Clinical Application & Case Management Flashcards
7 cards from real CLT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Clinical Application & Case Management flashcards as text
A CLT practitioner notices that a client has been consistently agreeing with everything said in sessions but not following through between sessions. This pattern most likely indicates:
Answer: The client is using compliance to end uncomfortable conversations
Surface compliance without behavioral follow-through often signals that the client feels pressure to please the therapist rather than genuine buy-in.
A LEAP therapist is working with a client who has schizoaffective disorder and believes their case manager is reporting to law enforcement. The most appropriate clinical response is:
Answer: Acknowledge the client's fear as real to them and explore what would help them feel safer
Acknowledging the client's subjective experience preserves the alliance and opens space for the client to express what they actually need.
Which of the following represents the most significant risk to the LEAP therapeutic alliance in a community mental health setting?
Answer: Frequent clinician turnover that disrupts established relational trust
LEAP is a relational model; frequent clinician changes disrupt the accumulated trust that makes the Listen, Empathize, Agree, and Partner phases effective.
A client who has been engaged in LEAP therapy for six months suddenly becomes resistant again after a new psychiatrist joins their care team. The CLT practitioner should first:
Answer: Explore the client's specific concerns about the new team member
Returning to the Listen phase to understand what specifically triggered the client's concern respects their autonomy and gathers necessary clinical information.
In LEAP case management, 'stepping back to step forward' refers to:
Answer: Temporarily reducing therapeutic demands to rebuild a strained alliance
When pushing toward goals strains the alliance, LEAP calls for stepping back to the listening and empathy phases to restore the relational foundation.
A LEAP practitioner working with an adolescent client must adjust their approach primarily by:
Answer: Prioritizing the adolescent's own voice over parental treatment preferences
Centering the adolescent's perspective — even when parents are involved — upholds LEAP's core principle that the client's voice drives the alliance.
Which outcome measure is most consistent with LEAP's definition of therapeutic success?
Answer: Increased self-reported quality of life aligned with the client's personal goals
LEAP defines success by the client's own values and goals, not externally imposed clinical benchmarks like medication adherence or diagnostic acceptance.