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Quality, Standards & Accountability

Independent accreditation. State licensure and certification. Clear accountability.

Real Lives. Real Solutions.

Credentials you can verify

TSG Behavioral Health & Community Services is accountable to independent accreditation standards and North Carolina regulatory requirements. Each designation below represents a different layer of quality, oversight, or authorization.

CARF Accredited ASPIRE to Excellence seal

CARF International Accreditation

TSG Behavioral Health & Community Services is CARF-accredited.

CARF International—originally the Commission on Accreditation of Rehabilitation Facilities—is an independent, nonprofit accreditor of health and human services. Its accreditation process uses external peer review to evaluate conformance with international standards for quality, accountability, person-centered care, outcomes, and continuous improvement.

CARF lists the accredited legal entity as The Ship Group Services LLC. Accreditation applies to the specific behavioral health programs identified in CARF’s public provider directory.

North Carolina Department of Health and Human Services

NC Licensed Substance Use Treatment Facility

TSG Behavioral Health & Community Services is a licensed substance use treatment facility through the North Carolina Department of Health and Human Services (NCDHHS), Division of Health Service Regulation (DHSR).

The state license includes Substance Abuse Intensive Outpatient Program (SAIOP) and Substance Abuse Comprehensive Outpatient Treatment (SACOT). DHSR’s Mental Health Licensure and Certification Section manages this licensure.

Certified CABHA

TSG Behavioral Health & Community Services is a Certified Critical Access Behavioral Health Agency (CABHA).

North Carolina designed CABHAs to ensure that critical behavioral health services are delivered by clinically competent organizations with appropriate medical oversight and the ability to deliver a continuum of services.

Authorized North Carolina DWI Provider

TSG Behavioral Health & Community Services is an authorized North Carolina DWI provider through the NC Department of Health and Human Services, Division of Mental Health, Developmental Disabilities, and Substance Use Services.

TSG provides DWI substance-use assessments and applicable education or treatment services in accordance with North Carolina requirements, including required state documentation and completion reporting.

How TSG applies quality standards in practice

CARF’s public ASPIRE to Excellence® framework emphasizes assessment, strategy, input from persons served and stakeholders, implementation, review of results, and continuous change. TSG’s quality program is organized around those same themes: care that is person-centered, measurable, safe, accountable, and continuously improved.

This section summarizes TSG’s quality approach using public CARF quality themes; it is not a reproduction of CARF’s proprietary standards manual.

Person-Centered Care & Rights

Clients are treated with dignity and respect, informed about their care, involved in decisions, and supported in exercising rights, privacy, choice, and grievance processes.

Access, Assessment & Service Planning

Intake, assessment, treatment planning, care coordination, and transitions are designed to connect each person with the appropriate level of service and a clear next step.

Qualified Workforce & Clinical Oversight

TSG uses credential verification, role-specific onboarding, supervision, training, and clinical or medical oversight appropriate to the service being delivered.

Health, Safety & Risk Management

Quality includes identifying risks, responding to incidents and safety concerns, maintaining emergency procedures, and reviewing patterns that may require corrective action.

Performance Measurement & Outcomes

TSG reviews access, service delivery, documentation, client experience, compliance findings, and other performance indicators so leadership can evaluate whether services are producing the intended results.

Continuous Improvement & Accountability

Findings are used to create action plans, strengthen workflows, correct problems, and monitor whether changes actually improve quality. Leadership and governance are responsible for follow-through.

CARF ASPIRE to Excellence®

Assess the environment  •  Set strategy  •  obtain input from Persons served and stakeholders  •  Implement the plan  •  Review results  •  Effect change.

CARF accreditation scope

CARF’s public provider directory identifies TSG’s accredited scope as Intensive Family-Based Services, Outpatient Treatment, and Community Integration, with an integrated substance use disorder/mental health program focus.

Two Black women having a supportive professional conversation

Human connection is part of quality care

Standards matter because people matter. Quality is reflected not only in licenses, policies, and documentation, but also in whether clients feel heard, respected, informed, safe, and involved in their care. That human experience is part of how TSG evaluates whether our systems are working as intended.

Accountability continues after the visit

Quality oversight includes more than the care delivered in a single appointment. TSG reviews complaints, grievances, documentation, access barriers, incidents, client feedback, and operational findings so concerns can be addressed and improvements tracked over time.

Questions, concerns, or grievances

We want concerns addressed promptly and without retaliation. If something about your care, privacy, access, billing, communication, or treatment does not feel right, contact TSG and ask for assistance with the grievance or complaint process.

Privacy information

Our Notice of Privacy Practices explains how health information may be used and disclosed and describes your rights regarding your information.