LCSW Case Management and Service Coordination 2 — Questions and Answers
Question 1: The concept of 'warm handoff' in case management refers to:
- Mailing a referral letter to a new provider
- A live introduction between the client and the new provider to ensure continuity of care (Correct answer)
- Transferring a client's file electronically between agencies
- Providing the client with a list of community resources
Correct answer: A live introduction between the client and the new provider to ensure continuity of care
A warm handoff involves a direct, real-time introduction between the client and the next provider, improving engagement and reducing service dropout.
Question 2: Which tool is MOST commonly used by case managers to measure a client's functional limitations and determine level of care needs?
- GAF (Global Assessment of Functioning) (Correct answer)
- PCL-5 (PTSD Checklist)
- AUDIT (Alcohol Use Disorders Identification Test)
- PHQ-9 (Patient Health Questionnaire)
Correct answer: GAF (Global Assessment of Functioning)
The GAF rates overall psychological, social, and occupational functioning on a 0–100 scale, historically used to guide level of care determinations.
Question 3: A client with schizophrenia repeatedly misses medication appointments. The case management approach MOST aligned with psychiatric rehabilitation principles is:
- Discharge from services due to non-compliance
- Mandate medication compliance as a condition of housing
- Identify barriers to attendance and collaboratively problem-solve with the client (Correct answer)
- Increase medication to compensate for missed doses
Correct answer: Identify barriers to attendance and collaboratively problem-solve with the client
Psychiatric rehabilitation focuses on building the client's strengths and collaboratively addressing barriers to engagement rather than using coercive approaches.
Question 4: In the transtheoretical model of change, a client who acknowledges a problem and is thinking about change but has not yet committed to action is in which stage?
- Precontemplation
- Contemplation (Correct answer)
- Preparation
- Action
Correct answer: Contemplation
In the contemplation stage, clients are aware of a problem and considering change but are ambivalent and not yet committed to a specific plan.
Question 5: When developing a service plan with a client, the MOST important principle to ensure engagement and effectiveness is:
- The plan reflects agency priorities and funding requirements
- Goals are set by the clinician based on clinical assessment findings
- The plan is developed collaboratively and reflects the client's own goals and values (Correct answer)
- Goals are measurable and time-limited regardless of client preferences
Correct answer: The plan is developed collaboratively and reflects the client's own goals and values
Collaborative goal-setting that aligns with the client's own motivations and values is the strongest predictor of engagement and treatment adherence.
Question 6: Wraparound services in children's behavioral health case management are characterized by:
- Standardized, protocol-driven treatment for all children
- Individualized, family-driven plans that coordinate across child-serving systems (Correct answer)
- Residential placement as the default level of care
- Child-only services without family involvement
Correct answer: Individualized, family-driven plans that coordinate across child-serving systems
Wraparound is a family-driven, individualized approach that coordinates services across mental health, education, child welfare, and other child-serving systems.
LCSW Case Management and Service Coordination 2
The concept of 'warm handoff' in case management refers to: