WHO IS ACCREDITED?

Private Organization Accreditation

Sweetser, a Maine non-profit agency operating since 1828, provides comprehensive mental and behavioral health and substance abuse treatment services. Statewide, it serves around 15,000 consumers a year, including children, adults, and families in outpatient, office-based, and residential settings.
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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 7: Health Services

Expectant parents are linked to the health services necessary to promote parent well-being, healthy births, and healthy child development.

NA The organization provides only Pregnancy Options Counseling or Birth Options Counseling.

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.,
  • Minor inconsistencies and not yet fully developed practices are noted, however, these do not significantly impact service quality; or
  • Procedures need strengthening; or
  • With few exceptions procedures are understood by staff and are being used; or
  • For the most part, established timeframes are met; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations (HR 6.02) and training (TS 2.03); or
  • Active client participation occurs to a considerable extent.
3
Practice requires significant improvement, as noted in the ratings for the Practice standards. Service quality or program functioning may be compromised; e.g.,
  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Timeframes are often missed; or
  • A number of client records are missing important information  or
  • Client participation is inconsistent; or
  • One of the Fundamental Practice Standards received a rating of 3 or 4.
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.,
  • No written procedures, or procedures are clearly inadequate or not being used; or
  • Documentation is routinely incomplete and/or missing; or  
  • 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
    • A description of services
    • Procedures for linking individuals to services and providing ongoing monitoring and follow-up
No On-Site Evidence
    • Interview:
      1. Program director
      2. Relevant personnel
      3. Individuals served
    • Review case records

  • FP
    PS 7.01

    Expectant parents are linked to the following healthcare services, as appropriate to their needs:

    1. prenatal health care;
    2. genetic risk identification and counseling services;
    3. labor and delivery services;
    4. diagnosis and treatment of health problems, including sexually transmitted diseases;
    5. dental care;
    6. mental health care;
    7. postpartum care;
    8. ongoing health care, including routine medical checkups; and
    9. pediatric care, including well-baby visits and immunizations.

    Interpretation: Regarding element (f), expectant mothers should be screened for depression, informed about postpartum depression, and connected to available support and treatment services. 


  • FP
    PS 7.02

    Expectant parents are helped to access other services needed to promote parental well-being and healthy births, including, as appropriate:

    1. food and nutrition services;
    2. smoking cessation services; and
    3. services for substance use conditions.

  • PS 7.03

    Expectant parents are helped to sign up for health insurance when coverage is available and receive information about other options for care, such as free clinics, when insurance coverage is not available.


  • FP
    PS 7.04

    To help expectant parents stay healthy and prevent unintended subsequent pregnancies, the organization:

    1. provides information and education about the prevention and treatment of diseases, including HIV/AIDS and other sexually transmitted diseases;
    2. provides information and education about pregnancy prevention, pregnancy planning, and the spacing of children; and
    3. links expectant parents to family planning services.

    Interpretation: An organization that does not link service recipients with family planning services when doing so is counter to its mission or beliefs should disclose this fact to service recipients.

    Note: When an organization does not provide linkages to family planning services because doing so is counter to its mission or beliefs, practice could include providing individuals with a comprehensive list of other community providers that offer pregnancy support and education services.

    Research Note: Research indicates that rapid repeat births are associated with adverse outcomes for adolescent mothers and their children. It is unclear if these outcomes result from subsequent births or the underlying characteristics that lead some teen mothers to give birth a second time, and literature suggests there may be truth to both explanations. Some experts suggest that youths become pregnant because they believe they have limited life options and little to lose by having a baby. Accordingly, as addressed in PS 8 and PS 9, organizations should try to motivate adolescents to prevent future pregnancies by: (1) linking them to the education and employment opportunities that may improve their life options, and (2) helping them develop the confidence that they can utilize and benefit from those opportunities. Literature also cautions that it can be difficult for a program to succeed in preventing subsequent pregnancies, especially when service recipients live in communities where opportunities are limited, or do not share the program’s goal of delaying future pregnancies.

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