WHO IS ACCREDITED?

Private Organization Accreditation

Southeastern Regional Mental Health, Developmental Disabilities and Substance Abuse Services is a Local Management Entity, covering the geographic areas of Bladen, Columbus, Robeson, and Scotland counties. SER ensures continuity of care to consumers through access to a quality of care system available 24/7/365 days a year through management of our network provider services.
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ORGANIZATION TESTIMONIAL

Orange County Government, Youth & Family Services Division

Rodney J. Hrobar Sr., LMHC, CPP, Quality Assurance Manager

As the lead agency in Orange County, providing the safety net for children and families, it is reassuring that our clients can be confident that their needs will be addressed in accordance with the most stringent standards of public, as well as private, accountability as monitored and reviewed by the Council on Accreditation. 
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Purpose

Individuals who participate in Pregnancy Support Services learn about parenthood, make informed decisions about their pregnancies, stay healthy, and pursue their educational and vocational goals.

PS 11: Personnel

Personnel are qualified to support, educate, and counsel individuals who are pregnant.

Rating Indicators
1
All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice standards.
2
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice standards; e.g., 
  • With some exceptions, staff (direct service providers, supervisors, and program managers) possess the required qualifications, including: education, experience, training, skills, temperament, etc., but the integrity of the service is not compromised.
    • Supervisors provide additional support and oversight, as needed, to staff without the listed qualifications.
    • Most staff who do not meet educational requirements are seeking to obtain them.
  • With some exceptions staff have received required training, including applicable specialized training.
    • Training curricula are not fully developed or lack depth.
    • A few personnel have not yet received required training.
    • Training documentation is consistently maintained and kept up-to-date with some exceptions.
  • A substantial number of supervisors meet the requirements of the standard, and the organization provides training and/or consultation to improve competencies.
    • Supervisors provide structure and support in relation to service outcomes, organizational culture and staff retention.
  • With a few exceptions caseload sizes are consistently maintained as required by the standards.
  • Workloads are such that staff can effectively accomplish their assigned tasks and provide quality services, and are adjusted as necessary in accord with established workload procedures.
    • Procedures need strengthening.
    • With few exceptions procedures are understood by staff and are being used.
  • With a few exceptions specialized staff are retained as required and possess the required qualifications.
  • Specialized services are obtained as required by the standards.
3
Practice requires significant improvement, as noted in the ratings for the Practice standards.  Service quality or program functioning may be compromised; e.g.,
  • One of the Fundamental Practice Standards received a rating of 3 or 4.
  • A significant number of staff, e.g., direct service providers, supervisors, and program managers, do not possess the required qualifications, including: education, experience, training, skills, temperament, etc.; and as a result the integrity of the service may be compromised.
    • Job descriptions typically do not reflect the requirements of the standards, and/or hiring practices do not document efforts to hire staff with required qualifications when vacancies occur.
    • Supervisors do not typically provide additional support and oversight to staff without the listed qualifications.
  • A significant number of staff have not received required training, including applicable specialized training.
    • Training documentation is poorly maintained.
  • A significant number of supervisors do not meet the requirements of the standard, and the organization makes little effort to provide training and/or consultation to improve competencies.
  • There are numerous instances where caseload sizes exceed the standards' requirements.
  • Workloads are excessive and the integrity of the service may be compromised. 
    • Procedures need significant strengthening; or
    • Procedures are not well-understood or used appropriately; or
  • Specialized staff are typically not retained as required and/or many do not possess the required qualifications; or
  • Specialized services are infrequently obtained as required by the standards.
4
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice standards; e.g.,

?For example:
  • Two or more Fundamental Practice Standards received a rating of 3 or 4.

Table of Evidence

Self-Study Evidence On-Site Evidence On-Site Activities
    • Program staffing chart that includes lines of supervision
    • List of program personnel that includes:
      1. name;
      2. title;
      3. degree held and/or other credentials;
      4. FTE or volunteer;
      5. length of service at the organization;
      6. time in current position
    • Table of contents of training curricula
    • Procedures and criteria used for assigning and evaluating workloads
    • Job descriptions
    • Documentation of training
    • Training curricula
    • Interview:
      1. Supervisors
      2. Personnel
    • Review personnel files

  • PS 11.01

    Direct service personnel have the competencies needed to:

    1. engage and empower individuals who are pregnant and their family members and significant others, including birth fathers;
    2. counsel and/or support individuals who are pregnant and their family members and significant others, including birth fathers;
    3. provide education on topics related to individual functioning, maternal health, and child rearing;
    4. communicate effectively with individuals from a wide range of backgrounds, cultures, and perspectives;
    5. link individuals with needed community services, including healthcare and medical services; and
    6. collaborate with community providers, including healthcare and medical professionals.

    Interpretation: Competency can be demonstrated through a combination of education, training, and experience.


  • PS 11.02

    Personnel providing education services in a group setting have the competencies needed to:

    1. engage and motivate group members;
    2. educate group members;
    3. understand group dynamics;
    4. lead discussions; and
    5. facilitate group activities.

    Interpretation: Competency can be demonstrated through a combination of education, training, and experience.

    NA The organization does not provide education services in a group setting.


  • PS 11.03

    Personnel who provide pregnancy counseling are qualified by:

    1. an advanced degree in social work or a comparable human service field and related experience; or
    2. a bachelor’s degree in social work or a comparable human service field and related experience, with supervision by a person with an advanced degree in social work or a comparable human service field.

    Interpretation: Related experience can include: (1) experience in pregnancy counseling, (2) experience in family and children’s services and training in pregnancy counseling, or (3) experience in counseling and training in pregnancy counseling.

    NA The organization does not provide counseling services designed to help individuals make decisions about their pregnancies.


  • PS 11.04

    Personnel who provide education services are supervised by a person who is qualified by:

    1. an advanced degree in education or a comparable human service field; or
    2. a bachelor’s degree in education or a comparable human service field and two years’ related experience.

    NA The organization does not provide education services.


  • PS 11.05

    Employee workloads support the achievement of positive outcomes for individuals served, are regularly reviewed, and are based on an assessment of the following:

    1. the qualifications, competencies, and experience of the provider, including the level of supervision needed;
    2. the work and time required to accomplish assigned tasks and job responsibilities; and
    3. service volume, accounting for assessed level of needs of new and current individuals and referrals.
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