Alcohol and Drug Counselor Case Management and Referrals Flashcards

A client in intensive outpatient treatment (IOP) reports a relapse to alcohol use. The case manager's FIRST priority should be to:

Answer: Conduct a clinical reassessment to determine if a higher level of care is indicated

Relapse is a clinical signal requiring reassessment of treatment needs; the priority is safety and determining whether the current level of care remains appropriate.

When documenting a referral in a client's case management record, which information is MOST important to include?

Answer: The reason for the referral, agency contacted, client's response, and follow-up plan

Thorough referral documentation includes clinical rationale, contact details, client response, and follow-up steps to ensure continuity and accountability.

A newly referred client states they were mandated to treatment by the court. The case manager should INITIALLY focus on:

Answer: Building therapeutic rapport and assessing the client's perspective on their substance use

Building rapport and conducting a genuine assessment of the client's perspective is foundational, as mandated clients can achieve positive outcomes when engagement is prioritized.

The term 'warm handoff' in case management refers to:

Answer: Directly introducing the client to the receiving provider to ensure a smooth transition

A warm handoff involves a direct, facilitated introduction between the client and the receiving provider to reduce the risk of the client falling through the cracks.

A client with substance use disorder reports a history of trauma. According to trauma-informed care principles, the case manager should:

Answer: Recognize the impact of trauma and ensure services are delivered in a safe, trustworthy manner

Trauma-informed care requires recognizing trauma's pervasive impact and embedding safety, trustworthiness, and empowerment into all service delivery.

A client's case management plan should be updated when:

Answer: There is a significant change in the client's clinical status, needs, or goals

The treatment and case management plan should be revised whenever there is a significant change in the client's circumstances, progress, or clinical needs.

Which community resource would be MOST appropriate to address a client's transportation barrier to attending outpatient treatment?

Answer: Medicaid non-emergency medical transportation (NEMT) services

Medicaid NEMT services provide covered transportation for eligible clients to attend medically necessary appointments, directly addressing the transportation barrier.