Case Management and Documentation Flashcards

A biopsychosocial assessment differs from a standard intake form primarily because it:

Answer: Gathers information across biological, psychological, and social domains

A biopsychosocial assessment evaluates physical health, mental health, and social/environmental factors to provide a holistic picture of the client's needs.

Which of the following best describes the role of a MAC in a multidisciplinary treatment team?

Answer: Providing addiction-specific expertise and coordinating substance use interventions

In a multidisciplinary team, the MAC counselor contributes specialized knowledge of addiction and coordinates SUD-focused interventions alongside other providers.

A client transitions from residential treatment to outpatient services. The document that communicates their history and continuing needs is called a:

Answer: Continuity of care summary

A continuity of care summary (or transition summary) communicates the client's treatment history, progress, and ongoing needs to the receiving provider.

Utilization review in addiction treatment primarily serves to:

Answer: Determine the medical necessity and appropriate level of care for a client

Utilization review assesses whether the services provided are medically necessary and whether the client is at the appropriate level of care according to established criteria.

Which document formally authorizes a counselor to communicate with a client's employer about their treatment status?

Answer: A signed release of information

A signed release of information (ROI) is required before a counselor may share any client information with third parties, including employers.

The ASAM criteria are used in case management primarily to:

Answer: Determine the appropriate level of care for a client with substance use disorder

The ASAM criteria provide a multidimensional framework for matching clients to the appropriate level of addiction care based on clinical need.