CRSS - Certified Recovery Support Specialist Documentation and Confidentiality Questions and Answers

Question 1

A CRSS is documenting a peer support session in a shared electronic health record (EHR) system used by an integrated care team.
To comply with both HIPAA and 42 CFR Part 2, which information requires specific, written consent from the peer before being entered?

Accepted Answer

A summary of the peer's self-disclosed substance use disorder treatment history.

Answer

A note that the peer discussed their housing situation.

Answer

The CRSS's general observations of the peer's mood.

Answer

The date and time of the peer support session.

Question 2

During a support session, a peer discloses credible intent to cause imminent, serious harm to another identifiable person. According to the CRSS code of ethics, what is the specialist's primary responsibility regarding confidentiality?

Accepted Answer

To inform appropriate authorities or the potential victim to prevent harm.

Answer

To maintain absolute confidentiality as it is the foundation of the peer relationship.

Answer

To discuss the situation with the peer's family members immediately.

Answer

To document the threat in the peer's record but take no further action.

Question 3

Which of the following is the BEST example of objective, person-first language for a CRSS to use when documenting a peer's experience?

Accepted Answer

"The individual appeared distressed and stated, 'I am struggling to find transportation to my appointments.'"

Answer

"The client was resistant and uncooperative during the goal-setting activity."

Answer

"The peer is a drug addict who relapsed last weekend."

Answer

"The peer suffers from schizophrenia and was non-compliant with their medication."

Question 4

A CRSS works for an agency that is considered a 'covered entity' under HIPAA. The CRSS wants to consult with their supervisor about a challenging case. What is the most appropriate way to handle this consultation while maintaining confidentiality?

Accepted Answer

Share the minimum necessary information required for the supervisory consultation in a private setting.

Answer

Discuss the case with the supervisor in a public coffee shop.

Answer

Use only the peer's first name and date of birth to identify them.

Answer

Email the peer's full case notes to the supervisor's personal email address for convenience.

Question 5

Before beginning a peer support relationship, a CRSS must obtain informed consent. Which of the following is NOT a required element of the informed consent process?

Accepted Answer

A guarantee of specific recovery outcomes and timelines.

Answer

A clear explanation of the nature and goals of peer support services.

Answer

A discussion of the limits of confidentiality, including the duty to report harm.

Answer

Information on the peer's right to refuse or withdraw from services at any time.

Question 6

A peer gives a CRSS written consent to share their progress notes with a housing agency. The consent form is valid for one year. Three months later, the peer verbally tells the CRSS they no longer want any information shared with that agency. What is the CRSS's correct course of action?

Accepted Answer

Immediately stop sharing information and document the peer's verbal withdrawal of consent.

Answer

Continue sharing information as the written consent is valid for another nine months.

Answer

Tell the peer they must submit their request in writing for it to be valid.

Answer

Share information one last time and then stop, per agency policy.

A CRSS is documenting a peer support session in a shared electronic health record (EHR) system used by an integrated care team.To comply with both HIPAA and 42 CFR Part 2, which information requires specific, written consent from the peer before being entered?

A CRSS is documenting a peer support session in a shared electronic health record (EHR) system used by an integrated care team.
To comply with both HIPAA and 42 CFR Part 2, which information requires specific, written consent from the peer before being entered?