Coordination of Care Flashcards

A case manager is using motivational interviewing (MI) during a care coordination meeting to help a client engage with a new psychiatric provider. This technique is MOST effective for:

Answer: Overcoming ambivalence and increasing the client's intrinsic motivation to engage in care

Motivational interviewing is an evidence-based technique that explores and resolves ambivalence to strengthen a client's own motivation for change and care engagement.

Which of the following BEST describes the role of a behavioral health case manager in a patient-centered medical home (PCMH)?

Answer: Coordinating behavioral health services within or linked to the primary care setting to ensure whole-person care

In a PCMH, the behavioral health case manager bridges primary care and mental health services to ensure integrated, whole-person care for each client.

A case manager's client has been court-ordered to receive mental health treatment. The case manager's ethical obligation in this scenario is to:

Answer: Balance legal mandates with the client's rights and dignity, engaging them as a collaborative partner in their care plan

Even with court-ordered treatment, case managers must uphold client dignity and engage clients as active participants while fulfilling legal obligations.

A case manager notices that a client from a specific cultural background consistently declines Western psychiatric medications due to cultural beliefs. The MOST culturally competent response is to:

Answer: Explore the client's cultural beliefs, involve culturally appropriate supports, and seek culturally congruent treatment alternatives

Culturally competent case management requires exploring and integrating the client's cultural values into the care plan, including seeking culturally aligned treatment options.

During care coordination, a case manager identifies that a client's housing instability is directly causing medication non-adherence. The case manager's MOST appropriate action is to:

Answer: Address housing as a clinical priority within the care plan and coordinate with housing resources while monitoring medication adherence

Housing instability is a social determinant directly affecting treatment outcomes; effective coordination requires addressing it as part of the integrated care plan.

A case manager is preparing a client for discharge from intensive case management to self-management. Which element is MOST essential in the transition plan?

Answer: A list of community crisis resources and a relapse prevention plan co-created with the client

A co-created relapse prevention plan and crisis resource list empowers the client for self-management while providing a safety net if symptoms escalate.

In care coordination quality improvement, which metric is MOST commonly used to evaluate the effectiveness of behavioral health case management transitions?

Answer: 30-day readmission rates following inpatient psychiatric discharge

30-day readmission rates are a standard, evidence-based metric for evaluating the quality of transition planning and post-discharge care coordination.