WHO IS ACCREDITED?

Private Organization Accreditation

Heartland for Children is the not-for-profit agency responsible for the foster care system in Polk, Highlands, and Hardee Counties.
read more >>

ORGANIZATION TESTIMONIAL

Catholic Charities, Diocese of Covington

Wm. R. (Bill) Jones, ACSW, MDiv, Chief Executive Officer

Catholic Charities in Covington has been COA accredited since 1996. Though the time spent in completing the self study and hosting the site visit can sometimes feel sometimes daunting, the rewards far outweigh the effort. In our agency, the self-study is a group process that involves every member of the staff from the CEO to the building maintenance staff.
read more>>

Purpose

Adults with serious and persistent mental illness who participate in Psychiatric Rehabilitation Services achieve their highest level of self-sufficiency and recovery through gains in personal empowerment, hopefulness, and competency.

PSR 1: Service Philosophy, Modalities, and Interventions

The service philosophy:

  1. sets forth a logical approach for how program activities and interventions will meet the needs of service recipients;
  2. values consumer choice and promotes the individual’s and family member’s, as appropriate, participation and autonomy in the service design and implementation;
  3. ensures that services are strengths-based, culturally and linguistically responsive, and trauma-informed;
  4. guides the implementation and development of program activities and services based on the best available evidence of effectiveness; and
  5. outlines the service modalities and interventions that personnel may employ.

Update:

  • Revised Standard - 02/07/18

Interpretation: A functional philosophy, logic model, or similar framework, guides program development and implementation by linking the organization’s mission or purpose with strategies, practices, or tools needed to integreate these into daily work. A well-defined and visible practice model will help staff and stake holders think systematically about how the program can make a measureable difference by drawing a clear connection between the service population’s needs, available resources, program activities and interventions, program outputs, and desired outcomes.

Interpretation: Being culturally and linguistically responsive includes attention to geographic, language of choice, mode of communication, and the person’s racial, ethnic, cultural background, age, sexual orientation, gender identity, gender expression, and developmental level. Variations of this phrase are used throughout the standards and relate to this definition.

Research Note: A trauma-informed approach is one that involves recognizing the signs and symptoms of trauma, and responding by emphasizing/considering the following during service delivery:

  • safety;
  • trustworthiness and transparency;
  • peer support;
  • collaboration and mutuality;
  • empowerment, voice and choice; and
  • cultural, historical, and gender issues.

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
  • Written service philosophy needs improvement or clarification; or
  • Procedures need strengthening; or
  • With few exceptions procedures are understood by staff and are being used; 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
  • In a few rare instances required consent was not obtained; or
  • Monitoring procedures need minor clarification; or
  • With few exceptions the policy on prohibited interventions is understood by staff, or the written policy needs minor clarification.
3
Practice requires significant improvement, as noted in the ratings for the Practice standards. Service quality or program functioning may be compromised; e.g.,
  • The written service philosophy needs significant improvement; or
  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Documentation is inconsistent or in in some instances is missing and no corrective action has not been initiated; or
  • Required consent is often not obtained; or
  • A few personnel who are employing non-traditional or unconventional interventions have not completed training, as required; or
  • There are gaps in monitoring of interventions, as required; or
  • Policy on prohibited interventions does not include at least one of the required elements; or
  • Service philosophy is not clearly related to expressed mission or programs of the organization; 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.,
  • There is no written service philosophy; or
  • There are no written policy or 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
    • Service philosophy
    • Procedures for the use of therapeutic interventions
    • Procedures for the use of non-traditional or unconventional practices
    • Policies for prohibited interventions
    • Table of contents of training curricula
    • Documentation of training
    • Interview:
      1. Clinical or program director
      2. Relevant personnel
      3. Individuals or families served
    • Review case records

  • PSR 1.01

    The program is guided by a philosophy that provides a logical basis for the services and support to be delivered to individuals, based on program goals and the best available evidence of service effectiveness.


  • FP
    PSR 1.02

    If the organization permits the use of service modalities and interventions it defines as non-traditional or unconventional, it:

    1. explains any benefits, risks, side effects, and alternatives to the service recipient or a legal guardian;
    2. obtains the written, informed consent of the individual or his/her legal guardian;
    3. ensures that personnel receive sufficient training, and/or certification when it is available; and
    4. monitors the use and effectiveness of such interventions.

    Update:

    • Revised Interpretation - 02/07/18

    Interpretation: Organizations that choose to engage in modalities or interventions that do not have an established evidence base should ensure that practices do not cause physical or psychological harm by demonstrating in their procedures that they have acknowledged the potential risks of implementing such methods and subsequently taken appropriate measures to minimize risks.

    NA The organization does not permit non-traditional or unconventional modalities or interventions.


  • FP
    PSR 1.03

    Organization policy prohibits:

    1. corporal punishment;
    2. the use of aversive stimuli;
    3. interventions that involve withholding nutrition or hydration, or that inflict physical or psychological pain;
    4. the use of demeaning, shaming, or degrading language or activities;
    5. forced physical exercise to eliminate behaviors;
    6. unwarranted use of invasive procedures or activities as a disciplinary action;
    7. punitive work assignments;
    8. punishment by peers; and
    9. group punishment or discipline for individual behavior.

  • FP
    PSR 1.04

    An intervention is discontinued immediately if it produces adverse side effects or is deemed unacceptable according to prevailing professional standards.

Copyright © 2018 Council on Accreditation. All Rights Reserved.  Privacy Policy and Terms of Use