CASAC Case Management and Continuing Care 1 — Questions and Answers
Question 1: Which of the following best describes the primary goal of case management in substance abuse treatment?
- To prescribe medications for withdrawal
- To coordinate services that address the client's comprehensive needs (Correct answer)
- To conduct group therapy sessions
- To perform clinical assessments only
Correct answer: To coordinate services that address the client's comprehensive needs
Case management in substance abuse treatment focuses on coordinating medical, social, vocational, and other services to meet the client's comprehensive needs.
Question 2: Continuing care planning in CASAC practice is BEST initiated:
- Only after the client requests it
- At the time of discharge
- At the beginning of treatment (Correct answer)
- After the first relapse
Correct answer: At the beginning of treatment
Continuing care planning should begin at the start of treatment to ensure a seamless transition through all levels of care.
Question 3: A CASAC counselor is helping a client move from residential to outpatient treatment. This is an example of:
- Crisis intervention
- Level-of-care transition (Correct answer)
- Dual diagnosis management
- Motivational enhancement
Correct answer: Level-of-care transition
Moving a client from a higher level of care (residential) to a lower level (outpatient) is called a level-of-care transition.
Question 4: Which tool is most commonly used to determine the appropriate level of care for a client with a substance use disorder?
- Beck Depression Inventory
- ASAM Criteria (formerly ASAM PPC-2R) (Correct answer)
- CAGE questionnaire
- Hamilton Anxiety Scale
Correct answer: ASAM Criteria (formerly ASAM PPC-2R)
The ASAM Criteria provide a multidimensional framework used across the US to match clients to the appropriate level of care.
Question 5: When a client lacks stable housing during treatment, the CASAC counselor should:
- Discharge the client immediately
- Address housing as part of the case management plan (Correct answer)
- Ignore it as it is outside the counselor's scope
- Reduce treatment sessions to allow the client to find housing
Correct answer: Address housing as part of the case management plan
Housing instability is a significant barrier to recovery and must be addressed within the case management plan to support treatment success.
Question 6: Which of the following is an example of a community support resource a CASAC counselor might include in a continuing care plan?
- Pharmacological detoxification protocol
- Alcoholics Anonymous or Narcotics Anonymous meetings (Correct answer)
- Inpatient psychiatric hospitalization
- DSM-5 diagnostic criteria
Correct answer: Alcoholics Anonymous or Narcotics Anonymous meetings
AA and NA are widely available peer support groups commonly included in continuing care plans to support long-term recovery.
CASAC Case Management and Continuing Care 1
Which of the following best describes the primary goal of case management in substance abuse treatment?