LADC Case Management and Coordination 2 — Questions and Answers
Question 1: A client is transitioning from residential treatment to outpatient care. Which action is MOST critical in case management during this transition?
- Closing the case upon residential discharge
- Developing a detailed continuing care plan with scheduled follow-up (Correct answer)
- Transferring all case management responsibilities to the outpatient counselor immediately
- Reducing contact frequency to encourage client independence
Correct answer: Developing a detailed continuing care plan with scheduled follow-up
Transitions between levels of care are high-risk periods; developing a detailed continuing care plan with scheduled follow-up is essential to prevent relapse and ensure continuity.
Question 2: A multidisciplinary team meeting includes a counselor, a physician, a social worker, and a peer support specialist. The LADC's PRIMARY role in this setting is to:
- Make all final treatment decisions for the client
- Provide clinical information about the client's substance use and treatment progress (Correct answer)
- Evaluate the physician's recommendations for appropriateness
- Record minutes of the meeting for legal purposes
Correct answer: Provide clinical information about the client's substance use and treatment progress
In a multidisciplinary team, the LADC contributes specialized clinical knowledge about the client's substance use history, treatment progress, and counseling needs.
Question 3: Under 42 CFR Part 2, which of the following does NOT require client consent before disclosure?
- Sharing records with a referring probation officer
- Reporting suspected child abuse as required by state law (Correct answer)
- Releasing information to the client's health insurer
- Providing records to another treatment program
Correct answer: Reporting suspected child abuse as required by state law
Mandatory reporting obligations such as child abuse reporting are exceptions to 42 CFR Part 2 confidentiality requirements and do not require client consent.
Question 4: Which level of the ASAM criteria is MOST appropriate for a client who needs 24-hour medically managed intensive inpatient services?
- Level 1.0 – Outpatient Services
- Level 4.0 – Medically Managed Intensive Inpatient Services (Correct answer)
- Level 2.1 – Intensive Outpatient Services
- Level 3.1 – Clinically Managed Low-Intensity Residential
Correct answer: Level 4.0 – Medically Managed Intensive Inpatient Services
ASAM Level 4.0 is designated for clients requiring 24-hour medically managed intensive inpatient care, typically for severe withdrawal or medical complications.
Question 5: A client with co-occurring depression and alcohol use disorder is most effectively served through which care approach?
- Sequential treatment, addressing depression first
- Parallel treatment by separate, non-communicating providers
- Integrated treatment addressing both disorders simultaneously (Correct answer)
- Treating only the primary diagnosis until it resolves
Correct answer: Integrated treatment addressing both disorders simultaneously
Integrated treatment that addresses co-occurring mental health and substance use disorders simultaneously produces better outcomes than sequential or parallel approaches.
Question 6: When a case manager refers a client to a community resource, which follow-up action BEST demonstrates effective case management?
- Assuming the client attended based on verbal agreement
- Verifying that the referral was completed and evaluating client satisfaction (Correct answer)
- Ending the case management relationship upon making the referral
- Contacting the resource before the client to arrange everything
Correct answer: Verifying that the referral was completed and evaluating client satisfaction
Effective case management requires verification that referrals were completed and evaluation of whether the service met the client's needs.
Question 7: Which documentation practice is MOST important when closing a client's case in a substance use disorder program?
- Destroying all records to protect confidentiality
- Completing a discharge summary that includes treatment progress, referrals, and aftercare plan (Correct answer)
- Transferring the full record immediately to the next provider without client consent
- Noting only the reason for discharge in the file
Correct answer: Completing a discharge summary that includes treatment progress, referrals, and aftercare plan
A comprehensive discharge summary documenting treatment progress, referrals made, and aftercare plans is essential for continuity of care and meets legal and accreditation standards.
LADC Case Management and Coordination 2
A client is transitioning from residential treatment to outpatient care.
Which action is MOST critical in case management during this transition?