LADC Case Management and Coordination 1 — Questions and Answers
Question 1: Which of the following best describes the primary goal of case management in substance use disorder treatment?
- To provide direct clinical therapy to clients
- To coordinate and integrate services to meet a client's comprehensive needs (Correct answer)
- To determine whether a client qualifies for inpatient treatment
- To document client progress for insurance billing purposes
Correct answer: To coordinate and integrate services to meet a client's comprehensive needs
Case management in substance use disorder treatment focuses on coordinating and integrating multiple services to address the comprehensive biopsychosocial needs of the client.
Question 2: During a case review, a counselor discovers a client is receiving duplicate prescriptions from two different physicians. The MOST appropriate first step is to:
- Report the client to law enforcement immediately
- Contact both physicians with client consent to coordinate care (Correct answer)
- Discharge the client from the program for non-compliance
- Ignore the issue since it is a medical matter
Correct answer: Contact both physicians with client consent to coordinate care
With client consent, contacting both prescribing physicians facilitates care coordination and addresses potential prescription drug misuse in a clinically appropriate manner.
Question 3: A care plan that identifies all services a client needs, assigns responsibilities, and sets timelines is best described as a:
- Psychosocial evaluation
- Comprehensive service plan (Correct answer)
- Discharge summary
- Biopsychosocial assessment
Correct answer: Comprehensive service plan
A comprehensive service plan maps out all needed services, designates who is responsible for each, and establishes timelines, serving as the roadmap for case management.
Question 4: Which case management function involves helping a client navigate and access community resources such as housing, employment, and healthcare?
- Advocacy
- Linkage (Correct answer)
- Monitoring
- Assessment
Correct answer: Linkage
Linkage refers to connecting clients to needed community resources and services, which is a core function of case management.
Question 5: An LADC is managing a client's case and notices the client has not attended medical appointments. Which case management activity is MOST appropriate?
- Terminate the therapeutic relationship
- Conduct outreach and problem-solve barriers to attendance (Correct answer)
- Reduce the number of services in the client's plan
- Wait until the next scheduled session to address it
Correct answer: Conduct outreach and problem-solve barriers to attendance
Active outreach and identifying barriers such as transportation or motivation issues are essential case management responses to missed appointments.
Question 6: When coordinating with a client's probation officer, the counselor should FIRST:
- Share the full treatment record to ensure transparency
- Obtain a signed release of information from the client (Correct answer)
- Request that the probation officer attend group sessions
- Notify the client's family before making any contact
Correct answer: Obtain a signed release of information from the client
Federal confidentiality regulations (42 CFR Part 2) require a signed, informed release of information before disclosing any substance use disorder treatment information.
Question 7: Which of the following is an example of the 'monitoring' function in case management?
- Arranging transportation for a client to attend detox
- Tracking a client's participation and progress across all enrolled services (Correct answer)
- Helping a client apply for Medicaid benefits
- Conducting a biopsychosocial intake interview
Correct answer: Tracking a client's participation and progress across all enrolled services
Monitoring involves ongoing tracking and evaluation of a client's participation, progress, and outcomes across all services in their care plan.
LADC Case Management and Coordination 1
Which of the following best describes the primary goal of case management in substance use disorder treatment?