WHO IS ACCREDITED?

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.
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VOLUNTEER TESTIMONIAL

Nicole Deprez-Garrity, M.Ed.

Volunteer Roles: Endorser, Lead Endorser

Nicole Deprez-Garrity is a lead After School Endorser based in Germany.
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Purpose

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 12: Crisis Stabilization

The agency provides residents in crisis with structured, trauma-informed stabilization and treatment services in order to help them return to their previous level of functioning.

Interpretation: Children and adults seeking crisis stabilization services may be experiencing an acute psychiatric crisis, a substance use related crisis, or severe emotional or mental distress.

NA The agency does not operate a crisis stabilization unit.

Table of Evidence

Self-Study Evidence On-Site Evidence On-Site Activities
    • Procedures for delivering crisis stabilization services
    • Table of contents for training curricula specific to crisis stabilization
    • Documentation of training specific to crisis stabilization
    • Interview:
      1. Program director
      2. Relevant personnel
      3. Residents
    • Review case records

  • PA-RTX 12.01

    Crisis stabilization services focus on crisis resolution and are delivered in a trauma-informed, developmentally appropriate, and culturally and linguistically responsive manner by qualified personnel.


  • PA-RTX 12.02

    Agencies that offer crisis stabilization provide the following services on a 24/7 basis: 
    1. emergency reception; 
    2. assessment and evaluation; 
    3. observation and monitoring; 
    4. crisis counseling; 
    5. medication management;  
    6. structured, therapeutic activities; 
    7. support services and psycho-education for family members; and 
    8. referrals to specialists and other community-based services, as needed.

    Interpretation: In regards to element (a), emergency reception means that individuals in crisis are accepted on a 24-hour basis without undue delays or barriers. 
     
    Interpretation: Structured, therapeutic activities may be recreational, social, and/or educational in nature, and are consistently provided in accordance with the resident’s service plan. Agencies can also address these services in PA-RTX 8.


  • PA-RTX 12.03

    Residents receive a crisis assessment within 24 hours of admission to determine the appropriate level of care.

    Note: Agencies that operate a crisis stabilization unit will complete the applicable assessment standards in PA-RTX 4.

    Research Note: A crisis assessment is an immediate, face-to-face evaluation that is conducted by a physician or licensed mental health professional to: determine the level of crisis; identify any immediate need for emergency services; and provide immediate intervention to de-escalate the resident’s distress and/behavior.


  • PA-RTX 12.04

    Residents participate in the development of an initial service plan within 24 hours of admission and a comprehensive service plan within five days.

    Interpretation: When care extends beyond thirty days the agency must review and update the resident’s service plan according to the change in the individual’s clinical condition.

    Note: This standard is specific to service planning timeframes. Agencies that operate a crisis stabilization unit will also complete the applicable service planning and monitoring standards in PA-RTX 5.


  • PA-RTX 12.05

    Residents and their families participate in the development of a crisis plan to identify strategies and interventions that may be employed to prevent or minimize the escalation of a crisis and promote stabilization.

    Interpretation: The crisis plan should specify interventions that may or may not be implemented by personnel in order to help the resident de-escalate his or her behavior. The plan can be part of, and reviewed with, the resident’s overall service or treatment plan.


  • PA-RTX 12.06

    Agencies arrange educational services and supports, as appropriate, to ensure that residents can pursue their educational goals once they achieve a crisis resolution.


  • PA-RTX 12.07

    During the first 48 hours a resident is in care, a minimum of two staff members must be on-duty 24 hours per day to ensure that adequate care and supervision are provided.

    Note: For care ratio requirements, please see PA-RTX 18.04.


  • PA-RTX 12.08

    Personnel who provide crisis stabilization services participate in ongoing training that addresses:
    1. assessing needs in crisis situations;
    2. special issues regarding age, gender identity/crisis, substance use and mental health conditions, developmental disabilities, and other needs typically presented by the service population;
    3. de-escalation techniques for crisis situations;
    4. culturally-sensitive, trauma-informed engagement techniques; and
    5. procedures for making referrals.

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