CIP Legal & Confidentiality Issues in Intervention

Question 1

Under 42 CFR Part 2, which of the following is required before a substance use disorder treatment program may disclose patient records to a third party?

Accepted Answer

A signed written consent from the patient

Answer

Verbal authorization from the patient's family member

Answer

A request from the patient's primary care physician

Answer

Proof of insurance coverage for treatment

Question 2

A CIP intervention specialist learns during an intervention that a client has made a credible, specific threat to harm a named individual. Under the duty-to-warn doctrine, the specialist is legally obligated to:

Accepted Answer

Warn the identifiable potential victim and notify law enforcement

Answer

Document the threat and discuss it only at the next clinical team meeting

Answer

Maintain confidentiality because it was disclosed during a session

Answer

Notify the client's insurer about the threat

Question 3

Which federal law provides the primary framework for protecting the privacy of individually identifiable health information held by covered entities, including most substance use treatment providers?

Accepted Answer

Health Insurance Portability and Accountability Act (HIPAA)

Answer

Americans with Disabilities Act (ADA)

Answer

Mental Health Parity and Addiction Equity Act (MHPAEA)

Answer

Substance Abuse and Mental Health Services Administration Act

Question 4

A CIP specialist is planning an intervention for a 16-year-old. Regarding consent for substance use treatment, which statement is most accurate in most U.S. states?

Accepted Answer

Many states allow minors to consent to substance use treatment without parental permission

Answer

Minors can never consent to any form of health treatment without parental approval

Answer

Parental consent is only required if the minor is under age 14

Answer

Federal law uniformly sets the age of consent for treatment at 18 in all states

Question 5

Which of the following situations represents a mandatory reporting obligation that would override normal confidentiality protections for a CIP professional?

Accepted Answer

A client discloses ongoing abuse of a child in the household

Answer

A client admits to past recreational marijuana use

Answer

A family member shares concerns about the client's spending habits

Answer

A client expresses general dissatisfaction with their job

Question 6

Under HIPAA, which of the following is NOT considered a covered entity required to comply with the Privacy Rule?

Accepted Answer

A life insurance company that does not conduct standard electronic health transactions

Answer

A hospital that submits insurance claims electronically

Answer

A substance use disorder treatment clinic accepting Medicaid

Answer

A health plan providing employee benefits

Question 7

When a court issues a subpoena for a client's substance use disorder treatment records protected under 42 CFR Part 2, a CIP specialist's program should:

Accepted Answer

Notify the client and seek a court order or client consent before releasing records

Answer

Comply immediately because court orders supersede all privacy protections

Answer

Release only records created prior to the current treatment episode

Answer

Deny all records because 42 CFR Part 2 prohibits any court-ordered disclosure