Employment and Community Service Standard 2.A – Program/Service Structure


Each program/service:

  1. Documents the following parameters regarding its scope of services:
    1. Population(s) served
    2. Settings
    3. Hours of services
    4. Days of services
    5. Frequency of services
    6. Payers and funding sources
    7. Fees
    8. Referral sources
    9. The specific services offered, including whether the services are provided directly, by contract, or by referral
  2. Shares information about the scope of services with:
    1. The persons served
    2. Families/support systems, in accordance with the choices of the persons served
    3. Referral sources
    4. Payers and funding sources
    5. Other relevant stakeholders
    6. The general public
  3. Reviews the scope of services at least annually and updates it as necessary
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The organization provides the resources needed to support the overall scope of each program/service.

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Based on the scope of each program/service provided, the organization documents its:

  1. Entry criteria
  2. Transition criteria, if applicable
  3. Exit criteria
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When a person is found ineligible for services:

  1. The person is informed as to the reasons
  2. In accordance with the choice of the person:
    1. The family/support system is informed as to the reasons
    2. The referral source is informed as to the reasons
  3. Recommendations are made for alternative services
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Service delivery models and strategies are based on accepted practice in the field and incorporate current research, evidence-based practice, peer-reviewed scientific and health-related publications, clinical practice guidelines, and/or expert professional consensus.

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To facilitate integrated service delivery, each program/service implements communication mechanisms regarding the person served that:

  1. Address:
    1.  Emergent issues
    2.  Ongoing issues
    3.  Continuity of services, including:
      1. Contingency planning
      2. Future planning
    4.  Decisions concerning the person served
  2. Ensure the exchange of information regarding the person-centered plan
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The program/service demonstrates:

  1. Knowledge of the legal decision-making authority of the persons served
  2. When applicable, the provision of information to the persons served regarding resources related to legal decision-making authority
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When services are provided from or within a mobile unit, written procedures are implemented that address, at a minimum, the unique aspects of the following areas related to mobile settings:

  1. Responsibilities of:
    1. Drivers
    2. Service providers
  2. Confidentiality of:
    1. Records of persons served
    2. Communication
  3. Privacy related to service delivery
  4. Accessibility
  5. Availability of information on resources to address needs unable to be met at the mobile setting
  6. Security of:
    1. Medications provided from or within the mobile unit, when applicable
    2. Equipment and supplies used in service provision
    3. The mobile unit when not in use
  7. Safety of:
    1. Records of persons served
    2. Personnel
  8. Maintenance of:
    1. Equipment
    2. Vehicles
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The organization’s policies and procedures for acceptance into services identify:

  1. The acceptance process
  2. The position or entity responsible for making acceptance decisions
  3. The process that will be followed in the event there is ever a wait list
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Information about the organization provided to the persons inquiring about services:

  1. Includes:
    1. Its values and mission statement
    2. Expected results or outcomes of services
    3. Services availability, including possible wait time for services
    4. Options for persons served to direct their service design and delivery
    5. Organizational certifications, if any, and if applicable to services
  2. Is provided in an understandable format
  3. Is updated as necessary to reflect changes in information provided
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A complete record is maintained for each person served.

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Any release of confidential information:

  1. Is authorized by the person served and/or his or her legal representative
  2. Is limited to the specific information identified
  3. Has a time limitation
  4. Conforms to the guidelines of funders and/or referral sources
  5. Complies with applicable laws
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If behavioral change approaches are used, positive behavioral interventions:

  1. Are implemented prior to the use of restrictive procedures
  2. Continue to be used in conjunction with any restrictive procedures
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When applicable, there are policies and written procedures that address the program’s use of positive interventions, including:

  1. An emphasis on building positive relationships with persons served
  2. Evaluation of:
    1. The environment
    2. Personal stressors
  3. Appropriate interaction with staff to promote:
    1. Prevention of unsafe behavior
    2. De-escalation
    3. Socially acceptable behavior
  4. Empowering persons served to change their own behavior
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Personnel providing services are trained in the use of positive interventions:

  1. Initially
  2. At least annually
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If restrictions are placed on the rights of a person served:

  1. The organization ensures that its policies are in compliance with funding guidelines and governmental regulations
  2. The organization follows its policies and written procedures
  3. Prior to implementation:
    1. The organization obtains informed consent of the person served
    2. Service personnel are trained in the use of restrictive procedures
  4. The organization:
    1. Implements methods to reinstate rights as soon as possible
    2. Monitors the effectiveness of these methods to reduce rights restrictions
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The organization implements a policy for each program that identifies:

  1. How it will respond to unsafe behaviors of the persons served
  2. Whether, and under what circumstances:
    1. Seclusion is used
    2. Restraints are used
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When services are provided to a person placed in services through an arrangement with a court or criminal justice system, the organization:

  1. Provides information to the person served concerning the relationship between the criminal justice entity and the organization
  2. Maintains, when and as required by governmental authorities, a record of the person’s criminal history
  3. Coordinates services with other systems, as needed and/or required
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The organization has a policy that identifies whether or not it has any role related to medications that are used by the persons served in the programs seeking accreditation, including whether or not it directly provides:

  1. Medication monitoring
  2. Medication management
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