Chemical Dependency Counselor License Exam Case Management and Referral 4

Question 1

A client with substance use disorder is also involved in the criminal justice system. Which case management approach is MOST effective for this population?

Accepted Answer

Integrating treatment and legal supervision through coordinated communication with probation/parole officers

Answer

Treating the legal issues and substance use disorder as entirely separate concerns

Answer

Withholding treatment until legal matters are resolved

Answer

Advising the client to avoid contact with their probation officer

Question 2

Which of the following is an example of a community support resource that case managers commonly utilize for clients in recovery?

Accepted Answer

Sober living homes, peer recovery support services, and vocational rehabilitation

Answer

Psychiatric hospitalization for stabilization

Answer

Involuntary civil commitment proceedings

Answer

Emergency detoxification services only

Question 3

A client reports that their primary care physician is unaware of their substance use disorder. The counselor's BEST action is to:

Accepted Answer

Discuss the benefits of integrated care and, with client consent, facilitate communication with the primary care provider

Answer

Advise the client to keep this information private to avoid stigma

Answer

Contact the physician directly without obtaining the client's consent

Answer

Document the situation and take no further case management action

Question 4

When a counselor refers a client to a community resource and the client reports the resource was unhelpful, the counselor should FIRST:

Accepted Answer

Explore the client's specific concerns about the resource and assess whether an alternative referral is needed

Answer

Accept the client's report and document the outcome without further follow-up

Answer

Insist the client return to the same resource because the referral was appropriate

Answer

Attribute the outcome to client non-compliance

Question 5

Under HIPAA and 42 CFR Part 2, sharing a client's substance use treatment records with their employer requires:

Accepted Answer

A specific written consent that identifies the recipient, information to be disclosed, and purpose

Answer

Only verbal consent from the client

Answer

Approval from the treatment program director only

Answer

No consent if the employer is paying for treatment

Question 6

A counselor's client is a single parent whose child care arrangements have collapsed, preventing treatment attendance. The MOST appropriate case management step is:

Accepted Answer

Identify child care assistance programs or on-site child care services to support the client's participation

Answer

Discharge the client for failing to maintain treatment engagement

Answer

Reduce the client's treatment plan to phone check-ins only without exploring alternatives

Answer

Refer the client to child protective services

Question 7

Which factor is MOST important when evaluating the appropriateness of a community referral resource for a specific client?

Accepted Answer

The resource's cultural competence, eligibility criteria, and ability to meet the client's specific needs

Answer

The resource's geographic proximity to the counselor's office

Answer

The resource's reputation among other counselors regardless of client characteristics

Answer

The cost of the resource to the treatment program