LCDC Case Management 2 — Questions and Answers
Question 1: When making a referral for a client with co-occurring severe mental illness, the case manager should prioritize:
- An integrated dual-diagnosis treatment program (Correct answer)
- Inpatient psychiatric hospitalization only
- A substance-free transitional housing program
- Individual outpatient therapy for mental health only
Correct answer: An integrated dual-diagnosis treatment program
Integrated programs that treat both mental illness and substance use simultaneously produce the best outcomes for clients with co-occurring disorders.
Question 2: Case managers must document referrals because:
- Documentation provides accountability, supports continuity of care, and fulfills legal and ethical obligations (Correct answer)
- Insurance requires documentation for billing purposes only
- It protects the counselor from disciplinary action only
- State licensing boards require daily case notes
Correct answer: Documentation provides accountability, supports continuity of care, and fulfills legal and ethical obligations
Thorough referral documentation ensures that the client's care is coordinated across providers and creates a legal record of the counselor's efforts.
Question 3: Which community resource is specifically designed to provide peer support for individuals in recovery from substance use disorders?
- Recovery community organizations (RCOs) and peer recovery support services (Correct answer)
- Community mental health centers
- Employee Assistance Programs (EAPs)
- Social Security Disability Insurance (SSDI)
Correct answer: Recovery community organizations (RCOs) and peer recovery support services
RCOs provide non-clinical, peer-based recovery support including coaching, recovery housing referrals, and community connection.
Question 4: The Americans with Disabilities Act (ADA) protects individuals in recovery from substance use disorders by:
- Prohibiting discrimination against those in recovery who are no longer currently using illegal drugs (Correct answer)
- Providing insurance coverage for all substance use treatment
- Requiring employers to provide on-site recovery support
- Guaranteeing housing for all persons in recovery
Correct answer: Prohibiting discrimination against those in recovery who are no longer currently using illegal drugs
The ADA considers individuals in recovery from substance use disorders to have a disability and protects them from discrimination in employment and other areas.
Question 5: A client in recovery is struggling with unstable housing. The case manager should first:
- Assess the client's immediate safety and connect them with emergency housing resources (Correct answer)
- Recommend the client return to inpatient treatment
- Adjust the treatment plan to focus only on housing
- Advise the client to contact family for support
Correct answer: Assess the client's immediate safety and connect them with emergency housing resources
Safety and basic needs must be addressed before other treatment goals, as housing instability is a major relapse risk factor.
Question 6: When a client is being discharged from residential treatment, the case manager's primary responsibility is to:
- Ensure a comprehensive continuing care plan is in place with confirmed referrals and follow-up (Correct answer)
- Complete all discharge paperwork within 24 hours
- Notify the client's family of the discharge date
- Transfer all clinical records to the next provider
Correct answer: Ensure a comprehensive continuing care plan is in place with confirmed referrals and follow-up
A robust continuing care plan with confirmed appointments and linkages is the most critical discharge task for sustaining recovery gains.
LCDC Case Management 2
When making a referral for a client with co-occurring severe mental illness, the case manager should prioritize: