WHO IS ACCREDITED?

Private Organization Accreditation

Stillwater-based FamilyMeans provides services in budget and credit counseling, mental health, collaborative divorce, caregiver support, youth programming, and an employee assistance program. 
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VOLUNTEER TESTIMONIAL

Jane Bonk, Ph.D., LCSW

Volunteer Roles: Commissioner; Evaluator; Lead Evaluator; Peer Reviewer; Team Leader

Dr. Jane Bonk is a team leader, evaluator, and commissioner who has led over 25 site visits for COA.
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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 16: Residential Facilities

Residential facilities contribute to a physically and psychologically safe, healthy, homelike, non-institutional, therapeutic environment.

Interpretation: “Homelike” settings are assessed within the context of the agency’s location and environment.

Note: Please see Facility Observation Checklist - Private, Public, Canadian for additional assistance with this standard.

Research Note: Physical environments convey symbolic and concrete messages. The way in which agencies maintain, design, and decorate their residential facilities can greatly impact residents’ perception of safety and security. For example, facilitates that are warm and inviting, and incorporate age, developmentally, and culturally appropriate decor into the aesthetic impart a sense of belonging to residents.

Table of Evidence

Self-Study Evidence On-Site Evidence On-Site Activities
    • Procedures for establishing a homelike, therapeutic environment
    • Procedures for maintain a clean and safe environment
No On-Site Evidence
    • Interview:
      1. Program director
      2. Relevant personnel
      3. Residents
    • Observe facilities and outdoor area/gounds

  • PA-RTX 16.01

    Living quarters are age, developmentally, gender, and culturally appropriate, and consist of separate cottages or units in a residential building that include:
    1. a common room, dining and/or kitchen area, and space for indoor recreation;
    2. private areas where residents can meet with family and friends;
    3. private facilities for bathing, toileting, and personal hygiene; and
    4. ready access to a telephone and other technology, as permitted, for use by residents and personnel.

    Interpretation: Programs must have gender-specific sleeping areas and private facilities for bathing, toileting, and personal hygiene to ensure a residents’ privacy from residents of the opposite gender.

    Programs serving children should have facilities that are developmentally appropriate and culturally responsive, including separate bathrooms and shower areas, and outdoor and indoor play spaces with adequate toys, books, and other recreational supplies.

    Note: The agency is responsible for developing policies or procedures addressing the use of cellphones and other types of technology. See evidence at PA-RTX 17.

    Research Note: Literature emphasizes the importance of creating a sensitive and nonjudgmental service environment for LGBTQ individuals. Agencies can create and maintain a safe environment by posting a nondiscrimination policy that explicitly includes sexual orientation and gender identity, and by allowing transgender residents to use bathrooms and showers based on their gender self-identity and gender role.


  • PA-RTX 16.02

    Personal accommodations for residents are age, developmentally, gender, and culturally appropriate and include:
    1. single rooms, rooms for groups of two to four residents, and/or accommodations for larger groups, if appropriate for therapeutic reasons;
    2. adequately and attractively furnished rooms with a separate bed for each resident, including a clean, comfortable, covered mattress, pillow, sufficient linens, and blankets; 
    3. a non-stacking crib for each infant and toddler that is 24 months or younger that meets federal safety regulations; and
    4. a safe place such as a locker to keep personal belongings and valuables.

    Interpretation: Bedroom space should, at a minimum, meet state requirements and accommodate the basic furnishings the standard mentions. National advocacy standards suggest that single rooms have at least 100 square feet of floor space and rooms housing more than one individual have at least 80 square feet per person. 

    Interpretation: Group assignments and room accommodations may be adjusted as appropriate to the service provided, therapeutic considerations, level of risk, or developmental appropriateness. 

    Interpretation: All cribs, including portable cribs that can be folded or collapsed without being disassembled, must meet current Consumer Product Safety Commission (CPSC) full-size and non-full size crib standards per Sections 1219 and 1220 of Title 16 of the Code of Federal Regulations to ensure safety. 

    The American Academy of Pediatrics recommends that cribs are used by children under 90 centimeters (35 inches) tall. 

    Note: Element (c) will not apply to agencies that do not allow residents to bring their children to the treatment program.


  • PA-RTX 16.03

    Agencies that serve families house families as a unit and keep sibling or family groups together, whenever possible.

    NA The program does not serve families, or housing families as a unit is not possible or prohibited by law.


  • PA-RTX 16.04

    Residents participate actively in:
    1. decorating and personalizing their sleeping area; 
    2. choosing clothing based on their personal preferences; 
    3. food preparation and meal planning; and
    4. contributing to decisions about how to make living areas inviting, comfortable, and reflective of the residents’ interests and diversity.

    Update:

    • Added Note - 03/15/17
      A new Note was added for crisis stabilization and short-term diagnostic programs. 

    Note: Some standards elements may not be applicable for crisis stabilization and short-term diagnostic programs due to length of stay and program design. 


  • PA-RTX 16.05

    Facilities support quality therapeutic programs and settings and do not create obstacles to providing:
    1. choice among individual, small, and large group activities;
    2. activities that invite use of community resources;
    3. a variety of after school, evening, weekend, holiday, and school break programs for use by residents, guests, family, and community members;
    4. a variety of activities that are focused around resident’s home, community, and extended family and friends;
    5. space for quiet reading, study hours, and help with school assignments;
    6. space for individual hobbies and group projects that may be large and constructed over time; and
    7. alternatives to watching television, such as art, photography, or other creative activities.

    Update:

    • Added Note - 03/15/17
      A new Note was added for crisis stabilization and short-term diagnostic programs. 

    Note: Some standards elements may not be applicable for crisis stabilization and short-term diagnostic programs due to length of stay and program design. 


  • PA-RTX 16.06

    Residential facilities provide:
    1. sufficient and culturally appropriate supplies and equipment to meet residents’ needs;
    2. access to a computer and the internet;
    3. adequate space for storage and maintenance needs;
    4. rooms for providing occasional on-site services, as needed
    5. accommodations for informal gathering of residents including during inclement weather;
    6. at least one room suitably furnished for the use of on-duty personnel; and
    7. private sleeping accommodations for personnel who sleep at the facility, if applicable.


  • PA-RTX 16.07

    The agency has adequate facilities for administrative support functions, food preparation, housekeeping, laundry, maintenance, and storage.


  • PA-RTX 16.08

    The residential facility and outdoor space should be clean and maintained in good condition to promote the health and safety of personnel and residents.

    Interpretation: The facility’s outdoor area should be inviting and contain sufficient space for recreational activities. Outdoor equipment must meet all playground equipment safety standards and be appropriate for the number, age, and developmental level of residents.

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