CRS Recovery Planning & Case Management 5 — Questions and Answers
Question 1: Which tool is commonly used to assess a client's level of functioning across multiple life domains to inform recovery planning?
- Beck Depression Inventory (BDI)
- Global Assessment of Functioning (GAF) (Correct answer)
- Minnesota Multiphasic Personality Inventory (MMPI)
- Structured Clinical Interview for DSM (SCID)
Correct answer: Global Assessment of Functioning (GAF)
The GAF provides a single score rating overall psychological, social, and occupational functioning, which informs the comprehensiveness of a recovery plan.
Question 2: A client in recovery expresses a desire to pursue employment but has a significant criminal record. The case manager's role is to:
- Advise the client to avoid employment-related goals due to realistic barriers
- Connect the client to reentry employment programs and advocate for their opportunities (Correct answer)
- Document the barrier and move on to other plan goals
- Recommend the client pursue disability benefits instead
Correct answer: Connect the client to reentry employment programs and advocate for their opportunities
Advocacy and connecting clients to reentry-friendly employment resources is a core case management function that supports community reintegration.
Question 3: The concept of 'recovery capital' refers to:
- Financial grants available for substance use treatment programs
- The sum of internal and external resources a person draws upon to initiate and sustain recovery (Correct answer)
- Government funding for recovery community organizations
- Insurance benefits allocated for behavioral health services
Correct answer: The sum of internal and external resources a person draws upon to initiate and sustain recovery
Recovery capital encompasses personal strengths, social supports, housing, employment, and community resources that support and sustain recovery.
Question 4: When should a case manager conduct a reassessment of a client's recovery plan?
- Only at program discharge
- At fixed intervals and whenever a significant life change occurs (Correct answer)
- Annually, regardless of the client's status
- Only when the client formally requests a review
Correct answer: At fixed intervals and whenever a significant life change occurs
Plans should be reassessed at regular intervals and after significant events such as relapse, housing change, or legal issues to keep the plan relevant.
Question 5: Which of the following best describes 'natural supports' in the context of recovery planning?
- Licensed professional services funded by Medicaid
- Informal relationships such as family, friends, faith communities, and neighbors (Correct answer)
- Peer support specialists employed by treatment agencies
- Voluntary 12-step meeting attendance
Correct answer: Informal relationships such as family, friends, faith communities, and neighbors
Natural supports are unpaid, informal connections in a person's life — family, friends, and community members — that provide ongoing encouragement and accountability.
Question 6: A client expresses they want to stop taking prescribed medication as part of their recovery. The case manager should FIRST:
- Immediately contact the prescriber to discontinue the medication
- Explore the client's reasons and educate them on risks before facilitating a conversation with the prescriber (Correct answer)
- Document refusal and close the case
- Override the client's decision based on clinical best interest
Correct answer: Explore the client's reasons and educate them on risks before facilitating a conversation with the prescriber
Respecting autonomy while ensuring informed decision-making means exploring reasons, providing education, and facilitating communication with the prescriber — not acting unilaterally.
Question 7: In case management documentation, 'SOAP notes' are structured as:
- Summary, Objective, Assessment, Plan
- Subjective, Objective, Assessment, Plan (Correct answer)
- Status, Outcome, Action, Progress
- Session, Observation, Analysis, Prescription
Correct answer: Subjective, Objective, Assessment, Plan
SOAP notes organize clinical documentation into Subjective (client's report), Objective (observable data), Assessment (clinical impression), and Plan (next steps).
CRS Recovery Planning & Case Management 5
Which tool is commonly used to assess a client's level of functioning across multiple life domains to inform recovery planning?