CAA Documentation & Record Management 3 — Questions and Answers
Question 1: When documenting accommodations strategies for an ADHD client in a workplace context, the coach should PRIMARILY focus on:
- The client's medical diagnoses for insurance purposes
- Specific, observable behavioral strategies and client-identified goals (Correct answer)
- The employer's internal HR policies
- General ADHD statistics relevant to the workplace
Correct answer: Specific, observable behavioral strategies and client-identified goals
Documentation should center on concrete, observable strategies and the client's own goals to remain coaching-focused rather than clinical.
Question 2: A coach is asked by a school to provide documentation about a student-client's ADHD coaching sessions. The FIRST step the coach should take is:
- Send the records immediately to support the student
- Obtain written consent from the client or legal guardian (Correct answer)
- Decline all third-party requests as a standard policy
- Contact the school's counselor for guidance
Correct answer: Obtain written consent from the client or legal guardian
Written consent from the client or their legal guardian must be obtained before releasing any information to a third party, including schools.
Question 3: Progress tracking documentation for an ADHD coaching client MOST often includes:
- Neuropsychological test scores
- Symptom severity ratings from a psychiatrist
- Goal attainment data, self-reported outcomes, and session summaries (Correct answer)
- Insurance claim histories
Correct answer: Goal attainment data, self-reported outcomes, and session summaries
ADHD coaching documentation tracks coaching-specific outcomes such as goal attainment, client self-reports, and session summaries rather than clinical measures.
Question 4: Which statement about informed consent documentation is MOST accurate for ADHD coaches?
- Informed consent only needs to be verbal and does not require documentation
- Informed consent documents should outline the scope, limits, and process of coaching (Correct answer)
- Informed consent is only required when working with minors
- Informed consent forms are optional for experienced coaches
Correct answer: Informed consent documents should outline the scope, limits, and process of coaching
Informed consent documents must clearly outline the coaching scope, process, confidentiality limits, and client rights to ensure ethical practice.
Question 5: A coach is closing their practice. What is the ethical obligation regarding existing client records?
- Delete all records immediately to protect client privacy
- Transfer records to another coach without client knowledge
- Notify clients and establish a secure transition or storage plan for their records (Correct answer)
- Archive records in a personal home filing cabinet without further notice
Correct answer: Notify clients and establish a secure transition or storage plan for their records
Clients must be notified when a coach closes their practice, and a secure plan for record transfer or storage must be established.
Question 6: Which of the following BEST describes the purpose of a coaching intake form?
- To diagnose the severity of the client's ADHD
- To establish a legal contract for payment terms only
- To gather foundational client information, goals, and consent at the start of coaching (Correct answer)
- To assess the coach's compatibility with the client's insurance plan
Correct answer: To gather foundational client information, goals, and consent at the start of coaching
An intake form collects baseline information, client goals, and consent to create a foundation for the coaching relationship and its documentation.
Question 7: When a client discloses information that suggests imminent danger to themselves or others, the coach's documentation should:
- Exclude this information to maintain confidentiality
- Record the disclosure, the steps taken, and the rationale for any breach of confidentiality (Correct answer)
- Only document this if the client provides written permission
- Note the concern in a personal log not accessible to anyone else
Correct answer: Record the disclosure, the steps taken, and the rationale for any breach of confidentiality
Documentation of safety disclosures, including actions taken and reasoning, is critical for ethical accountability and potential legal protection.
CAA Documentation & Record Management 3
When documenting accommodations strategies for an ADHD client in a workplace context, the coach should PRIMARILY focus on: