CRC Documentation, Confidentiality & Record-Keeping

Question 1

Which federal regulation provides special confidentiality protections for substance use disorder treatment records?

Accepted Answer

42 CFR Part 2

Answer

42 CFR Part 2 protects the privacy of patient records from federally assisted SUD programs and generally requires written consent for disclosure.

Question 2

A client's employer calls the coach asking whether the client is attending recovery support. What should the coach do?

Accepted Answer

Decline to confirm or deny any information without a signed release

Answer

Even confirming that someone is receiving services is a disclosure. Without written authorization from the client, the coach cannot share any information.

Question 3

Which is an example of a well-written, objective session note?

Accepted Answer

'Client reported attending two meetings this week and identified a goal of finding stable housing.'

Answer

Good documentation is factual, specific, nonjudgmental and focuses on observable behaviors and client statements.

Question 4

In which situation may a coach break confidentiality without client consent?

Accepted Answer

There is imminent risk of serious harm to the client or others, or a mandated reporting obligation applies

Answer

Confidentiality has limits: imminent danger to self or others and mandated reporting of child or elder abuse are standard exceptions that should be explained to clients up front.

Question 5

When should a coach discuss the limits of confidentiality with a client?

Accepted Answer

At the start of the coaching relationship, during informed consent

Answer

Clients should know the limits of confidentiality before sharing personal information, which is part of informed consent at intake.

(CRC) Certified Recovery Coach Practice Test

(CRC) Certified Recovery Coach Practice Test

CRC Documentation, Confidentiality & Record-Keeping