CASAC Case Management and Continuing Care 4 — Questions and Answers
Question 1: A client in recovery from opioid use disorder is transitioning from a residential program. Which level of continuing care is MOST appropriate as the immediate next step?
- Inpatient detoxification
- Intensive Outpatient Program (IOP) (Correct answer)
- Peer support group only
- Sober living home without clinical services
Correct answer: Intensive Outpatient Program (IOP)
Intensive Outpatient Programs (IOP) provide structured treatment while allowing the client to live in the community, making them the standard step-down after residential care.
Question 2: When developing a continuing care plan, a CASAC should FIRST:
- Schedule the client for the next available outpatient slot
- Assess the client's strengths, barriers, and recovery capital (Correct answer)
- Notify the client's family of the discharge plan
- Obtain insurance pre-authorization for aftercare services
Correct answer: Assess the client's strengths, barriers, and recovery capital
Assessment of the client's strengths, barriers, and recovery capital is the foundation of any individualized continuing care plan.
Question 3: A client discloses they have no transportation to attend outpatient sessions. The case manager's BEST response is to:
- Discharge the client for non-compliance
- Document the barrier and problem-solve alternatives such as telehealth or bus passes (Correct answer)
- Tell the client to find their own solution
- Reduce session frequency to monthly
Correct answer: Document the barrier and problem-solve alternatives such as telehealth or bus passes
Identifying and problem-solving transportation barriers is a core case management function that supports treatment engagement.
Question 4: Which of the following BEST describes a 'warm handoff' in case management?
- Sending a referral letter to another provider
- Personally introducing or connecting the client to the next provider or service (Correct answer)
- Providing the client with a list of community resources
- Calling ahead to confirm an appointment exists
Correct answer: Personally introducing or connecting the client to the next provider or service
A warm handoff involves directly connecting the client to the next provider, reducing the chance of disengagement during transitions.
Question 5: A client with co-occurring depression and alcohol use disorder is most likely to achieve stable recovery when:
- The alcohol use disorder is treated before addressing depression
- Both disorders are treated concurrently using an integrated approach (Correct answer)
- Depression is treated first to stabilize mood
- Mental health and substance use treatment are kept separate
Correct answer: Both disorders are treated concurrently using an integrated approach
Integrated dual diagnosis treatment that addresses both conditions simultaneously produces better outcomes than sequential approaches.
Question 6: According to ASAM criteria, the domain 'Relapse, Continued Use, or Continued Problem Potential' is used primarily to:
- Determine insurance coverage eligibility
- Guide the intensity of services needed based on relapse risk (Correct answer)
- Identify whether a client needs detox
- Assess the client's readiness to change
Correct answer: Guide the intensity of services needed based on relapse risk
This ASAM domain evaluates the client's likelihood of relapse and helps match them to the appropriate level of care intensity.
Question 7: A client completes a 28-day residential program and refuses aftercare. The case manager should:
- Force the client to sign an aftercare agreement
- Respect autonomy, document the refusal, and provide harm reduction information and open-door return policy (Correct answer)
- Notify law enforcement of the refusal
- Immediately schedule an involuntary commitment evaluation
Correct answer: Respect autonomy, document the refusal, and provide harm reduction information and open-door return policy
Respecting client autonomy while providing education and keeping the door open supports engagement when the client is ready.
CASAC Case Management and Continuing Care 4
A client in recovery from opioid use disorder is transitioning from a residential program.
Which level of continuing care is MOST appropriate as the immediate next step?