CCM Psychosocial & Behavioral Health Support 1 — Questions and Answers
Question 1: Which validated screening tool is most commonly used by care managers to identify depression in adult clients?
- GAD-7
- PHQ-9 (Correct answer)
- CAGE-AID
- AUDIT-C
Correct answer: PHQ-9
The PHQ-9 (Patient Health Questionnaire-9) is the gold-standard validated tool for screening and measuring the severity of depression in adults.
Question 2: A care manager uses open-ended questions and reflective listening to help a client explore their own reasons for change. This technique is best described as:
- Cognitive restructuring
- Psychoeducation
- Motivational interviewing (Correct answer)
- Crisis debriefing
Correct answer: Motivational interviewing
Motivational interviewing is a client-centered counseling style that uses open-ended questions, affirmations, reflective listening, and summarizing to evoke intrinsic motivation for change.
Question 3: Under the Mental Health Parity and Addiction Equity Act (MHPAEA), health insurers must:
- Cover all mental health services at no cost to the member
- Provide mental health benefits equivalent to medical/surgical benefits (Correct answer)
- Eliminate prior authorization for psychiatric inpatient stays
- Cover unlimited outpatient behavioral health visits
Correct answer: Provide mental health benefits equivalent to medical/surgical benefits
The MHPAEA requires that financial requirements and treatment limitations for mental health and substance use disorder benefits be no more restrictive than those applied to medical and surgical benefits.
Question 4: A client presents with a history of trauma and becomes defensive when asked about their childhood. The care manager's BEST response using trauma-informed principles is to:
- Redirect the conversation to current health goals
- Document the client's resistance as a barrier to care
- Acknowledge the client's reaction and ask what would make them feel safer (Correct answer)
- Refer the client immediately to a psychiatrist
Correct answer: Acknowledge the client's reaction and ask what would make them feel safer
Trauma-informed care involves recognizing trauma responses, creating safety, and giving clients control — acknowledging their reaction and asking about comfort honors these principles.
Question 5: Which of the following BEST describes a social determinant of health that a care manager should assess during a psychosocial evaluation?
- A client's HbA1c level
- A client's housing stability (Correct answer)
- A client's medication adherence rate
- A client's BMI trend
Correct answer: A client's housing stability
Social determinants of health are non-medical factors — such as housing, food security, transportation, and income — that significantly influence health outcomes and are a core focus of psychosocial assessment.
Question 6: A care manager receives a call from a client who states, 'I don't want to live anymore.' The FIRST priority action is to:
- Notify the client's primary care physician and document the call
- Schedule a follow-up appointment within 48 hours
- Assess the immediate level of risk and whether the client has a plan (Correct answer)
- Contact the client's emergency contact person
Correct answer: Assess the immediate level of risk and whether the client has a plan
When a client expresses suicidal ideation, the immediate priority is to assess lethality by determining whether there is a specific plan, means, intent, and timeline before taking further action.
Question 7: Which model views a client's health through the integrated lens of biological, psychological, and social factors simultaneously?
- Medical model
- Biopsychosocial model (Correct answer)
- Ecological model
- Behavioral activation model
Correct answer: Biopsychosocial model
The biopsychosocial model, developed by George Engel, integrates biological, psychological, and social factors to provide a holistic understanding of illness and health, which is foundational to case management practice.
CCM Psychosocial & Behavioral Health Support 1
Which validated screening tool is most commonly used by care managers to identify depression in adult clients?