WHO IS ACCREDITED?

Private Organization Accreditation

Lutheran Social Services of New England is a high-performing nonprofit organization. LSS is a powerful difference maker and go-to resource, driving ourselves to constantly anticipate futures that are different from the past. For 140 years, LSS has been caring for people in need in New England.
read more >>

VOLUNTEER TESTIMONIAL

Ulysses Arteaga, L.C.S.W.

Volunteer Roles: Commissioner; EPPA; Marine Reviewer; Military Reviewer; Peer Reviewer; Team Leader

The Consuelo Foundation 2012 Peer Reviewer of the Year, Mr. Arteaga conducts two to three site visits a year, often volunteering for visits that require a Spanish speaking peer.
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 3: Assessment

Service recipients participate in a comprehensive, individualized, strengths-based, family-focused, culturally responsive assessment.

Update:

  • Added Research Note - 02/07/18
     

Interpretation: The Assessment Matrix - Private, Public, Canadian, Network determines which level of assessment is required for COA’s Service Sections. The assessment elements of the Matrix can be tailored according to the needs of specific individuals or service design.

Note: Refer to the interpretation at PSR 1 regarding the definition of “culturally responsive.”

Research Note: Personnel that conduct initial and comprehensive assessment should be aware of the indicators of a potential victim of human trafficking. Several tools are available to help identify a potential victim and determine next steps toward an appropriate course of treatment.

Research Note: For an assessment to be trauma-informed, it assumes that every individual has likely been exposed to experiences that are traumatic, including abuse (physical, psychological, or sexual), neglect, out-of-home placements, exposure to community or familial violence, or persistent stress. Adopting this assumption in all levels of treatment ensures the organization actively avoids instances that traumatize the individual.
 

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
  • Culturally responsive assessments are the norm and any issues with individual staff members are being addressed through performance evaluations (HR 6.02) and training (TS 2.05); or
  • Active client participation occurs to a considerable extent; or
  • Diagnostic tests are consistently and appropriately used, but interviews with staff indicate a need for more training (TS 2.08).
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
  • Assessment and reassessment timeframes are often missed; or
  • Assessment are sometimes not sufficiently individualized;
  • Culturally responsive assessments are not the norm and this is not being addressed in supervision or training; or
  • Staff are not competent to administer diagnostic tests , or tests are not being used when clinically indicated; or
  • Client participation is inconsistent; or
  • Assessments are done by referral source and no documentation and/or summary of required information present in case record; 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 are 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
    • Assessment procedures
    • List of standardized assessment tools used
    • Copies of standardized assessment tools used
    • Interview:
      1. Clinical or program director
      2. Relevant personnel
      3. Individuals or families served
    • Review case records

  • PSR 3.01

    Personnel who conduct assessments are qualified by training, skill, and experience and able to recognize individuals and families with special needs.

    Research Note: Literature suggests that involving the individual in the assessment process increases ownership of the assessment. To facilitate such involvement personnel should be familiar with skills such as orienting, giving instructions, requesting information, demonstrating understanding, and the ability to develop a trusting relationship.


  • PSR 3.02

    The information gathered for assessments is strengths-based, comprehensive, directed at concerns identified in the initial screening, and limited to material for meeting service requests and objectives.

    Research Note: Literature suggests that involving the individual in the assessment process increases ownership of the assessment. To facilitate such involvement, personnel should be familiar with skills such as orienting, giving instructions, requesting information, demonstrating understanding, and the ability to develop a trusting relationship.


  • PSR 3.03

    Individuals are assessed:

    1. for a history and presence of serious and persistent mental illness and substance use or other health conditions;
    2. for life skills and available resources;
    3. traumatic experiences and trauma-related symptomatology;
    4. past or present connection to the criminal justice system;
    5. medical history, including past medication prescription and community support; and
    6. to determine if they can benefit from services that promote the ability to live and function in the environment of their choice.

    Update:

    • Revised Standard - 02/07/18

    Interpretation: The assessment includes use of standardized diagnostic tools such as the current Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association, the International Statistical Classification of Diseases and Related Health Problems (ICD), or another comparable standardized diagnostic tool. Assessments are completed within timeframes established by the organization and updated periodically.

    Research Note: Researchers suggest the assessment should address a person’s skills and supportive resources, as well as history and symptoms, because rehabilitation outcomes are often related to the presence or absence of such skills and supports rather than one’s psychiatric diagnosis and symptoms.


  • PSR 3.04

    Assessments are conducted in a culturally responsive manner to identify resources that can increase service participation and support the achievement of agreed upon goals.

    Interpretation: Culturally responsive assessments can include attention to geographic location, language of choice, and the person’s religious, racial, ethnic, and cultural background. Other important factors that contribute to a responsive assessment include attention to age, sexual orientation, and developmental level.

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