NTSA’s Accreditation centers on ensuring survivors receive quality care from healthy, trauma-informed organizations.


As our field matures and grows, and more residential programs open across the US, one thing in the minds of survivors, survivor advocates, caring community members and donors is: Can I trust this residential program?

Having your program accredited certifies to survivors and supporters that your service is credible and trustworthy. NTSA’s Accreditation provides third-party vetting that your program maintains and upholds the Essential Standards established by NTSA.   


NTSA Accreditation is a three-year model. In order to participate in Accreditation, an organization must…

– Serve survivors of trafficking / sexual exploitation in a residential capacity
– Have a program model that lasts a minimum of three months
– Have clients who have successfully completed the program
– Have either a financial accreditation or audit

Those that are ready to move forward with the Accreditation process will be evaluated using NTSA’s established Essential Standards. Throughout the Accreditation process, members will then be assessed by NTSA’s Review Panel. Organizations should expect the accreditation process to take up to 9-12 months. Once accredited by the Review Panel, the program will receive an official Seal and Certification of Accreditation.

After an agency successfully completes the process and is offered the NTSA Accreditation Seal and Certificate of Accreditation, they can expect to begin their re-evaluation in the third year in order to prevent a gap in their accreditation.








Essential standards are the foundation of NTSA’s Accreditation. These standards were developed by a team of experts under advisement from survivors working in residential services.

  • Your agency has a Board of Directors, with a minimum of 5 members with the majority being independent
  • Your agency has a designated Executive Director
  • Your agency adheres to state and local regulations for fire safety
  • Your facility has a clearly defined safety evacuation plan that is practiced at least twice a year
  • Your agency has policies in place to prevent or deter clients from having contact with unsafe persons — this may include (but not limited to) limiting access to cell phones, setting internet filters, developing safety plans with clients
  • All your agency’s staff are CPR and first aid certified within 90 days of employment
  • Your agency has a safety protocol that includes incident response measures, up to and including contacting law enforcement
  • Your facility is approved by its local regulatory body for occupancy
  • Each client is provided with a personal bed
  • Your agency has a documented set of practices for ensuring a clean and healthy residential environment
  • Your agency has a documented trauma-informed protocol for client intake
  • Your agency uses informed consent procedures for obtaining client information
  • Clients are provided with the necessary orientation to be informed of program rules, schedule, and consequences, and the rules are easily accessible after orientation
  • Your agency has an established process and intervals for monitoring and communicating client progress related to program objectives and client’s self-identified goals, with the client directly
  • Your agency has a means by which clients can provide constructive feedback to the program
  • Your agency has documented protocols for processing different forms of client exits

Your agency agrees to the Alliance Media/Public Relations Guideline: Agency will take active measures to ensure clients are not endangered, triggered, re-traumatized, and/or exploited in any way either through private or public agency communications or marketing, nor by inviting clients to participate in sharing their stories or images or creations

  • Your agency has a state-approved provision for meeting General Education requirements for minors
  • Your agency is legally permitted to assume (temporary) custody of minor children
  • Your agency has documented policy and procedures for family interactions with minors in placement
  • Your agency ensures that the medical/dental/mental health needs of minors are met
  • Your agency is federally registered as a 501(c)3 organization
  • Your agency is incorporated as a nonprofit entity in its state
  • Your agency can demonstrate they are in compliance with all state regulations and, if applicable, are in good standing with state licensing body
  • Your staff and client-serving volunteers sign confidentiality agreements with your agency
  • Your agency has documented protocols to ensure that client records are confidentially maintained and secured
  • Your agency is accredited by a financial accreditor, such as ECFA or BBB, or your agency utilizes an outside CPA as an external auditor

  • Your agency conducts criminal backgrounds and sex offender registry check on all staff, including those who are not working directly with clients
  • Your agency complies with State mandated reporting policy
  • Your agency has a written non-discrimination policy which meets state and federal requirements related to employment
  • Your agency has a documented grievance protocol for clients to report maltreatment
  • Your agency carries general liability insurance as well as insurance for board, staff, and property
  • Your agency has a policy for the dispersal of medication to clients that complies with state and federal regulations

  • Your agency has adequate staffing to cover intended supervision levels
  • Your agency ensures that all client-serving staff are trained in Human Trafficking victimization
  • Your agency educates and implements policies to care for residential staff on the effects of this work, which may take a toll on mental, emotional, physical, and spiritual health
  • Agency provides for basic physical, emotional, and social needs of all clients in the program (i.e. food, housing, emotionally supportive environment)
  • Your agency ensures the client’s well-being by providing information and access to medical/dental/mental health service providers 
  • Your agency is informed on the most common mental health issues associated with victims of trafficking
  • Your agency has a clearly communicated policy on substance use by clients
  • Your agency has a protocol for client drug/alcohol testing
  • Your agency has a documented referral process in place for referring agencies
  • Your agency provides case management for clients, which includes identifying needs and increasing access to services and resources to meet those needs in support of the client’s recovery and goals
  • Faith engagement and/or spiritual formation activities may be offered as part of programming, but are explained in advance of intake so prospective clients can make an informed decision about entering the program
  • Your agency does not deny care or adapt the quality of care based on the faith convictions or spiritual beliefs of the client
  • Your agency provides appropriate referrals for clients who are not comfortable with the faith perspective and/or expressions of the agency to ensure each client has the opportunity to receive care
  • Your agency utilizes trauma-informed approaches around faith programming and does not force clients to personally engage in faith, but will respect each client’s individual journey as it relates to faith exploration and personal convictions
  • Your agency will make reasonable efforts for clients to engage in their personal faith expression in a manner that lines up with the client’s self-identified goals for healing and recovery

PLEASE NOTE: As of October 6, 2021, NTSA has updated the Essential Standards. All changes were made under advisement from survivors, the review panel and field experts. Any questions about changes to the standards can be emailed to

Accreditation is FREE & available to all... but NTSA Members get extra resources!


Many who have experienced Accreditation know that it can be daunting and often has an air of judgment and rigidity. NTSA’s Accreditation has been created to support a culture of learning and improving as an anti-trafficking community rather than top-down judgment. We value using this process as an opportunity for programs to grow, to hear different perspectives, and to learn the steps to meet our Essential Standards

If there is any reason an agency is found to not meet a standard, we will offer practical next steps for how that standard can be met and will work with that agency, until they can show they meet the standard. This Accreditation model is not about rejecting those who don’t meet the standards; rather, it is about working with them until they can meet the standards.

Frequently Asked Questions

What is the cost of NTSA’s Accreditation?

NTSA Accreditation is FREE! In order to maintain true objectivity and prevent conflict of interest, we do not accept payment for accreditation services. Therefore, any program that has been accredited can be confident they achieved that status by the merit of their program, rather than any financial need of NTSA.

My organization just opened, can we be accredited?

Our Accreditation Model is built for seasoned organizations and requires documentation and steps that would be very difficult to achieve when an organization just opens. However, we would love to share with you tools and resources to help equip you to be accredited in the future! You can email us at to learn more.

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