Whats the best code to use?
A client is interested in services with your agency and you spend an hour speaking with them about services you provide. What code is this?
H0023
I dont know if my group idea would work for this code?
First ask you POC for guidance and can also ask clinical supervisor regarding ideas for potential groups.
What is Sustain Talk?
Statements supporting maintaining the current behavior.
What is a great resource for clients to call when feeling they are in a crisis?
988
Which ASAM/ACM dimension evaluates withdrawal risk?
Dimension 1
You are working with a group of clients in a sober living home, what attribute should you use?
You would use Home as the appropriate attribute.
I have some questions on reimbursement rates
For a provider- go to your POC
For a POC- can go to Anna in billing for rates
What is Change Talk?
Statements that support movement toward change.
How long should notes ideally be completed after services?
Within 24 hours (72 hours maximum without communication/approval).
Which dimension evaluates physical health?
Dimension 2
You are facilitating a psychoeducational group focused on communication skills and emotional regulation in regards to their recovery.
H2017
I just received my BA degree
Send to Miranda to submit your degree to your file and to clinical supervisor about using and being approved to use other codes.
What does OARS stand for?
Open ended questions, affirmations, reflections and summaries
When should a treatment plan be signed?
During the BPS whenever possible and before ongoing services.
A client is attending approximately 20 hours of treatment each week.
Is this outpatient?
No.
This is generally consistent with an Intensive Outpatient Program (IOP), not standard outpatient services.
A client needs assistance developing budgeting, medication management, grocery shopping, and independent living skills during an individual session.
H0004
My client missed a BPS and Im concerned about the next one
Go to your POC and create a plan to ensure you can be present during the next BPS otherwise they will need to wait 90 days to reapply for a BPS.
A client says,
"I know drinking is ruining my life...but I don't think I can stop."
What MI skill should you use?
Reflective Listening
Your client refuses to sign their treatment plan.
Can services continue?
No. Follow agency procedures to obtain the signature. If it cannot be obtained promptly, notify the provider and billing may be placed on hold.
A client scores high across multiple ASAM/ACM dimensions and is unable to remain safe in the community.
What should happen?
The provider should evaluate whether outpatient services remain appropriate and consider referral to a higher level of care (e.g., IOP, residential, or inpatient), documenting the clinical rationale. Call POC and clinical supervisor as needed.
A peer recovery coach is helping a client strengthen recovery supports by sharing lived experience and assisting with recovery planning.
H0038
I believe my client's level of care is no longer appropriate.
POC and clinical supervisor for evaluation
What is the spirit of Motivational Interviewing?
Partnership, Acceptance, Compassion, and Evocation.
Client states they are having active SI thoughts and have pills in their car they intend to use later today.
POC, clinical supervisor, crisis services and depending on escalation potentially 911.
A client presents with active suicidal ideation, recent fentanyl use, no sober supports, homelessness, and repeated unsuccessful outpatient treatment. Based on the ASAM and presentation, what level of care would you recommend, and why?
????