LCDC Case Management 1 — Questions and Answers
Question 1: Which federal law governs the confidentiality of substance abuse treatment records?
- 42 CFR Part 2 (Correct answer)
- HIPAA Privacy Rule
- ADA Title II
- FERPA
Correct answer: 42 CFR Part 2
42 CFR Part 2 provides stricter confidentiality protections for substance abuse treatment records than standard HIPAA rules.
Question 2: A client requests their treatment records be shared with their primary care physician. Under 42 CFR Part 2, the counselor must:
- Obtain a valid written consent from the client that meets specific regulatory requirements (Correct answer)
- Deny the request to protect confidentiality
- Share the records automatically under HIPAA
- Notify the program director first and wait 72 hours
Correct answer: Obtain a valid written consent from the client that meets specific regulatory requirements
42 CFR Part 2 requires a specific consent form that includes the patient's name, the recipient, the purpose of disclosure, and an expiration.
Question 3: Advocacy in case management refers to:
- Speaking on behalf of or alongside clients to access needed services and remove barriers (Correct answer)
- Filing legal complaints on behalf of clients
- Providing legal representation
- Negotiating with insurance companies directly
Correct answer: Speaking on behalf of or alongside clients to access needed services and remove barriers
Advocacy involves helping clients navigate systems, overcome barriers, and access resources they may not be able to obtain independently.
Question 4: The primary goal of case management in substance use treatment is to:
- Coordinate and link clients to community services that address multiple recovery needs (Correct answer)
- Monitor client compliance with treatment plans only
- Provide direct clinical therapy across all service areas
- Reduce program costs by consolidating services
Correct answer: Coordinate and link clients to community services that address multiple recovery needs
Case management coordinates a comprehensive network of services—housing, health, employment, legal—to support the whole-person needs of clients in recovery.
Question 5: Which of the following is an appropriate reason to breach a client's confidentiality without consent?
- The client makes a credible threat to seriously harm an identified third party (Correct answer)
- The client misses three consecutive appointments
- The client's family requests information
- A potential employer asks for verification of treatment
Correct answer: The client makes a credible threat to seriously harm an identified third party
Under Tarasoff duty-to-warn principles, counselors must take reasonable steps to protect identifiable third parties from credible threats made by clients.
Question 6: A warm handoff in case management means:
- Directly introducing the client to the receiving provider rather than simply giving them a referral slip (Correct answer)
- Handing off case notes to another counselor at shift change
- Transferring financial responsibility for services
- Closing the case after discharge
Correct answer: Directly introducing the client to the receiving provider rather than simply giving them a referral slip
A warm handoff involves a personal introduction—in person, by phone, or via video—that bridges the therapeutic relationship and improves follow-through on referrals.
LCDC Case Management 1
Which federal law governs the confidentiality of substance abuse treatment records?