Private Organization Accreditation

One Hope United offers a range of services aimed at our mission of "Protecting children and strengthening families" including early childhood education, early intervention and prevention, family preservation, foster care, residential, and adoption.


Audrey Coleman, RN-MSN

Volunteer Roles: Military Reviewer; Peer Reviewer; Team Leader

My first experience with COA was in 1999 with what was a NC Area Program. I started as a peer reviewer in 2005, doing two to four site visits a year. I am also a team leader and have recently been approved to be a military reviewer.
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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 19: Transition from the Service System

Residents transitioning to the community participate in planning for a transition and are prepared with positive experiences and skills to make a successful move.

Interpretation: The decision to develop a plan for returning to the community is based on the resident’s preparedness and wishes unless the transition is mandated. Family members should also be involved in the transition process to the greatest extent possible.

Interpretation: When the organization serves young children, the parent and/or legal guardian is informed of and involved in the transition process from admission.

Research Note: Transitional periods in life are often particularly stressful for survivors of trauma who need to guide their own transition planning at a pace that feels comfortable for them and may require additional supports in order to have a safe experience of transition.

NA The organization only operates a crisis stabilization unit or short-term diagnostic center.

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
    • Transition planning procedures
    • A description of services provided to residents who are transitioning from the service system
No On-Site Evidence
    • Interview:
      1. Program director
      2. Relevant personnel
      3. Residents
    • Review case records

  • RTX 19.01

    The organization provides residents transitioning to the community with advance notice of the cessation of any health, financial, or other benefits that may occur at transition.

  • RTX 19.02

    The organization works with residents and their families to develop a plan for living in the community.

    Interpretation: For adolescents, the transition from the service system often coincides with their transition to adulthood. Youth should be supported during their transition to adulthood through individualized planning and preparation that promotes emotional well-being, supportive relationships, access to needed resources, and skill development. Program personnel should also provide youth transitioning into adult systems of care with the knowledge they need to access specialized services and navigate adult-serving systems.

    Research Note: As adolescents enter adulthood, services from child-serving systems end, often abruptly, even though the need continues.  In order to maintain continuity of care, organizations should partner with residents and their families to develop a transition plan that builds strengths, and addresses their ongoing service needs.

  • RTX 19.03

    The organization prepares residents for a successful transition by providing:
    1. for transfer or termination of custody for youth, as applicable;
    2. information about rights and services to which the person may have access as a result of a disability;
    3. information about availability of community resources, including affordable healthcare and counseling;
    4. court and welfare systems information;
    5. child care services information, as applicable; and
    6. support through community volunteers, peers, or persons who have made a successful transition, as appropriate.

    Research Note: Literature indicates that while residential treatment services are essential to victims of human trafficking, successfully meeting the needs of this population depends on it being part of a continuum that includes prevention, education, outreach, and collaboration that reaches a wide array of community providers, such as schools, law enforcement, juvenile courts, child protective services, shelters, drop-in centers, parents, and the community at large.

  • RTX 19.04

    The organization works with the resident and their family and/or legal guardian to assess the independent living skills of residents 14 years and older, at regular intervals.

    Interpretation: Organizations should use a standardized assessment instrument as soon as possible after a child’s 14th birthday to establish a benchmark for progress on the development of skills in the areas of:
    1. educational and vocational development, 
    2. interpersonal skills, 
    3. financial management, 
    4. household management, and 
    5. self-care. 
    Systematic assessment normally reoccurs at six or twelve month intervals.

    NA Residents are not transitioning to an independent living situation.

  • RTX 19.05

    During the transition process, and prior to case closing, the organization explores a range of housing options with residents and engages them in an evaluation of the risks and benefits of various living situations and independence from the organization.

    Interpretation: Options may include the full range of living situations from supported living to fully independent living environments.

    NA Residents are not transitioning to an independent living situation.

  • RTX 19.06

    For every resident transitioning to independence, the organization ensures that basic resources are in place, including:
    1. a safe, stable living arrangement with basic necessities;
    2. a source of income;
    3. affordable health care; and
    4. access to education and career development. 

    Research Note: Research indicates that many youth who have been separated from their homes experience high levels of housing instability and are at increased risk for homelessness. Accordingly, some experts emphasize the importance of providing concrete assistance to help youth secure appropriate housing and recommend that independent living programs subsidize rental costs or develop transitional housing programs. Financial assistance for room and board may be available to former foster youth through the Chafee Foster Care Independence Program.

    Research Note: The Affordable Care Act (ACA) will require states to provide Medicaid coverage for individuals under age 26 who were in foster care at age 18 and receiving Medicaid. Youth will be eligible for full Medicaid benefits which include Early, Periodic, Screening, Diagnosis and Treatment (EPSDT) services. 

    It is recommended that organizations train direct service personnel on their state’s Medicaid eligibility requirements and healthcare options for youth transitioning out of care and conduct follow-up training as changes are implemented based on the ACA. Organizations should also work directly with state Medicaid agencies to connect eligible individuals to benefits.

    NA Residents are not transitioning to independent living situations.

  • RTX 19.07

    The organization ensures that residents transition from the service system with social supports in place, including, as appropriate:
    1. access to at least one committed, caring adult; 
    2. access to cultural and community supports; and 
    3. access to positive peer support and mentoring, including peer advocates and peer support.

    Research Note: Healthy interpersonal relationships are positively correlated with successful outcomes for youth transitioning from care. As adolescents move into adulthood, continued support and guidance from concerned, nurturing adults has a profound impact on youth achieving an optimal level of independence. Even if youth are not living with their families after they leave the residential program, having relationships with family members increases the likelihood of a successful transition.

    Research Note: Peer support is built on shared personal experience and empathy, and focuses on an individual’s strengths, not weaknesses. Information provided by peers is often seen as more authentic as peers have similar lived experience and can better relate to those they support. Peer support has demonstrated positive outcomes in the areas of substance abuse, parenting, mental health, chronic illness, anxiety, and depression. Research shows that peer-run self-help groups can improve an individual’s social support networks and enhance self-esteem and social functioning. 

  • RTX 19.08

    The organization assists residents in obtaining or compiling documents necessary to function independently, including, as appropriate:
    1. an identification card or a driver’s license, when the ability to drive is a goal;
    2. a social security or social insurance number;
    3. a resume, describing work experience and career development;
    4. medical records and documentation, including a Medicaid card or other health eligibility documentation;
    5. an original copy of the birth certificate;
    6. religious documents and information;
    7. documentation of immigration or refugee history and status, when applicable;
    8. death certificates if parents are deceased;
    9. a life book or a compilation of personal history and photographs, as appropriate;
    10. a list of known relatives, with relationships, addresses, telephone numbers, and permissions for contacting involved parties;
    11. previous placement information and health facilities used, when age-appropriate; and
    12. educational records, such as high school diploma or general equivalency diploma, and a list of schools attended, when age-appropriate.

  • RTX 19.09

    As a continuing resource for information, crisis management, referral, and support, the organization provides each resident with:
    1. a transition plan summary, including the individual’s options;
    2. a list of emergency contacts; and
    3. the organization’s contact information.

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