CLT Case Management & Documentation 3

Question 1

Which documentation practice BEST supports continuity of care when a LEAP client is discharged from inpatient to outpatient services?

Accepted Answer

Providing a comprehensive transition summary including LEAP alliance status and current goals

Answer

A comprehensive transition summary including LEAP-specific alliance information ensures the outpatient therapist can maintain therapeutic momentum without restarting rapport-building.

Question 2

A LEAP therapist discovers an error in a signed progress note. The correct action is to:

Accepted Answer

Cross out the error with a single line, add the correction, date and initial it, and keep the original legible

Answer

Proper error correction preserves the integrity of the medical record while clearly documenting the amendment, which is required by legal and ethical standards.

Question 3

A client's case manager calls requesting an update on LEAP session progress. Without a signed ROI, the therapist should:

Accepted Answer

Neither confirm nor deny the client's involvement without written consent

Answer

Without a valid release of information, therapists must not confirm or deny a client's treatment status to protect confidentiality under HIPAA.

Question 4

In LEAP case management, 'partnering' goals documented in the treatment plan should reflect:

Accepted Answer

Collaborative objectives that align the client's own priorities with clinical recommendations

Answer

LEAP's partnering phase emphasizes building shared goals that honor what the client values, making documented goals truly collaborative.

Question 5

How long must a LEAP therapist in the US typically retain adult client records after the last date of service?

Accepted Answer

7 years (or per state law, whichever is longer)

Answer

Federal guidelines and most state laws require mental health records for adults to be retained for at least 7 years from the last service date, with some states requiring longer.

(CLT) Certified Leap Therapist Practice Test

(CLT) Certified Leap Therapist Practice Test

CLT Case Management & Documentation 3