IC&RC Case Management & Continuing Care 2 — Questions and Answers
Question 1: Which document formally authorizes a case manager to share a client's information with outside agencies?
- A treatment plan signed by the counselor
- A written release of information signed by the client (Correct answer)
- A court order obtained by the treatment facility
- A verbal confirmation from the client during session
Correct answer: A written release of information signed by the client
A written release of information signed by the client is required under confidentiality regulations (42 CFR Part 2 and HIPAA) before sharing client information with outside parties.
Question 2: What is the PRIMARY purpose of an aftercare or continuing care plan?
- To document that a client has completed the required level of care
- To maintain treatment gains and support long-term recovery after formal treatment (Correct answer)
- To transfer clinical responsibility to community providers
- To satisfy insurance requirements for reimbursement
Correct answer: To maintain treatment gains and support long-term recovery after formal treatment
The primary purpose of continuing care is to maintain treatment gains, reduce relapse risk, and support the client's long-term recovery journey.
Question 3: A client in recovery is experiencing housing instability. The case manager should FIRST:
- Place the client on a waitlist for sober living and continue treatment
- Conduct a comprehensive needs assessment and identify immediate housing resources (Correct answer)
- Discharge the client until they have stable housing
- Contact the client's family to resolve the housing situation
Correct answer: Conduct a comprehensive needs assessment and identify immediate housing resources
A thorough needs assessment followed by identification of immediate resources is the proper first step before implementing any intervention for housing instability.
Question 4: Which ASAM level of care provides 24-hour medically managed intensive inpatient services?
- ASAM Level 1 (Outpatient)
- ASAM Level 2.1 (Intensive Outpatient)
- ASAM Level 3.5 (Clinically Managed High-Intensity Residential)
- ASAM Level 4 (Medically Managed Intensive Inpatient) (Correct answer)
Correct answer: ASAM Level 4 (Medically Managed Intensive Inpatient)
ASAM Level 4 is medically managed intensive inpatient care, providing 24-hour physician and nursing services for clients with severe medical or psychiatric needs.
Question 5: In the context of case management, 'linkage' refers to:
- Connecting the client's treatment history across multiple providers
- The process of referring and actively connecting clients to needed community services (Correct answer)
- Coordinating billing between treatment agencies and insurance
- Documenting outcomes in a shared electronic health record
Correct answer: The process of referring and actively connecting clients to needed community services
Linkage is the active process of connecting clients to community resources and services, which goes beyond a simple referral to ensure the client actually accesses the service.
Question 6: How frequently should continuing care plans typically be reviewed and updated?
- Only at the end of each calendar year
- Once per treatment episode at discharge
- Regularly at established intervals and whenever the client's needs change (Correct answer)
- Only when the client requests a change
Correct answer: Regularly at established intervals and whenever the client's needs change
Continuing care plans should be reviewed at regular intervals and whenever significant changes in the client's circumstances or needs occur to remain relevant and effective.
Question 7: Which factor is MOST important when referring a client to community resources?
- The geographic proximity of the resource to the treatment facility
- The cost of services offered by the community resource
- The match between the client's specific needs and the resource's services (Correct answer)
- The reputation of the resource among clinical staff
Correct answer: The match between the client's specific needs and the resource's services
The best referral matches the client's specific, individualized needs to the services a resource provides, maximizing the likelihood of successful engagement.
IC&RC Case Management & Continuing Care 2
Which document formally authorizes a case manager to share a client's information with outside agencies?