CASAC Case Management and Continuing Care 5 — Questions and Answers
Question 1: Which tool is MOST commonly used by CASAC counselors to track a client's treatment progress and coordinate services across providers?
- The AUDIT-C screening tool
- An individualized service plan (ISP) or treatment plan (Correct answer)
- A HIPAA release form
- The DSM-5 diagnostic criteria checklist
Correct answer: An individualized service plan (ISP) or treatment plan
The individualized service plan (ISP) is the primary document used to set goals, track progress, and coordinate care across multiple providers.
Question 2: A client in long-term recovery reports feeling isolated and at high risk for relapse. The case manager's MOST appropriate referral is to:
- A detoxification unit
- A mutual aid or peer support group such as AA, NA, or SMART Recovery (Correct answer)
- An inpatient psychiatric unit
- A vocational rehabilitation program
Correct answer: A mutual aid or peer support group such as AA, NA, or SMART Recovery
Peer support groups directly address social isolation and provide community-based recovery support, which is a key protective factor.
Question 3: When a client returns to use after a period of abstinence, the counselor should FIRST:
- Terminate services due to non-compliance
- Conduct a clinical reassessment to determine if the level of care needs adjustment (Correct answer)
- Increase the frequency of drug testing only
- Notify the client's employer
Correct answer: Conduct a clinical reassessment to determine if the level of care needs adjustment
A return to use is a clinical event that warrants reassessment to determine whether higher-intensity services are needed.
Question 4: Under HIPAA and 42 CFR Part 2, a substance use disorder treatment program may release client records without consent when:
- A family member requests the information for support purposes
- There is a medical emergency involving an immediate threat to life (Correct answer)
- An employer contacts the program for verification
- A court issues a standard subpoena
Correct answer: There is a medical emergency involving an immediate threat to life
Medical emergencies that pose an immediate threat to life are one of the narrow exceptions that allow disclosure without client consent under 42 CFR Part 2.
Question 5: Which of the following is an example of a 'recovery capital' resource that a case manager should help a client identify?
- The client's history of withdrawal symptoms
- A stable housing situation, supportive family, and employment (Correct answer)
- The client's DSM-5 diagnosis
- The number of prior treatment episodes
Correct answer: A stable housing situation, supportive family, and employment
Recovery capital refers to internal and external assets—such as housing, social support, and employment—that support and sustain recovery.
Question 6: A case manager notices a client has missed three consecutive outpatient sessions. The FIRST action should be to:
- Close the case due to non-attendance
- Attempt outreach to the client to assess their status and barriers (Correct answer)
- Refer the client back to inpatient treatment immediately
- File a missing person report
Correct answer: Attempt outreach to the client to assess their status and barriers
Active outreach to assess why the client missed appointments is a core case management function and may prevent dropout from treatment.
Question 7: Which of the following BEST illustrates the principle of 'person-centered care' in case management?
- Following the standard agency protocol regardless of client preference
- Collaborating with the client to set goals that reflect their values and priorities (Correct answer)
- Prioritizing family input over client goals
- Using the same evidence-based curriculum for all clients
Correct answer: Collaborating with the client to set goals that reflect their values and priorities
Person-centered care requires that the client's own values, goals, and preferences drive the planning and service delivery process.
CASAC Case Management and Continuing Care 5
Which tool is MOST commonly used by CASAC counselors to track a client's treatment progress and coordinate services across providers?