CASAC Case Management and Continuing Care 2 — Questions and Answers
Question 1: In New York State, which agency oversees the licensure and certification of substance abuse treatment programs?
- Office of Mental Health (OMH)
- Office of Addiction Services and Supports (OASAS) (Correct answer)
- Department of Health (DOH)
- Office of Children and Family Services (OCFS)
Correct answer: Office of Addiction Services and Supports (OASAS)
OASAS is the New York State agency responsible for overseeing prevention, treatment, and recovery services for substance use disorders.
Question 2: A case manager notices that a client has missed three consecutive outpatient appointments. The BEST initial response is to:
- Discharge the client for non-compliance
- Conduct outreach to re-engage the client (Correct answer)
- File a complaint with the licensing board
- Increase the number of required sessions
Correct answer: Conduct outreach to re-engage the client
Active outreach to re-engage clients who miss appointments is a fundamental case management responsibility that supports retention in treatment.
Question 3: Which of the following BEST defines a 'warm handoff' in substance abuse case management?
- Providing a client with a printed list of referral agencies
- Directly introducing a client to the receiving provider before transfer (Correct answer)
- Mailing medical records to the next treatment facility
- Scheduling a follow-up appointment six months after discharge
Correct answer: Directly introducing a client to the receiving provider before transfer
A warm handoff involves directly connecting the client with the receiving provider in real time, improving continuity of care and reducing dropout.
Question 4: According to ASAM criteria, which dimension addresses a client's readiness to change?
- Dimension 1: Acute Intoxication and/or Withdrawal Potential
- Dimension 4: Readiness to Change (Correct answer)
- Dimension 5: Relapse, Continued Use, or Continued Problem Potential
- Dimension 3: Emotional, Behavioral, or Cognitive Conditions
Correct answer: Dimension 4: Readiness to Change
ASAM Dimension 4 specifically evaluates a client's readiness and motivation to change, which directly informs treatment planning.
Question 5: A client in recovery from opioid use disorder is seeking employment. The CASAC counselor BEST assists by:
- Advising the client to delay job seeking until two years of sobriety
- Connecting the client to vocational rehabilitation or workforce services (Correct answer)
- Documenting the request and taking no further action
- Telling the client employment decisions are not part of treatment
Correct answer: Connecting the client to vocational rehabilitation or workforce services
Vocational rehabilitation and workforce services are key referral resources that support recovery by addressing employment as a social determinant of health.
Question 6: Which document serves as the written record of services to be provided and goals to be achieved during a client's treatment episode?
- Biopsychosocial assessment
- Individualized service plan (ISP) / treatment plan (Correct answer)
- Progress note
- Discharge summary
Correct answer: Individualized service plan (ISP) / treatment plan
The individualized service plan (treatment plan) is the primary document outlining treatment goals, interventions, and timelines for each client.
CASAC Case Management and Continuing Care 2
In New York State, which agency oversees the licensure and certification of substance abuse treatment programs?