CAASP Community-Based Services 2 — Questions and Answers
Question 1: Which CAASP principle holds that services should be provided in the least restrictive, most normative environment appropriate to the child's needs?
- Individualized care
- Least restrictive environment (Correct answer)
- Family-driven planning
- Cultural competence
Correct answer: Least restrictive environment
The least restrictive environment principle ensures children receive care in settings as close to normal community life as possible.
Question 2: Home-based crisis stabilization services in a CAASP system of care are designed primarily to:
- Replace outpatient therapy permanently
- Prevent unnecessary psychiatric hospitalization (Correct answer)
- Provide respite for caregivers only
- Conduct formal psychiatric evaluations
Correct answer: Prevent unnecessary psychiatric hospitalization
Home-based crisis stabilization aims to de-escalate acute crises in the home and keep the child from needing inpatient admission.
Question 3: A 'wraparound' team meeting in community-based care typically includes which participant group?
- Clinicians only
- Parents and natural supports alongside professionals (Correct answer)
- State administrators and funders
- School principals and law enforcement only
Correct answer: Parents and natural supports alongside professionals
Wraparound meetings center families and their natural supports alongside formal providers to build a comprehensive care plan.
Question 4: In a CAASP-aligned system, 'flexible funds' are best used to:
- Pay clinician salaries
- Purchase individualized non-traditional supports not covered by insurance (Correct answer)
- Fund administrative overhead
- Replace Medicaid reimbursement
Correct answer: Purchase individualized non-traditional supports not covered by insurance
Flexible funds fill gaps by purchasing creative, individualized supports such as sports equipment or tutoring that standard funding streams do not cover.
Question 5: Which outcome measure is most commonly used to track functional improvement in children receiving community-based behavioral health services?
- DSM-5 diagnostic criteria changes
- Child and Adolescent Functional Assessment Scale (CAFAS) (Correct answer)
- Beck Depression Inventory
- Global Assessment of Functioning (GAF) for adults
Correct answer: Child and Adolescent Functional Assessment Scale (CAFAS)
The CAFAS is widely used in children's systems of care to measure functioning across home, school, and community domains.
Question 6: Therapeutic foster care differs from traditional foster care primarily because it:
- Removes parental rights permanently
- Provides specially trained foster parents who deliver therapeutic interventions (Correct answer)
- Is only available for children under age 5
- Does not involve case management services
Correct answer: Provides specially trained foster parents who deliver therapeutic interventions
Therapeutic foster care trains foster parents to implement structured therapeutic techniques, making the family setting itself a treatment environment.
Question 7: The CAASP system of care value of 'community-based' means services should be:
- Located in rural areas exclusively
- Provided close to where children and families live, work, and go to school (Correct answer)
- Funded solely by local municipalities
- Delivered by community volunteers without professional training
Correct answer: Provided close to where children and families live, work, and go to school
Community-based service delivery reduces barriers by situating care within the child's natural geographic and social environment.
CAASP Community-Based Services 2
Which CAASP principle holds that services should be provided in the least restrictive, most normative environment appropriate to the child's needs?