Privacy of Mental Health Records

Behavioral Health Accreditation Standards

Prior to beginning work on this discussion, review the 2007 Guide to Joint Commission Behavioral Health Care Accreditation (Links to an external site.) pdf. You will see that there are categories of areas that the organization looks at that are listed in this document. For example, in previous years, these categories have been: Quality Management and Improvement (QI), Coordination of Care (CC), Utilization Management (UM), Credentialing and Recredentialing (CR), and Members’ Rights and Responsibilities (RR). For your discussion, please pick one item from each of the updated standards listed in the linked document that you think is the most important item in that category, and briefly explain why you feel that it is so important. As you do this, consider what a consumer of your services might think about accreditation — does it make a difference to your consumers?

When you discuss the outcomes, refer to any specific standards that you may be currently using or considering. Feel free to add relevant examples, share relevant resources you have found (articles, videos, podcasts, infographics, quotes), share your relevant personal observations or experiences, and/or offer a short scenario as a realistic application of the concept.

Please provide an initial substantive answer between 300-400 words in length. 

Introduction: Accreditation Bodies and Quality Management

Similar to the regulatory compliance landscape, private accreditation for behavioral health organizations is a complex and extensive process. There are three major private accreditation organizations in the United States that certify behavioral health organizations at different levels: The Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the National Committee for Quality Assurance (NCQA), and the Commission on Accreditation of Rehabilitation Facilities (CARF). Due to the complexity of this process, we will focus on the NCQA MBHO accreditation requirements here.


Required References

The Joint Commission. (2007). 2007 Guide to Joint Commission behavioral health care accreditation. Retrieved from (Links to an external site.)

Willging, C., Sommerfeld, D., Aarons, G., & Waitzkin, H. (2014). The effects of behavioral health reform on safety-net institutions: A mixed-method assessment in a rural state. Administration & Policy in Mental Health & Mental Health Services Research, 41(2), 276-291.

World Health Organization. (2003). Quality improvement for mental health. Retrieved from (Links to an external site.)
Pgs. 32 – 53

Recommended References

Al-Sughayir, M. A. (2016). Effect of accreditation on length of stay in psychiatric inpatients: Pre-post accreditation medical record comparison. International Journal of Mental Health Systems, 10, 1-5.

American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

APA Practice Organization. (n.d.) Legal issues. Retrieved from (Links to an external site.)

CARF Behavioral Health. (2016). Providers. Retrieved from (Links to an external site.)

The Joint Commission. (n.d.). Joint Commission FAQ page. Retrieved from (Links to an external site.)

The Joint Commission. (n.d.) Standards interpretation. Retrieved from (Links to an external site.)

Lee, M. Y. (2014). Motivations to pursue accreditation in children’s mental health care: A Multiple case study. Nonprofit Management And Leadership, 24(3), 399-415.

Shallcross, L. (Ed.). (2012). What the future holds for the counseling profession. Retrieved from (Links to an external site.)

Smucker, B. (1999). The non-profit lobbying guide (2nd ed.). Independent Sector: Washington, DC. Retrieved from (Links to an external site.)

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