Case Management Flashcards

When conducting a community needs assessment for rehabilitation services, which data source provides the MOST comprehensive picture of unmet disability-related needs?

Answer: Multiple data sources including surveys, focus groups, and census data

Triangulating multiple data sources—quantitative statistics, qualitative community input, and agency data—provides the most accurate and comprehensive needs assessment.

A client with a spinal cord injury wants to return to work as a construction foreman. The FIRST step in case management should be to:

Answer: Complete a comprehensive assessment including functional capacity and transferable skills

Comprehensive assessment of functional capacity, transferable skills, and job demands is the essential foundation before any vocational planning or redirection.

Which of the following BEST describes 'supported employment' as a case management approach?

Answer: Competitive integrated employment with individualized ongoing support for people with significant disabilities

Supported employment places individuals with significant disabilities in competitive, integrated jobs with individualized, long-term support as needed.

A rehabilitation counselor working in a workers' compensation setting has conflicting obligations to the injured worker and the insurance carrier. This situation represents:

Answer: Dual relationship and role conflict requiring transparent disclosure

Serving both the injured worker and the insurer creates role conflict that must be transparently disclosed and managed to protect the client's interests.

Which case management function involves linking clients to needed community resources they cannot access independently?

Answer: Brokerage

The brokerage function involves identifying and connecting clients with community services and resources they need but cannot access on their own.

An employer asks a rehabilitation counselor to share detailed psychological evaluation results for a job applicant with a disability. The counselor should:

Answer: Refuse and explain that clinical records require specific written authorization and are protected

Detailed psychological records are protected health information requiring explicit written client authorization before disclosure to third parties including employers.

In catastrophic case management, which client condition would MOST likely trigger assignment to a specialized high-intensity case manager?

Answer: Traumatic brain injury with multiple comorbidities and lengthy rehabilitation needs

Catastrophic cases involve severe, complex injuries or conditions with extensive, long-term, multi-disciplinary rehabilitation needs that require specialized intensive management.