Private Organization Accreditation

Northside Psychological Services is a combination of both private practice and community mental health provider. We provide services to children and adults (EAP, private insurance, private pay, etc.) in our private practice setting. In our Community Care Program, we provide services to children and adolescents in their homes.


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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Table of Evidence

Self-Study Evidence On-Site Evidence On-Site Activities
  • Service planning procedures 96.44 (a)
  • Executive Verification 96.44 (a)
  • Case Record Template 96.44 (a)
  • Describe the agency’s capability to act as primary provider. Describe which services will be provided directly and by supervised providers, other foreign providers, exempted providers or others, if applicable. Describe the agency/person’s capability to supervise other providers and verify the work of other foreign providers 96.44 (b)
  • Organizational Chart and job descriptions illustrating responsibility for performance of primary provider functions 96.44 (b)
  • Policies and procedures for acting as a primary provider 96.44 (b)
  • Case records (e.g., service plans with supervised providers identified) 96.44 (a)
  • Budget specifying funds allocated/necessary for supervisory activities or for ASP’s who are not currently acting as a primary provider a plan for obtaining additional resources 96.44 (b)
  • Interview:
    1. Personnel 96.44 (a)
    2. Supervised providers, as applicable 96.44 (a), 96.44 (b)
    3. CEO/Executive Director 96.44 (b)
    4. Personnel responsible for supervised providers 96.44 (b)

  • C
    SPD 96.44.a

    When required by Section 96.14(a), the agency or person acts as primary provider and adheres to the provisions in Section 96.14(b) through (e). When acting as the primary provider, the agency or person develops and implements a service plan for providing all adoption services and provides all such services, either directly or through arrangements with supervised providers, exempted providers, public domestic authorities, competent authorities, Central Authorities, public foreign authorities, or, to the extent permitted by Section 96.14(c), other foreign providers (agencies, persons, or other non-governmental entities).

  • C
    SPD 96.44.b

    The agency or person has an organizational structure, financial and personnel resources, and policies and procedures in place that demonstrate that the agency or person is capable of acting as a primary provider in any intercountry adoption case and, when acting as the primary provider, provides appropriate supervision to supervised providers and verifies the work of other foreign providers in accordance with Section Section 96.45 and 96.46.

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