ANSA Service Planning & Coordination 4 — Questions and Answers
Question 1: A crisis plan developed as part of an ANSA-informed service plan should PRIMARILY include:
- Contact information for the individual's insurance company
- Early warning signs, coping strategies, emergency contacts, and crisis resources (Correct answer)
- A list of diagnoses and current medications only
- The provider's office hours and after-care scheduling procedures
Correct answer: Early warning signs, coping strategies, emergency contacts, and crisis resources
An effective ANSA-informed crisis plan documents personalized warning signs, individual coping strategies, and escalating levels of crisis resources.
Question 2: Which ANSA domain directly informs decisions about whether an individual needs supported employment services in their service plan?
- Trauma experience
- Vocational/educational needs (Correct answer)
- Legal involvement
- Sleep disturbance
Correct answer: Vocational/educational needs
The vocational/educational needs domain assesses whether work or education barriers require targeted supported employment interventions in the plan.
Question 3: When a care coordinator completes the ANSA for service planning purposes, the assessment should be conducted:
- Using chart review alone to minimize burden on the individual
- Through a collaborative conversation with the individual as the primary source (Correct answer)
- By the referring agency before the individual meets the care coordinator
- Through standardized computer-administered testing only
Correct answer: Through a collaborative conversation with the individual as the primary source
ANSA administration requires direct engagement with the individual as the primary source, ensuring the assessment reflects their perspective.
Question 4: What is the purpose of including a 'discharge criteria' section in an ANSA-guided service plan?
- To set conditions under which the provider can terminate services for rule violations
- To define measurable outcomes that indicate the individual is ready to step down or exit services (Correct answer)
- To document insurance authorization end dates
- To outline criteria for involuntary hospitalization
Correct answer: To define measurable outcomes that indicate the individual is ready to step down or exit services
Discharge criteria in ANSA planning define recovery-oriented, measurable benchmarks that signal successful achievement of plan goals and readiness to transition.
Question 5: An individual's ANSA reveals high needs in both 'transportation' and 'medication management.' In coordinating services, the care coordinator should:
- Address only the clinical needs and leave social needs to the individual
- Connect the individual with transportation supports to ensure medication adherence (Correct answer)
- Refer transportation needs to a separate social worker who operates independently
- Treat these as unrelated issues to be addressed by different teams without communication
Correct answer: Connect the individual with transportation supports to ensure medication adherence
Transportation directly enables medication adherence; integrated service planning connects concrete supports to clinical outcomes rather than siloing them.
Question 6: Which of the following is a key difference between a service plan and a treatment plan in the ANSA context?
- A service plan is a clinical document; a treatment plan is administrative
- A service plan coordinates multiple life domains and providers; a treatment plan typically focuses on clinical interventions by one provider (Correct answer)
- A treatment plan is required by law; a service plan is optional
- A service plan is completed by the individual; a treatment plan is completed by the psychiatrist
Correct answer: A service plan coordinates multiple life domains and providers; a treatment plan typically focuses on clinical interventions by one provider
An ANSA-informed service plan is holistic, covering multiple life domains and coordinating across providers, while a treatment plan is typically clinically focused within a single service.
Question 7: Under a Wraparound service planning model informed by the ANSA, team membership should:
- Be limited to licensed clinical professionals to ensure quality
- Include the individual, natural supports, and relevant formal service providers (Correct answer)
- Rotate quarterly to prevent provider burnout
- Be determined solely by funding source eligibility
Correct answer: Include the individual, natural supports, and relevant formal service providers
Wraparound teams aligned with ANSA principles include the individual, family/natural supports, peers, and formal providers working collaboratively.
ANSA Service Planning & Coordination 4
A crisis plan developed as part of an ANSA-informed service plan should PRIMARILY include: