the mental health care they wish to receive when they may be incapacitated. An advanced directive goes into effect when the person is unable to make decisions and is revocable. Advanced directives frequently address such issues as: preferred hospitals, medications, and specific interventions, and designation of a person to make decisions about their care.

    Interpretation: By identifying and addressing crisis situations that may arise and symptoms to pay attention to, the service recipient and the workers can be proactive in handling escalating problem behaviors and promote the service recipient’s strengths in their serivce planning

  • PA-PSR 5.07

    The families or significant others of service recipients are offered services, including:

    1. family psychoeducation;
    2. emotional support and therapy;
    3. linkage to community services;
    4. self-help referrals; and
    5. care coordination, as needed.

    Research Note: Studies of psychoeducation services provided to families consistently show positive outcomes for the service recipient, including reduced relapse, decreased psychiatric symptoms, and increased self-efficacy.

  • PA-PSR 5.08

    The agency:

    1. provides most of its services in the community;
    2. identifies and develops opportunities for service recipients to develop positive ties to the community based upon interests and abilities;
    3. helps develop social support networks;
    4. presents opportunities for service recipients to participate in group activities where they can meet, support, and share experiences with peers; and
    5. develops life skills necessary to support social and community integration.

    Research Note: Literature points to the importance of providing services in the community regardless of the program approach, including skills building, peer support, vocational services, or consumer community resource development.

    Research Note: Most individuals with long-term mental illness can live successfully in the community.

    Research Note: Developing positive peer relationships can help sustain positive changes.

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