Network Inclusion Criteria (NIC): Agency Self-Appraisal

Purpose: One of the values underlying the transformation is partnership and transparency. This Self-Appraisal represents a partnership in action, as it offers an opportunity for organizations to provide relevant information regarding Practice Guidelines implementation.Please note that programs may take different approaches to align with the Practice Guidelines.

Instructions: The questions within the Agency Self-Appraisal are designed to guide organizations through a process of examining agency practices to determine how they should align with the Practice Guidelines; these questions were not designed to limit how programs approach their responses. The implementation of the Practice Guidelines should be viewed as a developmental process; therefore it is expected there will be both strengths and challenges identified. The use of the word “people” references adults, adolescents and children. It is recommended for various stakeholders to be involved in the completion of this process: executive, supervisory and direct care staff as well as people receiving services within the organization. This Self-Appraisal will be used as a starting point for the NIAC review. It will become part of the many sources of information that will provide a comprehensive view of the agency. Please submit one Self-Appraisal for the entire agency and limit the response to no more than five pages in length.

Foundations of Excellence in Service Delivery

  1. What steps have the organization taken to date to infuse the DBHIDS Practice Guidelines into the culture of the agency?
  2. How doesthe organization intend to continue this work?
  1. How does the organization measure the effectiveness of service delivery? (Corresponds to Foundations of Excellence in Service Delivery, Standard C, Practice 1)

Domain 1: Assertive Outreach and Initial Engagement

  1. How does the organization provide easy access for people seeking services? (Corresponds to Domain 1, Standard A, Practice 3)
  2. How are transportation challenges addressed?
  3. How are challenges associated with childcare access/resources addressed?
  1. What partnerships have been established to educate and create cross-system collaboration with first responders in addressing the needs of people with behavioral health issues? (Corresponds to Domain 1, Standard B, Practice 1)
  1. How does the agency collaborate with community partners to identify specific children, youth and adults who are in need of behavioral health supports?(Corresponds to Domain 1, Standard B, Practice 2)
  1. What efforts have been made to educate the community on behavioral health concerns, as well as resources to address these concerns?(Correspond to Domain 1, Standard B, Practice 3)

Domain 2: Screening, Assessment, Service Planning and Delivery

  1. What empirically supported screening and assessment tools are utilized to assess for issues such as trauma and other challenges? (Corresponds to Domain 2, Standard B, Practice 4)
  1. How does the organization actively reach out to and include families and significant others in the recovery/resilience process?

Domain 3: Continuing Support and Early Re-Intervention

  1. What processes are in place to ensure that continuing support planning (discharge planning) begins at intake and is driven by the individual receiving services? (Corresponds to Domain 3, Standard A, Practice 1)
  1. Please describe the organization’s re-engagement process.

Domain 4: Community Connection and Mobilization

  1. What opportunities for leadership doesthe agency provide to people receiving services in the organization? (Corresponds to Domain 4, Standard A, Practice 1)
  1. How is community inclusion fostered at the agency?(Corresponds to Domain 4, Standard B, Practice 1)
  1. Please describe the current reciprocal agreements with partners in the community.(Corresponds to Domain 4, Standard B, Practice 2)
  1. How doesthe organization coordinate physical and behavioral health care? (Corresponds to Domain 4, Standard C, Practice 1)