Part 1: Program Information
Organizations may complete one template for all programs, or a separate template that addresses each program being reviewed under this section. Provide responses in each box provided.
Organizations being accredited for the first time: Please provide information for the last year.
Organizations being reaccredited: Please provide information for the period since the last accreditation review.
1. Provide an overview of the different program(s) being accredited under this section. The overview should describe:
- the programs' service philosophy and approach to delivering services;
- eligibility criteria;
- any unique programs or special services provided;
- major funding streams; and
- any additional information referenced in the Table of Evidence.
2. Provide a list of personnel that includes:
- name;
- title;
- job requirements; and
- degree held and/or other credentials, certifications, or training that demonstrate staff competency.
3. Provide any other information your organization would like the peer review team to know about these programs.
Attachments
- All COA-approved NA Requests
- A list of all NAs applicable to your organization provided within the standards
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Self-Study Documents |
On-Site Documents |
On-Site Activities |
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SDD 1
Access to Services |
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- Evidence of collaboration with community providers
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- Clinical or program director
- Relevant personnel
- Individuals served
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SDD 2
Person-Centered Service Planning and Monitoring |
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- Clinical or program director
- Relevant personnel
- Individuals served
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SDD 3
Service Philosophy and Interventions |
- Include Service Philosophy in Service Narrative Part 1: Program Information
- Procedures for use of interventions that limit movement, diminish sensory experience, limit personal freedom, or cause personal discomfort, as applicable
- Table of contents of training curricula
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- Documentation of training
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- Program director
- Relevant personnel
- Individuals served
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SDD 4
Social Inclusion and Community Participation |
- Include description of services in Service Narrative Part 1: Program Information
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- Training, educational, and other material provided to individuals served regarding sexuality and relationships
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- Program director
- Relevant personnel
- Individuals served
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SDD 5
Assistive Technology |
- Include description of services in Service Narrative Part 1: Program Information
- Procedures for helping individuals access assistive technology
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- Program director
- Relevant personnel
- Individuals served
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SDD 6
Family Support |
- Include description of services in Service Narrative Part 1: Program Information
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- Program director
- Relevant personnel
- Individuals served
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SDD 7
Personnel |
- name
- title
- degree held and/or other credentials
- FTE or volunteer
- length of service at the organization
- time in current position
- Table of contents of training curricula
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- Supervisors
- Personnel
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