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Accreditation Outcomes (v1.0)
Accreditation Outcomes » Accreditation Outcomes (v1.0)
Accreditation outcomes are on a continuum of performance from exemplary status to non-accreditation, as depicted below. The categories have some elasticity—that is, there is some overlap (plus or minus 5-10%) between the accreditation categories.These bands,…
Step 1: Learn About Accreditation Process
Steps to Accreditation » Step 1: Learn About Accreditation Process
The CAPRSS accreditation process consists of eight core steps and two optional ones. Following is a quick reference guide to the steps, and the key tasks to be done in each. Learn about accreditation process PRSS programs: review web site and written…
Accreditation Determination
Accreditation Review » Committee Review » Committee Responsibilities » Accreditation Determination
After review and discussion of the site visit, if the committee agrees that the site visit was conducted fairly and that the accreditation outcome recommended by the Peer Review Team is within the CAPRSS guidelines, then the Final Determination letter will be sent to…
Accreditation Review
Accreditation Review
For any accrediting body, the accreditation review is a core service. It is doubly important for CAPRSS: As CAPRSS begins granting accreditation, the review provides a sense of the individual applicants and allows data gathering that will give a clearer picture of…
Steps to Accreditation
Steps to Accreditation
To become accredited, organizations go through eight core steps and two optional ones. Step Description Available Tools Step 1 Learn about accreditation process Accreditation Resource Book (this manual) Accreditation 101:…
Benefits of Accreditation
Introduction » The Accreditation Program » Benefits of Accreditation
Accreditation can bring many things to a PRSS program, such as: new ideas for designing and implementing best practices in organizational development, management, and program design guidance for providing high-quality PRSS, implementing strategies for quality…
The Accreditation Program
Introduction » The Accreditation Program
There are five main aims of the accreditation program. These are presented in the table below. Purpose CAPRSS will: 1. Increase public confidence, and confidence within the field, in the quality of peer services. promote the…
Purpose of Accreditation
Introduction » The Accreditation Program » Purpose of Accreditation
Accreditation is an evaluation and approval process for organizations or programs that deliver a specific type of services, or set of services. The focus is on the organization/program providing the service(s). Accreditation is sponsored by a non-governmental agency,…
The Accreditation Taxonomy
The Accreditation Taxonomy
Now that you have seen the standards and criteria, it is time for a look at the complete taxonomy. A taxonomy is a scheme of classification. (Remember learning the biologic classification system of domain, kingdom, phylum, class, order, family, genus, and species?…
Sample Accreditation Self Assessment
Templates and Checklists » Sample Accreditation Self Assessment
The self assessment survey is an online form that asks candidates to rate themselves on each of the CAPRSS standards. For each standard, there are two dimensions that candidates consider, (1) “Have It” and (2) “Use It”. The Have It scales asks the program to…
Accreditation Review Committee Description
Supporting Documents » Accreditation Review Committee Description
Purpose Review site visits conducted for core accreditations, to ensure CAPRSS standards and guidelines are being applied appropriately and fairly. Equipment Requirements Computer with Internet access; telephone Time Commitment One or two full committee meetings…
About the Accreditation Review Manual
Preface » About the Accreditation Review Manual
The Council on Accreditation of Peer Recovery Support Services (CAPRSS) Accreditation Review Committee (ARC) an essential part of the accreditation process. The ARC ensures fair and equitable accreditation reviews of RCOs and qualifying programs. This manual provides…
Step 7: Receive Accreditation Determination
Steps to Accreditation » Step 7: Receive Accreditation Determination
Approximately six to eight weeks after the Peer Review Site Visit, CAPRSS will notify the candidate of the accreditation decision and any required or recommended areas for improvement. The notification has two parts: a cover letter and the Core Accreditation Final…
Difference Between Accreditation and Certification
Introduction » Difference Between Accreditation and Certification
The terms certification and accreditation both are discussed when talking about addiction peer support. It is important to be clear about the differences between them, as both are relevant. Generally, certification is given to individuals, and accreditation applies…
Sample Core Accreditation Final Report
Templates and Checklists » Sample Core Accreditation Final Report
← Sample Peer Reviewer Score Sheets | Supporting Documents →
Accreditation Review: The Three Parts
Accreditation Review » Accreditation Review: The Three Parts
For any accrediting body, the accreditation review is a core service. The CAPRSS accreditation review consists of self review, peer review and committee review. Combined, these help to ensure that accredited organizations will have institutional integrity (clear…
Step 2: Determine Accreditation Readiness
Steps to Accreditation » Step 2: Determine Accreditation Readiness
Accreditation is an intensive process that looks at seven areas (called domains): Recovery Principles, Culture and Climate Ethical Framework for Service Delivery Peer Leader Development Peer Supervisor Development Governance and Program Oversight Management…
Complaints Against Accreditation Candidates or Accredittees
Key CAPRSS Policies » Complaints Against Accreditation Candidates or Accredittees
Introduction In the course of accrediting peer recovery support services programs, it is likely that complaints, disagreements, and potential conflicts of interest will surface. In the spirit of continuous improvement, CAPRSS will respond to concerns through a formal…
Step 3: Prepare for Core Accreditation
Steps to Accreditation » Step 3: Prepare for Core Accreditation
There are many different ways to prepare for core accreditation, based on your PRSS program’s unique characteristics, and based on the results of the Accreditation Readiness Self-assessment. However, there are a few key tasks, described below, that each program…
Step 4: Become a Candidate for Core Accreditation
Steps to Accreditation » Step 4: Become a Candidate for Core Accreditation
In the previous steps, your organization formed an Accreditation Coordinating Committee (ACC)—a workgroup of staff, peer leaders, peer workers, and board members who will work on tasks, assess practices, help prepare, and generally manage the work of getting…
What is the Council on Accreditation of Peer Recovery Support Services ?
Introduction » What is the Council on Accreditation of Peer Recovery Support Services ?
The Council on Accreditation of Peer Recovery Support Services (CAPRSS) is a private organization that provides asset-based accreditation ™ of addiction peer recovery support services (PRSS) provided by recovery community organizations (RCOs) and qualifying…
Templates and Checklists
Templates and Checklists
← Accreditation Outcomes (v1.0) | Key Tasks in Candidacy Process →
Committee Responsibilities
Accreditation Review » Committee Review » Committee Responsibilities
For each accreditation candidate, the ARC will: Review the process undertaken for the peer review site visit to ensure that it was fair; Review the site visit findings, consultative and performance improvement recommendations made by peer reviewers to ensure that…
The Three Parts of the Review
For Candidates Only » The Three Parts of the Review
For any accreditating body, the accreditation review is a core service. The CAPRSS accreditation review consists of self review, peer review and committee review. Combined, these help to ensure that accredited organizations will have institutional integrity (clear…
Optional Standards (v0.1): Summary
The Standards » Optional Standards (v0.1): Summary
Performance-related Standards Peer Support Capacity: Recovery Community Center PSRCC-1.0 Recovery Community Center Governance The recovery community center has structures and processes for governance and decision-making that are inclusive of…
About the Site Visit Prep Guide
Preface » About the Site Visit Prep Guide
Your organization has completed its three-part candidacy profile…now what? This guide will help you to learn more about the site visit. To become accredited, organizations go through eight core steps and two optional ones. You have completed steps 1-4; this…
The Standards
The Standards
Introduction Standards are the core of an accreditation process. They can be seen as an external guide to assess the capacity and efficiency of a PRSS program: Organizations and programs that are applying for accreditation will be evaluated on the extent to which…
Sample Peer Reviewer Score Sheets
Templates and Checklists » Sample Peer Reviewer Score Sheets
The score sheets list each of the standards and underlying criteria. The score sheets have two dimensions that reviewers rank: (1) “Has It” and (2) “Uses It”, which mirror the scales used in the Accreditation Self Assessment. The two dimensions have been…
Key Milestones in the Peer Review Process
Accreditation Review » Peer Review » Role of the Peer Reviewer » Key Milestones in the Peer Review Process
There are 12 key milestones in the process: Milestone Notes 1 Organization submits an application for candidacy and pays candidacy fee Application is reviewed for completeness by staff. An organization that submits a complete…
Program Inventory Document Checklist
Templates and Checklists » Program Inventory Document Checklist
Forms ✓ Document Completed Online or Submitted as PDF Candidate Registration Form Organizational Profile Self Study (also known as Self Assessment ) Welcome Walkthrough…
Key Tasks in Candidacy Process
Templates and Checklists » Key Tasks in Candidacy Process
In the previous steps, your organization formed an Accreditation Coordinating Committee (ACC)—a workgroup of staff, peer leaders, peer workers, and board members who will work on tasks, assess practices, help prepare, and generally manage the work of getting…
CAPRSS Information Release Policy
Key CAPRSS Policies » CAPRSS Information Release Policy
All information gathered during the accreditation process and under review will be kept strictly confidential. Information about specific candidates and their accreditation process will be shared with Peer Reviewers, Accreditation Review Committee members,…
After the Site Visit
For Candidates Only » The Peer Review Site Visit » After the Site Visit
There are several things that happen following your site visit before you receive your accreditation outcome: The Peer Reviewers submit their scores and comments. The Peer Review Team Leader writes the Site Visit Summary Report within 10 working days following the…
About the Resourcebook
Preface » About the Resourcebook
The Accreditation Resourcebook is designed to help peer recovery support services (PRSS) programs as they learn about accreditation. It is divided into three sections: The Introduction section provides and overview of CAPRSS and its accreditation program. Steps to…
About the Peer Reviewer Manual
Preface » About the Peer Reviewer Manual
This document is a guide for Peer Reviewers to help them become familiar with the CAPRSS accreditation process. It is divided into five sections: The Introduction section provides and overview of CAPRSS and its accreditation program. Steps to Accreditation gives a…
Key CAPRSS Policies
Key CAPRSS Policies
On the following pages you will find key CAPRSS policies that relate to the accreditation process. ← Accreditation Review Committee Description | CAPRSS Information Release Policy →
Peer Reviewer Tasks
Accreditation Review » Peer Review » Role of the Peer Reviewer » Peer Reviewer Tasks
Peer reviewer tasks are categorized by timeframe: (1) prior to the site visit; (2) during the site visit; and (3) after the site visit. Tasks Prior to the Peer Review Site Visit review standards, criteria, and score sheets in the Site Visit Handbook to (re)acquaint…
Step 5: Complete and Submit Program Inventory
Steps to Accreditation » Step 5: Complete and Submit Program Inventory
The Program Inventory consists of three parts: (1) an Organizational Profile; (2) the Welcome Walk-Through; and (3) the Accreditation Self Study. (Each is described more fully below.) Once you have submitted all three parts: Your application will be reviewed for…
Committee Review
Accreditation Review » Committee Review
Committee review is the capstone of the accreditation process; it completes the process begun with the the Accreditation Self Study and furthered by the Peer Review Site Visit. The purpose is to ensure that the Peer Review was conducted fairly and in conformance…
Introduction
Introduction
Around the country, much attention is now being paid to peer support. Many different titles are used, depending on the type of organization to which the peers are connected: community health worker; outreach worker; social services aide; mental health worker;…
Following the Site Visit
Accreditation Review » Peer Review » The Site Visit » Following the Site Visit
Following the visit, there are several important tasks that need to be completed, to keep the accreditation process moving. All members of the Peer Review Team need to submit their scores and comments via the online scoring form (which you will find in the Peer…
The Peer Review Site Visit
For Candidates Only » The Peer Review Site Visit
The cornerstone of the peer review is the site visit, which confirms and complements the information contained the applicant’s Accreditation Self Study. The purpose of the site visit is to obtain in-depth information concerning all aspects of the PRSS…
Preface
Preface
In the last ten years, peer recovery support services (PRSS) – distinct from both clinical treatment and mutual aid supports – have become established in the continuum of care for people seeking, stabilizing, and sustaining recovery from addiction to alcohol and…
Sample Agenda
Accreditation Review » Peer Review » The Site Visit » Sample Agenda
Day One Start Time Item Notes 8:30 am Peer Review Team arrives at main site and is shown private Resource Room and sets up 9:00 am Introductory meeting with the Accreditation Coordinating Committee and any key…
Candidacy Work Plan Template
Templates and Checklists » Candidacy Work Plan Template
Use this template to stay on track with the tasks to be done in steps 3,4, and 5. ✓ Step/Task Responsible Notes Due/ Deadline PREPARE FOR CORE ACCREDITATION Use the results of the Accreditation Readiness Self Assessment to…
The Summary Report
Accreditation Review » Peer Review » The Site Visit » Following the Site Visit » The Summary Report
The Site Visit Summary Report report consists of four main sections: (1) organizational profile; (2) survey summary; (3) findings and recommendations; and (4) next steps for the applicant. The ARC reviews the report, meets to discuss the findings and ask questions,…
Step 6: Prepare for and Host the Peer Review Site Visit
Steps to Accreditation » Step 6: Prepare for and Host the Peer Review Site Visit
A key component of the accreditation process is the Peer Review Site Visit. The purpose is to obtain in-depth information concerning all aspects of your PRSS program(s). In addition, the two-day site visit permits the Peer Review Team to assess your program’s…
Before the Site Visit
For Candidates Only » The Peer Review Site Visit » Before the Site Visit
To prepare for the site visit, there are five key tasks that you the candidate will need to complete: Set date for site visit Finalize agenda Announce/ introduce accreditation process to key stakeholders Help CAPRSS with travel logistics Set up Resource…
Sample Peer Review Site Visit Agenda
Templates and Checklists » Sample Peer Review Site Visit Agenda
This sample gives an idea of what a site visit might look like. Your agenda will be drafted with the Peer Review Team Leader and some agenda items may vary considerably. Day One Start Time Item Notes 8:30 am Peer Review Team arrives…
Site Visit Workplan Template
Templates and Checklists » Site Visit Workplan Template
Use the chart below in order to prepare for your Peer Review Site Visit. ✓ Step/Task Responsible Notes Due/ Deadline PREPARE FOR AND HOST PEER REVIEW SITE VISIT Participate in the site visit orientation…
Maintaining Confidentiality
Accreditation Review » Peer Review » Role of the Peer Reviewer » Maintaining Confidentiality
For a number of reasons, peer reviewers must be mindful of the confidential relationship between CAPRSS and the applicant organization. Organizations are rightfully concerned about their reputation. Nothing about the process nor an organization’s accreditation…
Who are the CAPRSS Peer Reviewers?
Accreditation Review » Peer Review » Who are the CAPRSS Peer Reviewers?
[list and bios of current peer reviewers] ← Who is Involved in the Peer Review Process? Role of the Peer Reviewer →
Peer Reviewer Code of Conduct
Key CAPRSS Policies » Peer Reviewer Code of Conduct
CAPRSS is committed to ethical behavior for all who are involved in the accreditation process. The purpose of this code is to describe the high standards of conduct to which our peer reviewers must hold. CAPRSS peer reviewers: Value recovery. Embrace the…
The Site Visit
Accreditation Review » Peer Review » The Site Visit
The site visit provides an opportunity to become more familiar with the organization and peer program in real time. The review team can get a first-hand account of the physical environment and the people in it, check the alignment of processes and documents, observe…
During the Site Visit
For Candidates Only » The Peer Review Site Visit » During the Site Visit
The site visit provides an opportunity for the peer reviewers to become more familiar with the organization and peer program in real time. The review team can get a first-hand account of the physical environment and the people in it, observe program activities,…
The Score Sheets
Accreditation Review » Peer Review » The Site Visit » The Score Sheets
The score sheets used by Peer Reviewers list each of the standards and underlying criteria. The score sheets have two dimensions that reviewers rank: (1) “Has It” and (2) “Uses It”. The two dimensions have been designed to capture the “structure” of the…
Peer Review
Accreditation Review » Peer Review
Peer review is a common practice in many fields to maintain standards of quality, improve performance, and provide credibility. For CAPRSS, it is a reflection of the peer support process that is at the heart of PRSS; peer reviewers provide knowledge, experience, and…
Who is Involved in the Peer Review Process?
Accreditation Review » Peer Review » Who is Involved in the Peer Review Process?
The key people involved in the Peer Review Process include: CAPRSS staff member—the CAPRSS Liaison Peer Review Team Leader Peer Reviewers The Peer Review Team Each peer review team will consist of 1-3 peer reviewers, who bring expertise from direct…
The Performance Improvement Plan
Accreditation Review » Peer Review » The Site Visit » Following the Site Visit » The Performance Improvement Plan
When there are significant areas that are noted for improvement, a Performance Improvement Plan (PIP) is required for the program. This plan must be submitted by the candidate within 90 days of receiving the final site visit report. If there are critical,…
Pre-site Visit Review
Accreditation Review » Peer Review » Pre-site Visit Review
Prior to the site visit, you will review and comment on the candidate’s (a) Organizational Profile, (b) Welcome Walk Through, and (c ) Accreditation Self Study, along with (d) supporting documents. The supporting documents consists of, but are not limited to,…
Peer Reviewer Description
Supporting Documents » Peer Reviewer Description
Purpose As part of a CAPRSS Peer Review Team, review applications for core accreditation to assess a program’s conformance with core standards. Prepare for and participate in peer review site visit, score results of visit, and assist in preparing and presenting…
Expectations of the Committee
Accreditation Review » Committee Review » Committee Responsibilities » Expectations of the Committee
The members of the committee will be expected to: Use your professional judgment and maintain integrity in your role on the committee process; Maintain confidentiality—the evaluation of applicants should only be discussed with committee members, the Peer…
Conducting Interviews
Accreditation Review » Peer Review » The Site Visit » Conducting Interviews
During the site visit, there will be many opportunities to talk with participants, peer workers, community members, board members, and executive staff. These conversations need to be as efficient as possible, while still being open and friendly. Following are…
Confidentiality Policy
Key CAPRSS Policies » Confidentiality Policy
For a number of reasons, onsite reviewers must be mindful in advancing a confidential relationship between CAPRSS and the candidate organization. Organizations are rightfully concerned about their reputation. Nothing about the process nor their accreditation status…
Role of the Peer Reviewer
Accreditation Review » Peer Review » Role of the Peer Reviewer
The peer reviewer is an external consultant to CAPRSS who has expertise in peer recovery support services, addiction recovery, and/or management of service organizations. Peer reviewers are responsible for evaluating an organization’s conformance with the CAPRSS…
Self Review
Accreditation Review » Self Review
Each accreditation candidate completes a thorough self review as a part of the application for candidacy. The CAPRSS standards provide a framework for evaluating your program’s processes, results, and your progress toward your goals and objectives. *Engaging…
Consultative Role
Accreditation Review » Peer Review » Role of the Peer Reviewer » Consultative Role
Peer reviewers take on a consultative role throughout the review process, addressing both strengths and challenges that a candidate program may have in each of the core domains. You will be using your skills to help programs identify options and to suggest…
Key Documents Collected During Candidate Review Process
Accreditation Review » Committee Review » Committee Responsibilities » Key Documents Collected During Candidate Review Process
There are many documents that are collected as a part of the Peer Review process. Key documents are listed in the table below. Basic Info ✓ Document Notes Articles of incorporation (all organizations) 501c3…
Resource Room Documents Checklist
Templates and Checklists » Resource Room Documents Checklist
Following are the documents that need to be available in the Resource Room for the Peer Review Team. Basic Info ✓ Document Notes Articles of incorporation (all organizations) 501c3 determination letter…
Core Standards: Summary (v1.1)
The Standards » Core Standards: Summary (v1.1)
Principles-related Standards Recovery Principles, Culture, and Climate RPCC-1.0 Core Recovery Principles The program is grounded in the values of the recovery community—both local community and the national movement. RPCC-2.0…
Glossary
Glossary
Term Definition Accountability Accountability is an organization’s willingness to explain its actions to its stakeholders. It can be applied to how an organization spends its resources, the way organizations use the resources they raise to…