WHO IS ACCREDITED?

Private Organization Accreditation

Sweetser, a Maine non-profit agency operating since 1828, provides comprehensive mental and behavioral health and substance abuse treatment services. Statewide, it serves around 15,000 consumers a year, including children, adults, and families in outpatient, office-based, and residential settings.
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VOLUNTEER TESTIMONIAL

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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Purpose

Proactive, comprehensive, and systematic risk management practices reduce the agency’s risk, loss, and liability exposure.

FOC
PA-RPM 3: Child Fatality and Near Fatality Review

The agency is accountable to the public and manages risk associated with child maltreatment and fatalities.

NA The agency does not provide child and family services.

Table of Evidence

Self-Study Evidence On-Site Evidence On-Site Activities
    County/Municipality Administered Agency, State Administered Agency (Central Office), or other Public Entity
    • Procedures for participation on and coordination with child fatality/near fatality review team
    • Reports for the previous year from:
      1. Child fatality/near fatality review team (PA-RPM 3.01) 
      2. Administrative reviews following child fatalities/near fatalities (PA-RPM 3.03)
    • Public Disclosure law/policy regarding child fatalities and near fatalities (PA-RPM 3.01)
    • Examples of improvement/prevention activities related to any child fatalities or near fatalities in the current long-term planning period (PA-RPM 3.02)
    State Administered Agency (Regional Office)
    • Procedures for participation on and coordination with the local child fatality/near fatality review team, as applicable (PA-RPM 3.01) 
    • Examples of regional improvement/prevention activities related to any child fatalities or near fatalities in the current long-term planning period (PA-RPM 3.02)
    All Agencies
    • Child fatality/near fatality review team meeting minutes
    County/Municipality Administered Agency, State Administered Agency (Central Office), or other Public Entity
    • Interview: 
      1. Agency head
      2. In-house counsel
      3. Risk management personnel
    State Administered Agency (Regional Office)
    • Interview: 
      1. Regional Director
      2. Agency leadership

  • FP
    PA-RPM 3.01

    The agency increases accountability to the public, promotes safety, and manages risk by:

    1. aggregating information on fatalities and near fatalities from multiple data sources;
    2. actively participating on a multi-disciplinary child fatality and near fatality review team;
    3. participating in investigations of child fatalities and near fatalities, as appropriate, including assessing the safety of surviving children in the home; and
    4. ensuring adherence to the public disclosure policy, which reflects federal statute.


  • FP
    PA-RPM 3.02

    The agency incorporates recommendations from the child fatality and near fatality review team into its risk prevention, quality improvement, and long-term planning activities by:

    1. developing a customized improvement plan to implement recommendations;
    2. tracking progress toward plan implementation; and
    3. monitoring and periodically reporting back to the review team on the status of planned improvements.


  • FP
    PA-RPM 3.03

    The agency conducts internal administrative reviews following a fatality or near fatality of any child known to the agency to:

    1. assess the agency’s internal operations including adherence to policies and procedures; and 
    2. identify and respond to the social and emotional support needs of staff. 

    Interpretation: Conducting administrative reviews of fatalities or near fatalities of “any child known to the agency” means an open case is not required in order to pursue an internal investigation.   Agencies should follow state definitions regarding what it means to be “known to the agency” (e.g. how long ago contact last was made, the type of contact).  

    Interpretation: The agency should also conduct aggregate reviews of child fatalities or near fatalities to identify trends or patterns of concern as part of the quarterly review process in PA-RPM 2.03.
        
    Interpretation:
    See PA-RPM 2.04 for additional incident review requirements, including requirements for corrective action.

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