Free CAC Case Management, Discharge and Continuing Care Questions and Answers — Questions and Answers
Question 1: At what phase of treatment does case management begin?
- At the first counseling session
- At the first contact with client
- When the treatment plan is created
- At the client's intake session (Correct answer)
Correct answer: At the client's intake session
Case management begins at a client's intake and continues throughout their treatment. The first goal of case management is to coordinate care which is appropriate for the client which can be done at the conclusion of the intake session.
Question 2: James was engaged in group and individual counseling in your outpatient program. He has maintained his sobriety and has found a medication regimen that helps him manage his depressive symptoms. James attends Alcoholic Anonymous four times per week and has been active in working the steps with his sponsor. Which of the following recommendations would be the least effective at his discharge?
- Attend AA regularly; maintain contact with his sponsor
- Begin another outpatient program (Correct answer)
- Step work
- Continue contact with prescribing doctor for psychotropic medications
Correct answer: Begin another outpatient program
Once an outpatient program is completed, it is not necessary for the client to engage in an additional program. Programs usually begin in phases which would not align with a person who has attained and maintained recovery.
Question 3: Macy is in recovery from alcohol and heroin. Macy will complete treatment next week and is preparing for discharge. She expressed that she has interest in self-help groups, but is not interested in any groups that incorporate God or spiritual associations. Which would be the most appropriate recommendation for continuing care?
- Alcoholics Anonymous (AA)
- Narcotics Anonymous (NA)
- Celebrate Recovery
- SMART Recovery (Correct answer)
Correct answer: SMART Recovery
SMART Recovery is a support group that does not acknowledge God or a higher power as part of their program.
Question 4: Of the following, which is an appropriate reason for discharge:
- Client is no longer assessed as appropriate for the current level of care
- Client is not abiding by the attendance policy
- Client has completed the program
- All of the above (Correct answer)
Correct answer: All of the above
All reasons identified are appropriate reasons for discharge.
Question 5: Jon attends your aftercare group once a week to support his abstinence from alcohol. During group, Jon shares that he has begun drinking alcohol occasionally. What is the best course of action to take?
- Discharge him from aftercare due to his relapse.
- Schedule an individual meeting to assess Jon's alcohol use and determine most appropriate level of care. (Correct answer)
- Enroll him in residential treatment.
- Allow him to continue in aftercare and continue to assess alcohol use.
Correct answer: Schedule an individual meeting to assess Jon's alcohol use and determine most appropriate level of care.
Further assessment is necessary to determine how problematic Jon's alcohol use is and what level of care or program would be most appropriate in order to support his recovery.
Question 6: Continuing care is:
- An ongoing collaborative care during a client's residential program.
- A guaranteed ongoing counseling with same provider throughout levels of care.
- An individualized plan for ongoing addiction specific support after a client has completed formalized substance use disorder treatment. (Correct answer)
- A counseling theory that supports empathic listening and client centered care.
Correct answer: An individualized plan for ongoing addiction specific support after a client has completed formalized substance use disorder treatment.
Continuing care is an individualized plan for ongoing addiction specific support after a client has completed formalized substance use disorder treatment.
Question 7: Susan is being discharged as a result of continued relapses and inconsistent attendance for group therapy. Despite your best efforts, she is reluctant to agree with your recommendation for inpatient treatment. Which of the following would be the most appropriate course of action at the conclusion of her discharge session?
- Wish her the best in future endeavors.
- Encourage her to re-engage in outpatient treatment when she is ready to stop drinking.
- Provide her with written information about different inpatient options. (Correct answer)
- Inform her emergency contact of her discharge and non-compliance with your recommendation for inpatient treatment.
Correct answer: Provide her with written information about different inpatient options.
Providing Susan with written information gives her the opportunity to look into them should she change her mind about your recommendation. The information provided does not provide enough evidence to be concerned about her safety and is not appropriate to contact her emergency contact.
Question 8: All of the following are models of case management except:
- Strengths perspective
- Clinical/ rehabilitation
- Weakness/ growth perspective (Correct answer)
- Broker/ generalist
Correct answer: Weakness/ growth perspective
The models of case management are strengths perspective, clinical/ rehabilitation, broker/ generalist and assertive community treatment.
Question 9: All of the following are benefits of aftercare treatment except:
- Step work (Correct answer)
- Continued routine
- Validation from others in a similar situation
- Continued support in a therapeutic environment
Correct answer: Step work
Step work is a part of AA and other similar groups which are not a part of aftercare programs.
Question 10: All case management approaches can be considered ______-_______.
- Individually- based
- Community- based (Correct answer)
- Crisis- based
- Routine- based
Correct answer: Community- based
Case management is community based. The main goal is to help the client's familiarize themselves with their community and services available. Examples would be self-help groups, church, individual resources and family resources.
Question 11: In Twelve-Step traditions, which step is "Came to believe a Power greater than ourselves could restore us to sanity?"
- Step 2 (Correct answer)
- Step 3
- Step 5
- Step 8
Correct answer: Step 2
"Came to believe a power greater than myself could restore me to sanity" is Step Two. Step 3 is "Made a decision to turn our will and our lives over to the care of God as we understood Him." Step 5 is "Admitted to God, to ourselves, and to another human being the exact nature of our wrongs." Step 8 is "Made a list of all persons we had harmed, and became willing to make amends to them all."
Free CAC Case Management, Discharge and Continuing Care Questions and Answers
At what phase of treatment does case management begin?