CDCA CDCA Case Management & Documentation 1 — Questions and Answers
Question 1: Which of the following is the PRIMARY purpose of a biopsychosocial assessment in chemical dependency case management?
- To gather comprehensive information across biological, psychological, and social domains to inform treatment planning (Correct answer)
- To determine the client's insurance coverage and eligibility
- To assign a DSM diagnosis before the first counseling session
- To document only the client's drug use history and quantity consumed
Correct answer: To gather comprehensive information across biological, psychological, and social domains to inform treatment planning
A biopsychosocial assessment collects information across multiple domains to provide a holistic picture that guides individualized treatment planning.
Question 2: In the US, HIPAA regulations require that a client's substance use treatment records be released to a third party under which circumstance?
- Upon the client's written authorization or a qualifying legal exception (Correct answer)
- Whenever a family member requests the records
- If a supervisor requests them for quality assurance purposes
- Automatically upon law enforcement request
Correct answer: Upon the client's written authorization or a qualifying legal exception
HIPAA (and 42 CFR Part 2 for SUD records) generally require written client authorization before records can be released, except in narrowly defined legal exceptions.
Question 3: A CDCA is completing a case management plan. Which element is MOST critical to include?
- Measurable, time-limited goals tied to identified client needs (Correct answer)
- A list of every medication the client has ever taken
- The counselor's personal opinion about the client's prognosis
- Contact information for the client's employer
Correct answer: Measurable, time-limited goals tied to identified client needs
Effective case management plans require measurable and time-limited goals that directly address the client's assessed needs.
Question 4: What does 'continuity of care' mean in substance use disorder case management?
- Ensuring clients receive coordinated, uninterrupted services across all levels and transitions of care (Correct answer)
- Keeping the same counselor for every session regardless of client progress
- Providing only outpatient services to reduce costs
- Avoiding referrals to outside agencies
Correct answer: Ensuring clients receive coordinated, uninterrupted services across all levels and transitions of care
Continuity of care ensures that clients experience seamless, coordinated services as they move through different treatment levels or providers.
Question 5: Which of the following best describes the role of a CDCA in case management compared to a licensed counselor?
- A CDCA provides supportive case management services under supervision and does not independently diagnose or provide independent clinical treatment (Correct answer)
- A CDCA has the same clinical authority as a licensed counselor
- A CDCA only handles billing and insurance tasks
- A CDCA is not permitted to communicate with other providers
Correct answer: A CDCA provides supportive case management services under supervision and does not independently diagnose or provide independent clinical treatment
A CDCA operates under supervision, providing supportive services and case management without independent clinical authority to diagnose or treat.
Question 6: When coordinating a referral for a client, a CDCA should FIRST:
- Obtain the client's informed consent before sharing any information with the referral agency (Correct answer)
- Send the client's full file to the referral agency immediately
- Notify the client's family without the client's permission
- Contact law enforcement to ensure compliance
Correct answer: Obtain the client's informed consent before sharing any information with the referral agency
Informed consent must be obtained before sharing client information with any external agency to protect confidentiality and client rights.
CDCA CDCA Case Management & Documentation 1
Which of the following is the PRIMARY purpose of a biopsychosocial assessment in chemical dependency case management?