CRS Recovery Planning & Case Management 3 — Questions and Answers
Question 1: The SMART goal framework in recovery planning requires goals to be:
- Safe, Motivating, Achievable, Relevant, Timely
- Specific, Measurable, Achievable, Relevant, Time-bound (Correct answer)
- Structured, Meaningful, Actionable, Realistic, Therapeutic
- Simple, Manageable, Attainable, Resourced, Tested
Correct answer: Specific, Measurable, Achievable, Relevant, Time-bound
SMART goals are Specific, Measurable, Achievable, Relevant, and Time-bound, providing a clear framework for tracking recovery progress.
Question 2: Which of the following best illustrates a strength-based approach to case management?
- Focusing on the client's history of relapses when planning services
- Building the recovery plan around the client's existing skills, supports, and resources (Correct answer)
- Prioritizing diagnoses over the client's personal narrative
- Assigning goals based on program requirements rather than client input
Correct answer: Building the recovery plan around the client's existing skills, supports, and resources
Strength-based case management identifies and builds upon existing capacities, relationships, and community assets the person already possesses.
Question 3: Cultural competence in recovery planning requires the case manager to:
- Apply the same intervention model to all clients regardless of background
- Integrate the client's cultural values, beliefs, and practices into the recovery plan (Correct answer)
- Refer all clients from minority groups to specialized programs only
- Use standardized tools that have not been validated across cultures
Correct answer: Integrate the client's cultural values, beliefs, and practices into the recovery plan
Culturally competent planning means incorporating the individual's cultural identity, values, and community norms into their personalized recovery plan.
Question 4: Which document legally authorizes a case manager to share a client's recovery information with outside agencies?
- A treatment summary report
- A signed Release of Information (ROI) (Correct answer)
- An intake assessment form
- A program enrollment contract
Correct answer: A signed Release of Information (ROI)
A signed Release of Information grants legal permission to share specific protected health information with designated individuals or agencies.
Question 5: Assertive Community Treatment (ACT) differs from standard case management primarily because it:
- Focuses exclusively on medication management
- Delivers intensive, team-based services in the community with a low staff-to-client ratio (Correct answer)
- Requires clients to attend a fixed clinic location for all services
- Is designed only for individuals with substance use disorders
Correct answer: Delivers intensive, team-based services in the community with a low staff-to-client ratio
ACT uses a multidisciplinary team with low caseloads to deliver comprehensive, flexible services directly in the community where clients live.
Question 6: A peer recovery specialist reviewing a case management plan notices it lacks a housing goal for a client who is currently homeless. This is an example of:
- Appropriate prioritization of clinical needs first
- A gap in addressing social determinants of health (Correct answer)
- Standard protocol for early-stage recovery planning
- Correct focus on behavioral health before housing
Correct answer: A gap in addressing social determinants of health
Housing is a fundamental social determinant of health; omitting it from a homeless client's plan reflects a significant planning gap.
Question 7: When a client discloses a plan to harm a specific person, the case manager's ethical obligation is to:
- Keep it confidential as part of the therapeutic relationship
- Document the disclosure and take steps to warn the identified potential victim (Correct answer)
- Refer the client to a therapist without taking immediate action
- Consult only with a supervisor without notifying anyone else
Correct answer: Document the disclosure and take steps to warn the identified potential victim
Under the duty to warn (Tarasoff principle), clinicians and case managers must take steps to protect identifiable third parties from serious, credible threats.
CRS Recovery Planning & Case Management 3
The SMART goal framework in recovery planning requires goals to be: