CRS Recovery Planning & Case Management 4 — Questions and Answers
Question 1: Which level of care is typically recommended when a person's recovery environment is highly unstable and poses significant risk of relapse?
- Outpatient counseling once weekly
- Intensive Outpatient Program (IOP)
- Residential treatment (Correct answer)
- Peer support group only
Correct answer: Residential treatment
Residential treatment provides a structured, 24-hour environment appropriate when the home or community setting presents high relapse risk.
Question 2: Motivational Interviewing (MI) is incorporated into recovery planning primarily to:
- Confront denial and force acknowledgment of the problem
- Explore and strengthen the individual's own motivation for change (Correct answer)
- Provide psychoeducation about the stages of addiction
- Replace formal case management documentation
Correct answer: Explore and strengthen the individual's own motivation for change
MI is a collaborative, person-centered approach that elicits and strengthens intrinsic motivation by exploring the individual's own reasons for change.
Question 3: In recovery-oriented systems of care (ROSC), which concept describes the idea that recovery can look different for each person?
- Universal recovery pathway
- Individualized recovery journey (Correct answer)
- Evidence-based standardization
- Chronological stage model
Correct answer: Individualized recovery journey
ROSC recognizes that recovery is self-directed and that each person's path, timeline, and definition of recovery are unique.
Question 4: A case manager discovers that a client has not followed through on a referral to a housing program. The most appropriate next step is to:
- Discharge the client for non-compliance
- Explore barriers to following through and problem-solve collaboratively (Correct answer)
- File an incident report with the state licensing board
- Assign a new set of goals without reviewing the original plan
Correct answer: Explore barriers to following through and problem-solve collaboratively
Exploring barriers collaboratively respects the client's autonomy while maintaining engagement and addressing practical or motivational obstacles.
Question 5: The purpose of a 'relapse prevention plan' within a recovery plan is to:
- Guarantee the client will never use substances again
- Identify triggers, coping strategies, and steps to take if relapse occurs (Correct answer)
- Document prior relapses for insurance purposes
- Replace the need for ongoing case management after discharge
Correct answer: Identify triggers, coping strategies, and steps to take if relapse occurs
A relapse prevention plan proactively identifies personal triggers, coping tools, and action steps to minimize harm if a lapse or relapse occurs.
Question 6: Which ethical principle is most at stake when a case manager makes decisions for a client without consulting them?
- Beneficence
- Non-maleficence
- Autonomy (Correct answer)
- Justice
Correct answer: Autonomy
Autonomy is the individual's right to make informed decisions about their own life; bypassing the client violates this fundamental principle.
Question 7: Transition planning from a residential program back to the community should ideally begin:
- On the day of discharge
- At least 30–60 days before the planned discharge date (Correct answer)
- Only after the client requests it
- After the client has secured housing independently
Correct answer: At least 30–60 days before the planned discharge date
Early transition planning (30–60 days prior) allows sufficient time to establish community supports, housing, and follow-up care before discharge.
CRS Recovery Planning & Case Management 4
Which level of care is typically recommended when a person's recovery environment is highly unstable and poses significant risk of relapse?