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Criterion B: Accessibility
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  CARF: Standards and ToolsSection 1: Practices  
 
Accessibility and Accessibility Plan

Overview

The purpose of a written Accessibility Plan is to help foster an environment that accommodates the needs of all clients, families, other stakeholders, and employees. Accessibility to organizations and programs is a broader view than just the elimination of physical or architectural barriers. Central to this commitment is the removal of architectural, attitudinal, environmental, employment, financial, communication, transportation, and any other barriers that may impede full access to the organization.

Accreditation Requirement(s)

To be deemed in conformance with the intent of these standards, the organization should be able to provide evidence of the following:

  • A written document that addresses attitudinal, architectural, environmental, financial, employment, communication, transportation, and other barriers to an individual receiving treatment. An assessment of the potential barriers must be conducted in order to write the plan.
    • The written plan should be developed with input from clients, employees, and other stakeholders.
    • The plan should conform to Federal, state, local, or provincial requirements.
    • The plan identifies actions to be taken to remove barriers and the appropriate timelines to do so.
  • A written status report is that which identifies the organization's progress toward the removal of barriers and other areas needing improvement.

Implementation Tips

Some Implementation Tips provided, in part, by Robert Johnson at: www.accreditationnow.com.

  • With the passing of the Americans with Disabilities Act (ADA) in 1990, institutions and organizations in the United States have made significant progress in decreasing barriers that face persons served by behavioral health organizations. One of the methods in which organizations can ensure that they are facilitating full and open access to all persons involved in the organization is the development of a comprehensive Accessibility Plan. When developing an Accessibility Plan, the following tips and suggestions may be helpful:

    • Assemble a group of people who have interest, experience, and/or passion in this area of disability issues to develop the plan. Designate someone to serve as the organization's Accessibility Coordinator.

    • Involve persons outside of the organization (i.e., qualified people with disabilities) in the assessment of the organization's accessibility. There are many persons trained in this area available through advocacy groups and government entities who can provide assessments for little or no cost and/or provide low-cost solutions to addressing barriers.

    • Conduct a thorough review in all areas of accessibility including architectural, attitudinal, environmental, employment, financial, communication, transportation, and any other area that may be determined to limit access.

      • Examples of architectural barriers may be the lack of handicap accessible doors and bathrooms, narrow hallways that need to be widened, the lack of adequate lighting in parking lots and doorways, etc.

      • Examples of attitudinal barriers may be found in the language/terminology that the organization uses in its publications (i.e., not translating documents into other languages even though the population served is culturally diverse) or when communicating with clients (e.g., clients are referred to by name or by type of disability or diagnosis), by the lack of client input that is solicited and used, etc.

      • Environmental barriers may be lack of soundproof and confidential counseling rooms, poor furnishings, and décor that impact the client's comfort level (e.g., peeling paint on walls, torn and stained carpet, only one bathroom for males and females that is used for urine collections, etc.), lack of child-friendly waiting areas, and/or child care provided for clients.

      • Examples of employment barriers might include not having a culturally diverse workforce, whereas the population served is culturally diverse; a lack of diversity training for existing staff members, etc.

      • Communication barriers could be the absence of program literature and signage translated into other languages or large print (for the elderly), lack of on-call interpretive services, or the lack of a telecommunication device for the deaf (TDD line).

      • Transportation barriers may include difficulties reaching program locations (e.g., not located on a bus route).

    • Survey employees and clients. They are one of your best sources for ideas and information concerning barriers to full and open access.

    • Develop an Accessibility Plan that contains the same components as your client's individual rehabilitation plans. This will ensure that you are addressing all the important parts:

      • Creating goals based on your assessments
      • Making objectives measurable
      • Identifying persons responsible for meeting those objectives
      • Targeting expected dates of completion
      • Creating a method to assess the progress of each goal

    • Hold your organization to the same standards that you hold your clients and clinicians to when setting goals and reviewing progress toward achieving the goals.

    • Make sure you have a system of ongoing assessment of progress of all goals, and are reformulating your plan when new issues and barriers are recognized. The plan should be a "living, breathing" document that provides a functional template for planning and action to continuously find ways to increase access within the organization.

    • The written Accessibility Plan should be reviewed annually and revised as needed by the organization's leadership. Include review/revision dates on your plan, and ensure that management team/governing body meeting minutes reflect this review.

    • Additional resources for the development of an Accessibility Plan are:

 

 


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