Case Management
Provide 5 case management needs of clients in substance use treatment
what is employment, legal, FMLA, disability, DUI, medical, psych, social, BOSS, etc
Describe the decisional balance tool (AKA cost benefit analysis)
discretion
The process of identifying individuals who may have a substance use disorder and determining the appropriate level of treatment
What is screening?
Describe what "interventions" mean on a treatment plan
What you do, as the clinician, to help the client complete the objective
Define each section of a DAP note
What is data, assessment, and planning
Provide 2 of the 8 Case Management principles
Case management offers the client a single point of contact with the health and social services systems, Case management is client-driven and driven by client need, Case management involves advocacy, Case management is community-based, Case management is pragmatic (realistic/practical rather theoretical), Case management is anticipatory (performed in anticipation of something), Case management must be flexible, Case management is culturally sensitive
Describe what "Gatekeeper Bias" means
Gatekeeper Bias is when a counselor may make assumptions about a client’s substance use based on their appearance, behavior, or other personal characteristics
The process of introducing the client to the treatment program and explaining the treatment process, policies, and expectations
What is orientation?
Describe what "deferred goals" mean in treatment plans
DOUBLE: give 2 examples of what goals may be deferred
If we identify a need/problem but the client does not want to address it in treatment, it must be deferred. Examples could include MH, physical health, legal, family conflict, trauma, etc.
Define each section of a SOAP note
What is subjective, objective, assessment, and planning
What are the 3 phases of the "treatment continuum"?
Treatment continuum: Case Finding/Pretreatment;
Primary Treatment; Aftercare
Describe what the "therapeutic alliance" means
DOUBLE: Who is responsible for the TA?
Therapeutic alliance refers to the relationship between the client and the counselor in the context of therapy or counseling. The therapeutic alliance is an essential component of effective counseling, as it helps to establish a safe and supportive environment for the client to explore their thoughts, feelings, and experiences
The process of gathering information about the client's substance use history, medical and mental health history, and social support network
What is intake?
What are the common 4 areas of a treatment plan?
Hint, it starts with "problem statement"
What is problem statement, goal, objective, and intervention?
This is a comprehensive list of problems identified during the assessment phase of treatment
What is the Master List of Problems?
What is the difference between case management and treatment
CM is more of a “Tour Guide”... With specific tools gained, how do we apply these tools to get “X” need met in the real world?
Treatment helps clients recognize their problems, acquire motivation and tools to stay abstinent and life a healthy lifestyle, and use acquired tools
"A new perspective" on addiction treatment focuses on what one main thing a client must possess?
What is MOTIVATION
The process of coordinating services and resources to ensure the client's needs are met
What is case management?
Describe the differences between goals and objectives
Goals provide a broad picture of what the client hopes to achieve through treatment, while objectives provide specific, measurable steps that the client will take to achieve those goals
Describe the differences between objective and subjective data
Objective data is often presented in a more factual, objective manner, whereas subjective data is presented more descriptively, using quotes or paraphrases to capture the client's perspective.
Name the 4 models of Case Management
What are Brokerage/Generalist, Strengths-Based Perspective, Clinical/Rehabilitation, Assertive Community Treatment
What are the 5 stages of change
Pre contemplation, contemplation, preparation, action, maintenance
The process of connecting the client to other services or resources outside the treatment program, such as medical or psychiatric care
What is referral?
Define each section of "SMART" Goals
What is Specific, Measurable, Achievable, Relevant, and Time-bound.
The 3 reasons why clinical documentation is important
Client care/advocacy, billing/reimbursement, CYA