IC&RC Case Management & Continuing Care 5 — Questions and Answers
Question 1: Which concept refers to the internal and external resources a person can draw on to initiate and sustain recovery?
- Recovery capital (Correct answer)
- Stages of change
- Harm reduction
- Therapeutic alliance
Correct answer: Recovery capital
Recovery capital includes personal, social, and community resources that support long-term recovery.
Question 2: A client wants to be referred to a sober living home, but the counselor's spouse owns the only nearby home. What should the counselor do?
- Refuse to discuss sober living
- Disclose the conflict of interest and offer alternative referral options (Correct answer)
- Refer without mentioning the relationship
- Refer the client there because it is convenient
Correct answer: Disclose the conflict of interest and offer alternative referral options
Ethical referral practice requires disclosing conflicts of interest and preserving client choice.
Question 3: A client's recovery check-ins after outpatient treatment are delivered by brief phone calls over 12 months. This model is best described as:
- Partial hospitalization
- Recovery management checkups (Correct answer)
- Detoxification
- Crisis intervention
Correct answer: Recovery management checkups
Recovery management checkups provide ongoing monitoring and early re-intervention after acute treatment.
Question 4: When a counselor advocates for a client denied insurance authorization for continued residential care, the strongest approach is to:
- Discharge the client immediately
- Document medical necessity using ASAM dimensions and request a peer-to-peer review or appeal (Correct answer)
- Change the diagnosis to qualify
- Tell the client to pay out of pocket
Correct answer: Document medical necessity using ASAM dimensions and request a peer-to-peer review or appeal
Advocacy should rely on documented medical necessity and formal appeal processes, never on falsifying records.
Question 5: A homeless client is ready for discharge. Which is the most important continuing-care need to address first?
- Vocational training enrollment
- Long-term education goals
- Safe housing placement (Correct answer)
- Family therapy scheduling
Correct answer: Safe housing placement
Basic needs like safe housing are foundational and strongly affect relapse risk after discharge.
Question 6: Which statement about referring a client to mutual-help groups is most accurate?
- Mutual-help groups replace the need for a continuing care plan
- Referral should only occur after one year of abstinence
- Counselors should offer options such as 12-step, SMART Recovery, or faith-based groups matched to client preference (Correct answer)
- Counselors should require one specific group for all clients
Correct answer: Counselors should offer options such as 12-step, SMART Recovery, or faith-based groups matched to client preference
Matching mutual-help options to client beliefs and preferences improves engagement.
Question 7: A client signed a release for a family member, then verbally says they no longer want information shared. What should the counselor do?
- Share only positive information
- Ignore it because the release is still on file
- Stop disclosures, document the revocation, and confirm per agency policy (Correct answer)
- Continue sharing until a written revocation is received
Correct answer: Stop disclosures, document the revocation, and confirm per agency policy
Under 42 CFR Part 2, consent may be revoked at any time, including orally, and the revocation should be honored and documented.
