CIP Treatment Knowledge & Referral 2 — Questions and Answers
Question 1: Which ASAM level of care is appropriate for a client who needs 24-hour medically managed intensive inpatient services?
- Level 1.0 Outpatient
- Level 2.5 Partial Hospitalization
- Level 3.7 Medically Monitored Intensive Inpatient
- Level 4.0 Medically Managed Intensive Inpatient (Correct answer)
Correct answer: Level 4.0 Medically Managed Intensive Inpatient
ASAM Level 4.0 provides 24-hour medically managed care for clients with severe withdrawal or biomedical complications requiring physician oversight.
Question 2: A client with alcohol use disorder is experiencing seizures during withdrawal. What is the intervention professional's PRIMARY referral priority?
- Schedule an outpatient assessment
- Refer immediately to emergency medical services (Correct answer)
- Contact the family for a second intervention
- Arrange residential treatment admission
Correct answer: Refer immediately to emergency medical services
Alcohol withdrawal seizures are a medical emergency requiring immediate emergency medical care before any treatment placement decisions.
Question 3: Medication-Assisted Treatment (MAT) for opioid use disorder most commonly combines counseling with which FDA-approved medication?
- Naltrexone, buprenorphine, or methadone (Correct answer)
- Disulfiram or acamprosate
- Benzodiazepines or clonidine
- Antidepressants or antipsychotics
Correct answer: Naltrexone, buprenorphine, or methadone
FDA-approved MAT medications for OUD include naltrexone (Vivitrol), buprenorphine (Suboxone), and methadone, each reducing cravings and withdrawal.
Question 4: When conducting a referral for a client with co-occurring major depressive disorder and alcohol use disorder, what type of program is most appropriate?
- A 12-step only program
- A dual diagnosis or integrated treatment program (Correct answer)
- A medical detox unit with no psychiatric services
- A sober living environment only
Correct answer: A dual diagnosis or integrated treatment program
Dual diagnosis or integrated treatment programs address both substance use and mental health disorders simultaneously, producing better outcomes than treating each separately.
Question 5: Which document gives an intervention professional authorization to share a client's treatment records with family members?
- A subpoena from the court
- A signed Release of Information (ROI) by the client (Correct answer)
- The family's written request
- The referring physician's order
Correct answer: A signed Release of Information (ROI) by the client
Under 42 CFR Part 2 and HIPAA, a client must sign a Release of Information form authorizing disclosure of substance use treatment records to specified parties.
Question 6: What is the primary purpose of a comprehensive biopsychosocial assessment in the referral process?
- To satisfy insurance billing requirements only
- To identify the appropriate level of care based on the client's full clinical picture (Correct answer)
- To convince the client to accept treatment
- To document the family's concerns for legal purposes
Correct answer: To identify the appropriate level of care based on the client's full clinical picture
A biopsychosocial assessment evaluates biological, psychological, and social factors to determine the most clinically appropriate treatment level and setting.
Question 7: A client states they cannot afford residential treatment and has no insurance. Which resource should an intervention professional explore FIRST?
- Advise the client to wait until finances improve
- Explore state-funded or Medicaid-covered treatment options and sliding-scale programs (Correct answer)
- Recommend the client detox at home alone
- Refer only to luxury programs with payment plans
Correct answer: Explore state-funded or Medicaid-covered treatment options and sliding-scale programs
State-funded programs, Medicaid coverage, and sliding-scale fee structures exist to serve clients without insurance or adequate funds.
CIP Treatment Knowledge & Referral 2
Which ASAM level of care is appropriate for a client who needs 24-hour medically managed intensive inpatient services?