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J*_PC02/CTS02_Recovery


Resources: Recovery Oriented Care

Relevant Standards

  • CMS:
  • TJC-HAP: PC.02.01.01
  • TJC-BHC: CTS.02.01.01 – CTS.03.02.011

References & Tools

  • Trauma-Informed1211
    • National Center for Trauma-Informed Care (NCTIC)

Required Written Documents

  • None
  • See also

** Additional Clarifications & Compliance Strategies (Premier)**

[private Membership premier]

Person-Centered Approach New Standards Chapter for Behavioral Health Care [REF: JCSC, BHC, StEd, P&T]  The Source, 2011, February, Vol 9, #2 Pg 01  

  
Effective January 1, 2011, the “Care, Treatment, and Services” (CTS) chapter replaced the “Provision of Care, Treatment, and Services” (PC) chapter in the BHC. The Joint Commission defines recovery or resilience services as “coordinated clinical and support services focused on an individual’s self-development to meet the challenges of daily life and achieve his or her fullest potential or independence and social integration. Recovery or resilience can refer to any of the following services: Peer support, employment services, family support, community integration, and care coordination/case management”. Here is a brief summary of what is new and/or different in the CTS chapter:

  • Treatment Philosophy- The new requirements on assessment and planning that emphasizes more of a recovery philosophy in the screening/assessment and planning standards [CTS.02.01.01 through CTS.03.02.01], ” The new focus is on an individual’s needs, strengths, preferences, and goals so that the standards are more person-centered instead of being problem-centered.
  • The Role of Screening: There are also CTS standards (e.g., CTS.02.02.01, EP 1, CTS.02.02.05) that require consideration of trauma in the screening, assessment, planning and delivery processes of treatment.
  • Outcomes Focus: Standards in the new chapter encourage more attention to outcomes in addition to process. For example, CTS.03.01.09 “requires organizations to monitor whether individuals achieve the goals they set and to monitor their own program goals to ensure that they are actually helping the population(s) they serve”.
  • Physical Holding: The approach to requirements for the physical holding of children or youth has been changed. The basis is no longer on duration or time (i.e., 30 minutes). Now there is “a set of requirements that must be considered any time you physically hold a child or youth”. A case study on this issue is planned for the March issue of The Source and will be reviewed in this newsletter.
  • Emerging Therapies: The CTS chapter also addresses the use of animals for therapy in (CTS.04.03.21) and provides guidance for outdoor and wilderness programs (CTS.04.03.25– CTS.04.03.25). Staff in the latter programs need not only to be competent and qualified, but also physically able to lead such programs.

Finally, this article suggests some basic but key strategies for general compliance with the requirements of the new chapter. First, make sure that key staff become familiar with the new chapter. It should be noted that not every standard in the CTS chapter will apply to every BHC organization. There are core standards (i.e., those that have no lead in) that do apply to all
organizations. However, there are other standards that only apply to a particular population, setting, scope of interventions (e.g., physical holding). Secondly, provide staff education and training to ensure that they know how to “screen for trauma, abuse, neglect, and/or exploitation (that is, taking unjust advantage of another for one’s own sake or benefit)”. Third, perform tracers to verify (and reinforce) compliance. 

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