CBHCM Coordination, Linkage, and Monitoring 2 — Questions and Answers
Question 1: A case manager notices a client has missed three consecutive medication management appointments. What is the MOST appropriate first step?
- Discharge the client for non-compliance
- Contact the client to identify barriers to attendance (Correct answer)
- Notify the prescriber to discontinue medication
- Document the absences and take no further action
Correct answer: Contact the client to identify barriers to attendance
Proactive outreach to identify and address barriers is the first step in supporting treatment adherence.
Question 2: Which tool is MOST useful for visually mapping a client's support network and service connections?
- DSM-5 diagnostic checklist
- Genogram
- Ecomap (Correct answer)
- Risk assessment scale
Correct answer: Ecomap
An ecomap illustrates the client's relationships with external systems, resources, and social supports.
Question 3: A client with co-occurring substance use and mental health disorders is being linked to services. What coordination approach is BEST?
- Treat mental health first, then address substance use
- Refer to separate providers with no cross-communication
- Coordinate integrated dual-diagnosis treatment simultaneously (Correct answer)
- Prioritize substance use treatment exclusively
Correct answer: Coordinate integrated dual-diagnosis treatment simultaneously
Integrated dual-diagnosis treatment addresses both conditions concurrently for improved outcomes.
Question 4: During monitoring, a case manager identifies that a client's housing placement is deteriorating. What is the NEXT action?
- Wait until the next scheduled review to address it
- Immediately convene a care team meeting to problem-solve (Correct answer)
- Transfer the case to another case manager
- Reduce service intensity to decrease costs
Correct answer: Immediately convene a care team meeting to problem-solve
Emerging housing instability requires prompt care team problem-solving to prevent crisis and loss of housing.
Question 5: Which of the following BEST describes the role of a case manager during the linkage phase?
- Providing direct therapy to the client
- Diagnosing the client's behavioral health condition
- Facilitating warm handoffs and confirming service enrollment (Correct answer)
- Conducting medication management reviews
Correct answer: Facilitating warm handoffs and confirming service enrollment
Linkage involves actively connecting clients to services, including warm handoffs to ensure actual enrollment.
Question 6: A case manager coordinates services across five agencies for one client. What is the PRIMARY risk of this complexity?
- The client receiving too much clinical attention
- Fragmented care and communication gaps between providers (Correct answer)
- Excessive documentation burdens for the client
- Overly restrictive treatment planning
Correct answer: Fragmented care and communication gaps between providers
Multi-agency coordination creates risk of fragmented care and communication failures without deliberate coordination.
Question 7: Which frequency of monitoring contact is MOST appropriate for a client newly discharged from inpatient psychiatric care?
- Monthly check-ins via mail
- Annual reassessment only
- Frequent contact in the first 30 days post-discharge (Correct answer)
- Weekly group sessions after 90 days
Correct answer: Frequent contact in the first 30 days post-discharge
The post-discharge period is highest-risk; frequent early contact reduces relapse and rehospitalization.
CBHCM Coordination, Linkage, and Monitoring 2
A case manager notices a client has missed three consecutive medication management appointments.
What is the MOST appropriate first step?