CBHCM Service Planning and Development 3 — Questions and Answers
Question 1: Which of the following is an example of a natural support that should be incorporated into a behavioral health service plan?
- A licensed clinical social worker
- A certified peer support specialist employed by the agency
- A client's neighbor who provides regular transportation to appointments (Correct answer)
- A community mental health case manager
Correct answer: A client's neighbor who provides regular transportation to appointments
Natural supports are unpaid community members such as family, friends, and neighbors who provide informal assistance and are a key resource in recovery-oriented planning.
Question 2: A service plan that uses a 'strengths-based' framework will primarily focus on:
- The client's psychiatric diagnoses and symptom severity
- The client's deficits that require professional intervention
- The client's existing capacities, resources, and support networks (Correct answer)
- The clinician's theoretical orientation
Correct answer: The client's existing capacities, resources, and support networks
Strengths-based planning emphasizes leveraging what the client already does well, along with available resources and supports, rather than focusing solely on problems.
Question 3: Under the Mental Health Parity and Addiction Equity Act (MHPAEA), service plans for behavioral health conditions must be developed with coverage standards that are:
- More rigorous than those applied to medical/surgical benefits
- No more restrictive than those applied to medical/surgical benefits (Correct answer)
- Subject to annual caps not applicable to medical benefits
- Approved by the state Medicaid office before implementation
Correct answer: No more restrictive than those applied to medical/surgical benefits
MHPAEA requires that treatment limitations for behavioral health benefits be no more restrictive than those applied to comparable medical or surgical benefits.
Question 4: Which element is MOST critical to include when a service plan addresses medication management?
- The cost of each medication
- The client's understanding of the medication's purpose and potential side effects (Correct answer)
- The prescriber's DEA number
- The pharmacy's dispensing schedule
Correct answer: The client's understanding of the medication's purpose and potential side effects
Informed consent and health literacy require that clients understand why they are taking medications and what side effects to watch for, which directly supports adherence.
Question 5: When a client refuses a recommended service in their service plan, the case manager should:
- Document the refusal, respect client autonomy, and explore alternatives (Correct answer)
- Discharge the client for non-compliance
- Contact the client's family to override the refusal
- Report the refusal to the insurance company immediately
Correct answer: Document the refusal, respect client autonomy, and explore alternatives
Respecting client autonomy is an ethical obligation; the case manager should document the refusal and work collaboratively to identify acceptable alternatives.
Question 6: A transition-age youth's service plan should specifically address which unique consideration?
- Eligibility for adult Medicaid and transfer of care to adult services (Correct answer)
- Reduction of school-based services as they are no longer relevant
- Discontinuation of family involvement to promote independence
- Conversion to a purely medication-based treatment approach
Correct answer: Eligibility for adult Medicaid and transfer of care to adult services
Transition planning for youth aging out of child-serving systems must address insurance transitions, adult service eligibility, and warm hand-offs to prevent service gaps.
Question 7: The primary reason a case manager should conduct a home visit as part of service planning is to:
- Verify the client is taking their medications
- Assess environmental factors and barriers not visible in an office setting (Correct answer)
- Replace the need for formal clinical assessments
- Document household income for billing purposes
Correct answer: Assess environmental factors and barriers not visible in an office setting
Home visits allow the case manager to observe living conditions, safety hazards, social dynamics, and practical barriers that directly inform a realistic service plan.
CBHCM Service Planning and Development 3
Which of the following is an example of a natural support that should be incorporated into a behavioral health service plan?