WHO IS ACCREDITED?

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.
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ORGANIZATION TESTIMONIAL

Family Services of the North Shore

Kathleen Whyte, Manager of Human Resources / Accreditation Coordinator

Family Services of the North Shore is about to enter our third accreditation cycle with COA. Accreditation has provided us with a framework that enables us to demonstrate accountability to our clients, our funders and our donors. There is no question that the accreditation process and COA have benefited our agency.
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Purpose

Youth who participate in Wilderness and Adventure-based Therapeutic Outdoor Services expand individual capabilities, develop self-confidence and insight, ameliorate symptoms, and improve interpersonal skills and relationships.

PA-WT 1: Screening and Intake

The agency’s screening and intake practices ensure that individuals receive prompt and responsive access to appropriate services.

Rating Indicators
1
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. 
2
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.  
3
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.
4
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
    • Screening and intake procedures
    • Procedures for expedited admissions
    • Procedures for placement
    • Blank consent form
    • Interview:
      1. Program director
      2. Relevant personnel
      3. Youth or families served
    • Review case records

  • PA-WT 1.01

    Youth and families are screened and informed about:

    1. how well the individuals request matches the agency’s services; and
    2. what services will be available, and when.

    NA Another agency is responsible for screening, as defined in a contract.


  • PA-WT 1.02

    Criteria used to determine if the service and specific activities are appropriate for the individual include:

    1. physical, social, developmental, and mental health status;
    2. interpersonal relationships and social skills;
    3. prior treatment history and experience with outdoor programming;
    4. the appropriateness of adventure-based therapeutic outdoor services to address the individual’s needs; and
    5. other significant factors.

  • FP
    PA-WT 1.03

    Prompt, responsive intake practices:

    1. ensure equitable treatment;
    2. give priority to urgent needs and emergency situations;
    3. support timely initiation of services; and
    4. provide for placement on a waiting list, if applicable.

  • PA-WT 1.04

    During intake, the agency gathers information to identify critical service needs and/or determine when a more intensive service is necessary, including:

    1. personal and identifying information;
    2. emergency health needs; and
    3. safety concerns, including imminent danger or risk of future harm.


  • PA-WT 1.05

    Each applicant is engaged in the admission process and:

    1. is helped to understand the reasons for admission;
    2. receives a pre-admission visit to the program, when feasible; and
    3. is adequately prepared to begin the program.

  • PA-WT 1.06

    The agency adheres to intake criteria and assessment requirements for expedited admissions and follows established procedures for integrating participants into existing groups.


  • PA-WT 1.07

    Applicants who cannot be served, or cannot be served promptly, are referred or connected to appropriate resources.

    NA The agency accepts all clients.


  • FP
    PA-WT 1.08

    Critical care decision making is carried out by, or under the direct supervision of, experienced or licensed personnel.


  • FP
    PA-WT 1.09

    Prior to providing consent, parents or legal guardians, referral or placing representatives, and youth, whenever possible, receive information about:

    1. the type of adventure activities the participant will undertake;
    2. educational options; and
    3. any actual or perceived risks.

  • PA-WT 1.10

    Informed, written consent is obtained from the parent or legal guardian and, whenever possible, the youth before admission to the program.

    Interpretation: The legal guardian can include the court.


  • FP
    PA-WT 1.11

    The agency describes:

    1. personal items a participant may bring with them, consistent with a safe, therapeutic setting;
    2. items that are discouraged or prohibited; and
    3. any safety procedures the program follows, or consequences that can result, when prohibited items are brought to the program site.

    Interpretation: Permitted personal items will vary as appropriate to the program’s design but can include photos, books, or clothing.

    Wilderness and Adventure-Based Therapeutic Outdoor Services

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