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.
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VOLUNTEER TESTIMONIAL

Barry Gourley

Volunteer Roles: Endorser; Peer Reviewer

It is an honor to be a COA volunteer. I’ve had a great opportunity to work with fabulous COA volunteers, I’ve grown professionally in the COA accreditation process and I’ve met some wonderful people across this nation who are working hard to help and support children and families.
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Purpose

Individuals with cognitive, psychiatric, behavioural, and/or substance use conditions and serious emotional disturbances who receive Day Treatment Services improve psychosocial, educational, vocational, and cognitive functioning, and learn to manage their symptoms.

CA-DTX 10: Case Closing

Case closing is a planned, orderly process.

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
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations (CA-HR 6.02) and training (CA-TS 2.03); or
  • In a few instances the organization terminated services inappropriately; or
  • Active client participation occurs to a considerable extent; or
  • A formal case closing summary and assessment is not consistently provided to the public authority per the requirements of the standard.
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
  • Services are routinely terminated inappropriately; or
  • A formal case closing summary and assessment is seldom provided to the public authority per the requirements of the standard.; 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.
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
    • Case closing procedures
    • Procedures that address continuation of services for persons whose third party benefits have ended
    • Review contract with public authority, as applicable
    • Interview:
      1. Clinical or program director
      2. Relevant personnel
      3. Individuals served
    • Review case records

  • CA-DTX 10.01

    Planning for case closing:

    1. is clearly defined and includes assignment of staff responsibility;
    2. begins at intake; and
    3. involves the service recipient, family members or a legal guardian, and others, as appropriate.

  • CA-DTX 10.02

    Upon case closing, the organization notifies any collaborating service providers, including the courts, as appropriate.


  • CA-DTX 10.03

    When a person’s third-party benefits or payments end, the organization determines its responsibility to provide services until appropriate arrangements are made and, if termination or withdrawal of service is probable due to non-payment, the organization works with the person or family to identify other service options.

    Interpretation: The organization must determine on a case-by-case basis its responsibility to continue providing services to persons whose third-party benefits have ended and who are in critical situations.

    NA The organization does not receive third-party benefits or payments for service.


  • CA-DTX 10.04

    If an individual is asked to leave the program, the organization makes every effort to link the person with appropriate services.


  • CA-DTX 10.05

    The organization that has a contract with a public authority informs the public body of formal case closing evaluation findings and assessment of unmet needs, in writing, as appropriate to the contract and with the permission of the person or legal guardian.

    NA The organization does not have a relevant contract with a public authority.

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