CDS CDS Psychosocial Rehabilitation & Mental Health Support 2 — Questions and Answers
Question 1: Which federal law prohibits discrimination in mental health coverage by requiring parity between mental health/substance use benefits and medical/surgical benefits?
- Americans with Disabilities Act
- Mental Health Parity and Addiction Equity Act (MHPAEA) (Correct answer)
- Affordable Care Act Section 1557
- HIPAA Privacy Rule
Correct answer: Mental Health Parity and Addiction Equity Act (MHPAEA)
The MHPAEA requires that financial requirements and treatment limitations for mental health and substance use disorder benefits be no more restrictive than those for medical and surgical benefits.
Question 2: In motivational interviewing (MI), the concept of 'rolling with resistance' means the counselor should:
- Confront the client directly about their denial
- Avoid arguing and instead explore ambivalence in a non-confrontational way (Correct answer)
- Discharge the client if they refuse to change
- Increase the intensity of psychoeducation sessions
Correct answer: Avoid arguing and instead explore ambivalence in a non-confrontational way
Rolling with resistance involves acknowledging the client's perspective and reflecting their ambivalence rather than engaging in a power struggle, which reduces defensiveness.
Question 3: What does 'dual diagnosis' mean in the context of disability and mental health services?
- A client has received two separate ADA accommodations
- A client has co-occurring mental health disorder and substance use disorder (or another disability) (Correct answer)
- A provider holds two state licenses
- A client is enrolled in two separate service programs
Correct answer: A client has co-occurring mental health disorder and substance use disorder (or another disability)
Dual diagnosis (or co-occurring disorder) refers to the simultaneous presence of a mental health disorder and a substance use disorder, requiring integrated treatment approaches.
Question 4: Which approach to psychiatric disability emphasizes that disability is caused by the interaction between a person's impairment and disabling social and environmental barriers?
- Medical model of disability
- Social model of disability (Correct answer)
- Biopsychosocial model
- Moral model of disability
Correct answer: Social model of disability
The social model holds that disability is not located solely in the individual's impairment but is produced by societal barriers, attitudes, and structures that exclude people with impairments.
Question 5: A CDS working with a veteran with PTSD should be aware that trauma-informed care requires which foundational principle?
- Asking detailed questions about traumatic events in every session
- Emphasizing physical safety, trustworthiness, and choice to avoid re-traumatization (Correct answer)
- Applying exposure therapy without prior psychoeducation
- Prioritizing symptom reduction over the therapeutic relationship
Correct answer: Emphasizing physical safety, trustworthiness, and choice to avoid re-traumatization
Trauma-informed care centers on safety, trustworthiness, transparency, peer support, collaboration, empowerment, and sensitivity to cultural, historical, and gender issues.
Question 6: Which of the following best describes the role of peer support specialists in psychosocial rehabilitation?
- Licensed clinicians who provide medication management
- Individuals with lived experience of mental illness who offer hope, guidance, and support based on their own recovery journey (Correct answer)
- Administrative staff who schedule appointments
- Case managers who conduct formal assessments
Correct answer: Individuals with lived experience of mental illness who offer hope, guidance, and support based on their own recovery journey
Peer support specialists use their own recovery experience to provide mentoring, advocacy, and emotional support, demonstrating that recovery is possible and reducing stigma.
CDS CDS Psychosocial Rehabilitation & Mental Health Support 2
Which federal law prohibits discrimination in mental health coverage by requiring parity between mental health/substance use benefits and medical/surgical benefits?