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.


Jane Bonk, Ph.D., LCSW

Volunteer Roles: Commissioner; Evaluator; Lead Evaluator; Peer Reviewer; Team Leader

Dr. Jane Bonk is a team leader, evaluator, and commissioner who has led over 25 site visits for COA.
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Residential Treatment Services provide individualized therapeutic interventions and a range of services, including education for residents to increase productive and pro-social behavior, improve functioning and well-being, and return to a stable living arrangement in the community.

RTX 12: Crisis Stabilization

The organization provides residents in crisis with structured, trauma-informed stabilization and treatment services in order to help them return to their previous level of functioning.

Interpretation: Children and adults seeking crisis stabilization services may be experiencing an acute psychiatric crisis, a substance use related crisis, or severe emotional or mental distress.

NA The organization does not operate a crisis stabilization unit. 

Rating Indicators
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.
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.
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.
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
    • Procedures for delivering crisis stabilization services
    • Table of contents for training curricula specific to crisis stabilization 
    • Documentation of training specific to crisis stabilization
    • Interview:
      1. Program director
      2. Relevant personnel
      3. Residents
    • Review case records

  • RTX 12.01

    Crisis stabilization services focus on crisis resolution and are delivered in a trauma-informed, developmentally appropriate, and culturally and linguistically responsive manner by qualified personnel.

  • RTX 12.02

    Organizations that offer crisis stabilization provide the following services on a 24/7 basis: 
    1. emergency reception; 
    2. assessment and evaluation; 
    3. observation and monitoring; 
    4. crisis counseling; 
    5. medication management;  
    6. structured, therapeutic activities; 
    7. support services and psycho-education for family members; and 
    8. referrals to specialists and other community-based services, as needed. 

    Interpretation: In regards to element (a), emergency reception means that individuals in crisis are accepted on a 24-hour basis without undue delays or barriers. 
    Interpretation: Structured, therapeutic activities may be recreational, social, and/or educational in nature, and are consistently provided in accordance with the resident’s service plan. Organizations can also address these services in RTX 8. 

  • RTX 12.03

    Residents receive a crisis assessment within 24 hours of admission to determine the appropriate level of care.

    Note: Organizations that operate a crisis stabilization unit will complete the applicable assessment standards in RTX 4.

    Research Note: A crisis assessment is an immediate, face-to-face evaluation that is conducted by a physician or licensed mental health professional to: determine the level of crisis; identify any immediate need for emergency services; and provide immediate intervention to de-escalate the resident’s distress and/behavior.

  • RTX 12.04

    Residents participate in the development of an initial service plan within 24 hours of admission and a comprehensive service plan within five days.

    Interpretation: When care extends beyond thirty days the organization must review and update the resident’s service plan according to the change in the individual’s clinical condition.

    Note: This standard is specific to service planning timeframes. Organizations that operate a crisis stabilization unit will also complete the applicable service planning and monitoring standards in RTX 5.

  • RTX 12.05

    Residents and their families participate in the development of a crisis plan to identify strategies and interventions that may be employed to prevent or minimize the escalation of a crisis and promote stabilization.

    Interpretation: The crisis plan should specify interventions that may or may not be implemented by personnel in order to help the resident de-escalate his or her behavior. The plan can be part of, and reviewed with, the resident’s overall service or treatment plan.

  • RTX 12.06

    Organizations arrange educational services and supports, as appropriate, to ensure that residents can pursue their educational goals once they achieve a crisis resolution.

  • RTX 12.07

    During the first 48 hours a resident is in care, a minimum of two staff members must be on-duty 24 hours per day to ensure that adequate care and supervision are provided.

    Note: For care ratio requirements, please see RTX 18.04.

  • RTX 12.08

    Personnel who provide crisis stabilization services participate in ongoing training that addresses:
    1. assessing needs in crisis situations;
    2. special issues regarding age, gender identity/crisis, substance use and mental health conditions, developmental disabilities, and other needs typically presented by the service population;
    3. de-escalation techniques for crisis situations;
    4. culturally-sensitive, trauma-informed engagement techniques; and
    5. procedures for making referrals.

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