CAADE Treatment Planning 5 — Questions and Answers
Question 1: Which scenario demonstrates a failure of individualized treatment planning?
- Tailoring goals to the client's stated recovery priorities
- Using the same generic objectives for every client regardless of their unique situation (Correct answer)
- Incorporating the client's employment needs into the plan
- Adjusting the plan after a significant life event
Correct answer: Using the same generic objectives for every client regardless of their unique situation
Applying identical objectives to all clients disregards individual differences and violates the principle of individualized care.
Question 2: A treatment plan crisis intervention component should include:
- General advice to call 911 in all situations
- Specific steps, contacts, and resources the client will use during a mental health or relapse crisis (Correct answer)
- Only the counselor's after-hours number
- Instructions to return to the program after the crisis resolves
Correct answer: Specific steps, contacts, and resources the client will use during a mental health or relapse crisis
Effective crisis plans include personalized steps, specific contacts (hotlines, supports), and resources tailored to the client's likely crisis scenarios.
Question 3: Continuity of care planning at discharge should include:
- A summary of completed goals and no further planning
- Referrals to step-down services, community supports, and follow-up appointments (Correct answer)
- Instructions to call if problems arise with no formal referrals
- Only legal compliance documentation
Correct answer: Referrals to step-down services, community supports, and follow-up appointments
Discharge planning ensures a bridge to ongoing services and supports to prevent gaps in care and reduce relapse risk.
Question 4: When a client's treatment plan is shared with an outside agency, the counselor must first:
- Obtain verbal permission from the client's family
- Obtain a signed written release of information from the client that specifies what is shared and with whom (Correct answer)
- Send the plan without consent if the agency is a referral source
- Redact only the client's name
Correct answer: Obtain a signed written release of information from the client that specifies what is shared and with whom
Federal confidentiality regulations (42 CFR Part 2) and HIPAA require a signed, client-specific release before disclosing treatment information.
Question 5: In a group treatment setting, individualized treatment plans are:
- Unnecessary since all group members share similar goals
- Still required — each client's plan is individualized even if group therapy is a shared intervention (Correct answer)
- Replaced by the group therapy curriculum
- Written only for clients who are not responding to group treatment
Correct answer: Still required — each client's plan is individualized even if group therapy is a shared intervention
Group therapy may be a shared intervention, but each participant still requires an individualized plan reflecting their personal goals and needs.
Question 6: A counselor notices a client has achieved all treatment plan goals ahead of schedule. The appropriate response is to:
- Immediately discharge the client
- Review the plan with the client and collaboratively develop new goals or adjust the discharge timeline (Correct answer)
- Keep the original plan unchanged until the scheduled end date
- Add new goals without consulting the client
Correct answer: Review the plan with the client and collaboratively develop new goals or adjust the discharge timeline
Early goal achievement is an opportunity for collaborative review and advancement of the treatment plan to maintain momentum and address emerging needs.
Question 7: Which factor most directly undermines the effectiveness of a treatment plan?
- Using evidence-based interventions
- Setting goals the client had no role in developing (Correct answer)
- Reviewing the plan regularly
- Involving family with client consent
Correct answer: Setting goals the client had no role in developing
Plans developed without client input lack buy-in and are less likely to be followed, reducing their clinical effectiveness.
CAADE Treatment Planning 5
Which scenario demonstrates a failure of individualized treatment planning?