CBHCM Recovery-Oriented Care and Wellness Flashcards

A case manager is working with a client who has a co-occurring substance use disorder and schizophrenia. The client refuses psychiatric medication but is engaged in a peer recovery program. What is the most appropriate stance?

Answer: Respect the client's autonomy while continuing to engage and monitor safety

Recovery-oriented practice respects autonomy and self-determination; the case manager should maintain the therapeutic relationship and monitor safety while honoring the client's choices.

Which of the following physical wellness strategies has the strongest evidence base for improving symptoms of depression in individuals with serious mental illness?

Answer: Regular aerobic exercise

Regular aerobic exercise has robust research support as an evidence-based intervention that reduces depressive symptoms and improves overall wellness in individuals with serious mental illness.

In the context of recovery capital, 'community capital' refers to:

Answer: The attitudes, resources, and policies in a community that support recovery

Community capital includes the recovery-supportive attitudes, resources, policies, and relationships available in a person's broader community environment.

A client asks their case manager about the difference between a psychiatric advance directive and a WRAP crisis plan. The most accurate distinction is:

Answer: A psychiatric advance directive is a legal document enforceable by law, while a WRAP crisis plan is a personal planning tool

A psychiatric advance directive is a legally binding document specifying treatment preferences, while a WRAP crisis plan is a personal wellness tool without legal enforcement.

Which trauma-informed principle involves helping clients understand the impact of trauma without re-traumatizing them through the therapeutic process?

Answer: Safety

Creating physical and emotional safety is a core trauma-informed principle that ensures the care environment does not inadvertently reproduce traumatic experiences.

A client in recovery from opioid use disorder is prescribed buprenorphine. A peer in their recovery support group tells the client they are 'not really in recovery' because they take medication. How should the case manager address this situation?

Answer: Educate the client that medication-assisted treatment is a legitimate, evidence-based recovery pathway

Medication-assisted treatment (MAT) with buprenorphine is a recognized, evidence-based recovery pathway, and case managers should counter stigma and affirm the client's recovery.

When integrating wellness into case management, the 8 dimensions of wellness (SAMHSA model) include all of the following EXCEPT:

Answer: Neurological wellness

SAMHSA's 8 dimensions of wellness are emotional, spiritual, intellectual, physical, environmental, financial, occupational, and social—neurological is not one of the eight.