WHO IS ACCREDITED?

Private Organization Accreditation

Sweetser, a Maine non-profit agency operating since 1828, provides comprehensive mental and behavioral health and substance abuse treatment services. Statewide, it serves around 15,000 consumers a year, including children, adults, and families in outpatient, office-based, and residential settings.
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ORGANIZATION TESTIMONIAL

Advantage Credit Counseling Service

Mary Loftus, VP, Agency Service

Our agency is preparing for reaccreditation under the Eighth Edition Standards. The COA site is well organized and very easy to use. Our team of employees working on the reaccreditation process has found the tools index to be very helpful, particularly some of the templates.
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Purpose

Youth participating in Psychosocial Services (YPS) receive community based services that facilitate childhood development and resiliency using a holistic approach that improves family functioning and increases child well-being and safety.

YPS 10: Personnel

Personnel providing youth psychosocial or wraparound services are supervised by qualified professionals and receive training on an on-going basis. 

Note: The individual referred to throughout the standards as a rehabilitation specialist may also be known as a program manager, clinical director, etc. 

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.,
  • With some exceptions, staff (direct service providers, supervisors, and program managers) possess the required qualifications, including: education, experience, training, skills, temperament, etc., but the integrity of the service is not compromised.
    • Supervisors provide additional support and oversight, as needed, to staff without the listed qualifications.
    • Most staff who do not meet educational requirements are seeking to obtain them.
  • With some exceptions staff have received required training, including applicable specialized training.
    • Training curricula are not fully developed or lack depth.
    • A few personnel have not yet received required training.
    • Training documentation is consistently maintained and kept up-to-date with some exceptions.
  • A substantial number of supervisors meet the requirements of the standard, and the organization provides training and/or consultation to improve competencies.
    • Supervisors provide structure and support in relation to service outcomes, organizational culture and staff retention.
  • With a few exceptions caseload sizes are consistently maintained as required by the standards.
  • Workloads are such that staff can effectively accomplish their assigned tasks and provide quality services, and are adjusted as necessary in accord with established workload procedures.
    • Procedures need strengthening.
    • With few exceptions procedures are understood by staff and are being used.
  • With a few exceptions specialized staff are retained as required and possess the required qualifications.
  • Specialized services are obtained as required by the standards.
3
Practice requires significant improvement, as noted in the ratings for the Practice standards.  Service quality or program functioning may be compromised; e.g.,
  • One of the Fundamental Practice Standards received a rating of 3 or 4.
  • A significant number of staff, e.g., direct service providers, supervisors, and program managers, do not possess the required qualifications, including: education, experience, training, skills, temperament, etc.; and as a result the integrity of the service may be compromised.
    • Job descriptions typically do not reflect the requirements of the standards, and/or hiring practices do not document efforts to hire staff with required qualifications when vacancies occur. 
    • Supervisors do not typically provide additional support and oversight to staff without the listed qualifications.
  • A significant number of staff have not received required training, including applicable specialized training.
    • Training documentation is poorly maintained.
  • A significant number of supervisors do not meet the requirements of the standard, and the organization makes little effort to provide training and/or consultation to improve competencies.
  • There are numerous instances where caseload sizes exceed the standards' requirements.
  • Workloads are are excessive and the integrity of the service may be compromised.
    • procedures need significant strengthening; or
    • procedures are not well-understood or used appropriately; or
  • Specialized staff are typically not retained as required and/or many do not possess the required qualifications; or
  • Specialized services are infrequently obtained as required by the standards.
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.,

For example:
  • 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
    • Program staffing chart that includes lines of supervision
    • Job descriptions
    • List of program personnel that includes:
      1. name;
      2. title;
      3. degree held and/or other credentials;
      4. FTE or volunteer;
      5. length of service at the organization;
      6. time in current position
    • Table of contents of training curricula
    • Documentation of training
    • Information and/or data describing staff turnover
    • Interview:
      1. Supervisors
      2. Personnel
    • Review personnel files
    • Verify employment or contract with psychiatrist, psychologist, and other professionals

  • YPS 10.01

    The program is under the direction of a rehabilitation specialist who is qualified by:

    1. an advanced degree in a human services field and a minimum of 2 years relevant experience working with youth with a serious emotional disorder; or
    2. a bachelor’s degree in social work or a comparable human service field and at least an additional 4 years of relevant experience working with youth with a serious emotional disorder.

    Update:

    • Revised Standard - 09/15/17
      The fundamental practice designation has been removed from this standard and qualifications have been revised. An interpretation was added.

    Interpretation: Some states require those in a supervisory role have certification or licensure by the designated authority in their state, such as the Psychiatriac Rehabilitation Association Children’s Psychiatric Rehabilitation Certificate. Organizations should consult state and local laws and regulations to ensure compliance.


  • YPS 10.02

    Rehabilitation specialist is employed for:

    1. at least 20 hours per week when the program serves less than 30 individuals; or
    2. at least 40 hours per week when the program serves 30 individuals or more.


  • YPS 10.03

    Direct services supervisors are qualified by one or more of the following:

    1. an advanced degree in a human services field and a minimum of two years professional experience;
    2. substantial experience in the psychosocial rehabilitation field which, based on the organization’s decision, substitutes for specific educational requirements; and/or
    3. national or state certification, licensing, or registration requirements in the psychosocial or psychiatric rehabilitation field.

    Interpretation: Supervisor qualifications will vary depending on the services provided and program design, as well as local regulations. 

    Interpretation: Rehabilitation specialists may have a dual role of supervisor and program director, if their workload permits it.
     


  • FP
    YPS 10.04

    Direct service personnel receive training on the following topics:

    1. engagement with youth, including building trust and establishing rapport;
    2. partnering and engaging with families;
    3. accessing culturally-relevant community services;
    4. recognizing trauma and coping mechanisms, and providing trauma-informed care;
    5. the use, management, and side effects of psychotropic medications;
    6. individuals who identify as lesbian, gay, bisexual, transgender, or gender non-conforming;
    7. the characteristics and treatment of emotional or behavioral problems of youth; and
    8. recognizing the risk factors that increase vulnerability to relapse.

    Research Note: Training regarding youth psychiatric rehabilitation services should address evidence based practices, recovery, the psychiatric rehabilitation process, the consumer movement, and cultural issues.


  • YPS 10.05

    Direct service personnel workloads support the achievement of client outcomes, are regularly reviewed, and are based on an assessment of the following:

    1. the qualifications, competencies, and experience of the worker, including the level of supervision needed;
    2. the work and time required to accomplish assigned tasks and job responsibilities; and
    3. service volume, accounting for assessed level of needs of new and current clients and referrals.


  • YPS 10.06

    Personnel providing direct services are qualified by: 

    1. a bachelor’s degree in a health-related field;
    2. an associate’s degree in a health-related and minimum 1 year of experience;
    3. 30 hours, or their equivalent, of college credit toward a bachelor’s degree in a health-related field and 1 year of experience; or
    4. 2 years of work experience in a supervised mental health setting.

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