CBHCM Coordination of Care 2 — Questions and Answers
Question 1: A behavioral health case manager is working with a client who has both schizophrenia and Type 2 diabetes. Which model best describes the integrated approach to managing both conditions simultaneously?
- Sequential treatment model
- Parallel care model
- Integrated dual diagnosis treatment (Correct answer)
- Stepped care model
Correct answer: Integrated dual diagnosis treatment
Integrated dual diagnosis treatment addresses co-occurring behavioral health and medical conditions concurrently rather than sequentially or separately.
Question 2: When a behavioral health case manager facilitates a care conference with a client's psychiatrist, primary care physician, and social worker, this is an example of:
- Multidisciplinary team collaboration (Correct answer)
- Referral management
- Discharge planning
- Utilization review
Correct answer: Multidisciplinary team collaboration
A multidisciplinary team collaboration involves professionals from different disciplines working together to coordinate a client's care.
Question 3: A client with serious mental illness is transitioning from inpatient psychiatric care to community living. The case manager's FIRST priority should be to:
- Schedule a follow-up appointment in 30 days
- Ensure a 7-day post-discharge follow-up appointment is scheduled (Correct answer)
- Mail psychoeducation materials to the client's home
- Notify the insurance company of the discharge
Correct answer: Ensure a 7-day post-discharge follow-up appointment is scheduled
Evidence-based practice recommends a 7-day post-discharge follow-up to reduce readmission risk during the high-vulnerability transition period.
Question 4: Which tool is MOST commonly used by case managers to facilitate communication between multiple providers caring for the same behavioral health client?
- SOAP notes sent by fax only
- A shared care plan accessible to all authorized providers (Correct answer)
- Verbal updates at monthly staff meetings
- Separate treatment plans for each provider
Correct answer: A shared care plan accessible to all authorized providers
A shared, accessible care plan ensures all providers have consistent, up-to-date information to deliver coordinated care.
Question 5: A case manager discovers that a client's psychiatrist and primary care physician have prescribed medications that may interact dangerously. The case manager should:
- Wait to see if the client experiences side effects before acting
- Contact both prescribers immediately to alert them to the potential interaction (Correct answer)
- Advise the client to stop taking one of the medications
- Document the concern and address it at the next team meeting
Correct answer: Contact both prescribers immediately to alert them to the potential interaction
Dangerous drug interactions require immediate communication with all prescribers to protect client safety.
Question 6: Which of the following is an example of a BARRIER to effective care coordination for behavioral health clients?
- Use of a shared electronic health record
- Frequent team meetings among providers
- Fragmented information systems between behavioral and physical health providers (Correct answer)
- Assignment of a dedicated case manager
Correct answer: Fragmented information systems between behavioral and physical health providers
Fragmented information systems prevent providers from accessing complete client information, creating gaps in coordinated care.
Question 7: A behavioral health case manager coordinates services for a client who is unhoused. Beyond mental health services, which domain MUST be addressed to ensure effective coordination of care?
- Legal representation services only
- Social determinants of health including housing, food security, and transportation (Correct answer)
- Specialty medical care only
- Vocational rehabilitation only
Correct answer: Social determinants of health including housing, food security, and transportation
Social determinants of health such as housing, food, and transportation directly impact treatment outcomes and must be addressed in a comprehensive care plan.
CBHCM Coordination of Care 2
A behavioral health case manager is working with a client who has both schizophrenia and Type 2 diabetes.
Which model best describes the integrated approach to managing both conditions simultaneously?