Private Organization Accreditation

CSS Healthcare Services provides Community based health services to the young, the elderly and to Individuals with Developmental Disability. Founded in 1997, we have the ability to offer a variety of quality community-based services to our clients, which has greatly contributed to our growth and success.


Brewer-Porch Children's Center

James W. Thompson, Executive Director

The COA standards as applied to the operations at Brewer-Porch Children’s Center at The University of Alabama has given the administration an opportunity to examine best practice and improve the quality of care provided to clients.
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Residential Treatment Services provide individualized therapeutic interventions and a range of services, including education for residents to increase productive and pro-social behavior, improve functioning and well-being, and return to a stable living arrangement in the community.

PA-RTX 11: Social and Community Connections

Residents cultivate and sustain connections with their community and social support network to promote positive well-being.

NA The agency only operates a crisis stabilization unite or short-term diagnostic center.

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
    • Procedures for facilitating social and community connections
    • Policy that prohibits exploitation of individuals in employment-related training or gainful employment
No On-Site Evidence
    • Interview:
      1. Program director
      2. Relevant personnel
      3. Residents
    • Review case records
    • Observe a variety of activities

  • PA-RTX 11.01

    The agency facilitates residents’ ability to access all available services and successfully reintegrate into their community by: 
    1. remaining knowledgeable about local, regional, and state resources, including networking and leadership opportunities;
    2. educating the community about the assets and needs of individuals receiving support to attain self-sufficiency; and
    3. identifying and developing opportunities for individuals to develop positive ties to the community based on mutual interests and abilities.

  • PA-RTX 11.02

    Social and community connections are encouraged by providing residents opportunities to participate in:
    1. social, recreational, educational, or vocational activities in their community;
    2. religious observances in the faith group or spirituality of choice; and
    3. family and neighborhood activities consistent with the resident’s ethnic and cultural heritage and tribal affiliation.

  • PA-RTX 11.03

    Residents are helped to develop social support networks and build healthy, meaningful relationships with caring individuals of their choosing.

    Interpretation: “Caring individuals” may include mentors, community members, friends, classmates, peers, siblings, cousins, grandparents, former foster parents, and extended family members.

    Research Note: Although many youth in residential treatment programs are disconnected from long-term family relationships, research indicates that youth in out-of-home care often maintain relationships with their families and return to them upon exit from care. Residential treatment programs should have knowledge of any involvement youth may have with their family members and should support and foster positive relationships when possible, or assist youth in developing appropriate skills to cope with or avoid unhealthy relationships.

  • PA-RTX 11.04

    Residents have opportunities to participate in group activities where they can meet, support, and share experiences with peers.

    Interpretation: Opportunities to participate in culturally and developmentally appropriate social, cultural, recreational, and religious or spiritual activities should be designed to expand the range of life experiences.

  • PA-RTX 11.05

    The agency encourages social and community integration through the development of life skills necessary to:
    1. navigate the surrounding environment;
    2. access community resources, such as banks, employment agencies, government offices, and recreational and educational organizations;
    3. pursue educational and occupational opportunities;
    4. obtain housing;
    5. manage finances;
    6. access public assistance;
    7. communicate effectively and resolve conflicts; 
    8. participate in recreational activities and/or hobbies; and
    9. prepare for leaving care and family reintegration, independent living, or another less restrictive setting, if applicable.

    Note: This standard is applicable for all residents regardless of age. Agencies should tailor life skills training to meet the age and developmental level of the service population.

  • PA-RTX 11.06

    Policy prohibits exploitation of residents in employment-related training or gainful employment.

    Interpretation: The agency should make reasonable efforts to match training and employment opportunities to the goals and interests of individual residents.

    NA The agency does not provide employment-related training or jobs to residents.

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