Case Management Flashcards

A case manager is working with a pregnant client with opioid use disorder. Which treatment approach is consistent with current evidence-based guidelines?

Answer: Support medically supervised opioid agonist therapy (e.g., methadone or buprenorphine) as the standard of care

Opioid agonist therapy during pregnancy is the evidence-based standard of care and significantly reduces risks to both mother and fetus compared to unsupported abstinence.

What distinguishes 'case management' from 'counseling' in chemical dependency treatment?

Answer: Case management focuses on linking clients to resources and coordinating services; counseling focuses on therapeutic interventions

Case management emphasizes brokering, coordinating, and monitoring services, while counseling focuses on therapeutic processes and behavioral change.

A client's treatment plan has not been updated in 18 months. This is a problem because:

Answer: Treatment plans must reflect the client's current status, needs, and evolving goals to be clinically relevant

Treatment plans must be regularly reviewed and updated to reflect the client's current circumstances, progress, and changing clinical needs.

When a client relapses after a period of sustained recovery, the case manager should FIRST:

Answer: Assess the circumstances of the relapse and collaboratively revise the treatment plan

Assessing the relapse context identifies what led to the return to use and informs targeted modifications to the treatment plan.

A case manager is discharging a client from outpatient treatment. Which action is most important for supporting long-term recovery?

Answer: Developing an individualized continuing care plan with identified relapse prevention strategies and community supports

A structured continuing care plan with relapse prevention strategies and community support connections significantly reduces post-discharge relapse risk.

Which of the following best describes the 'broker' function in case management?

Answer: Identifying needed services and connecting clients with appropriate community resources

The broker function involves identifying what services a client needs and making effective referrals to link them to appropriate resources.

A client with alcohol use disorder also presents with untreated hypertension. The case manager's responsibility is to:

Answer: Coordinate a referral to primary care and ensure follow-through while addressing how alcohol affects blood pressure

Case managers address medical needs by facilitating referrals and monitoring follow-through, while educating clients on the interaction between substance use and physical health.