Screening
Define Screening
The process by which the client is determined appropriate and eligible for admission to a particular program.
Define and explain HIPAA
Health Insurance Portability and Accountability Act (HIPAA)
The U.S. Department of Health and Human Services establishes national standards to protect individuals’ medical records and other personal health information as it applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically through HIPAA. It protects the patient’s confidentiality and the security of their records.
Define Case Management
Activities which bring services, agencies, resources, or people together within a planned framework of action toward the achievement of established goals. It may involve liaison activities and collateral contacts.
Define Reports and Record keeping
Charting the results of the assessment and treatment plan, writing reports, progress notes, discharge summaries and other client-related data.
A client who just tested positive for HIV tells his Counselor that he does not have the nerve to discuss this with his partner. Current legal and ethical standards suggest that the Counselor should:
Do NOTHING
The CAGE test is a simple tool that is administered to individuals with a drinking problem. The questions on this test refers to:
Cut Down, Annoyed, Guilty, Eye opener
A Counselor working in private practice learns that a friend is suffering from a drug abuse problem. The Counselor wishes to help, so he agrees to counsel the friend on a bi-weekly basis. The counselor does not charge his friend for the sessions. This arrangement is:
unethical - NAADAC guidelines prohibit dual relationships
Explain the clinical rehabilitation model of case management
Clinical/rehabilitation approaches to case management are those in which clinical(therapy) and resource acquisition (case management) activities are joined together and addressed by the case manager. It has been suggested that the separation of these two activities is not feasible over an extended period of time and that the case manager must be trained to respond to client-focused, as opposed to solely environmental issues.Client-focused services could include providing psychotherapy to clients, teaching specific skills,and family therapy. Beyond the usual repertoire of case management functions (e.g., monitoring),the case manager should be aware of numerous issues including transference,countertransference, how clients internalize what they observe, and theories of ego functioning
What does DAP stand for? What is main part of the A/ give example
Data, Assessment, Plan.
Identify stage of change and support it
Client appears to be in preparation stage of change as evidenced by making a plan to start changing
Sam is referred to counseling by the EAP at work. He has been caught drinking on the job twice. Sam agrees to meet with a counselor, but when he arrives at the initial interview he is extremely withdrawn. During this interview, Sam should expect:
information about the services he can receive
What is MAST and explain
Michigan Alcohol Screening Test (MAST)
A 25-item instrument providing a general measure of lifetime alcohol problem severity that can be used for choosing treatment intensity and guiding inquiry into alcohol-related problems
A counselor plans to tape record a session with a client so that the counselor could listen to the tape, along with her supervisor, as part of ongoing training. According to the NAADAC Code of Ethics, the counselor's plans are:
ethical, unless the supervisor observes the session
Explain the Strengths based model of case management
The strengths-based perspective of case management was originally developed at the University of Kansas School of Social Welfare to help a population of persons with persistent mental illness make the transition from institutionalized care to independent living. The foremost two principles on which the model rests are (1)providing clients support for asserting direct control over their search for resources, such as housing and employment, and (2) examining clients’ own strengths and assets as the vehicle for resource acquisition. To help clients take control and find their strengths, this model of case management encourages use of informal helping networks; promotes the primacy of the client−case manager relationship; and provides an active, aggressive form of outreach to clients.
Male crack cocaine users;female polysubstance abusersWhat does SOAP stand for and explain O and give example
Subjective, Objective, Assessment, Plan
Objective - mood, affects, appearance. Client appears to be happy as evidenced by smiling, nodding head appropriate, upright posture, and clean appearance (clothes and nails)
A counselor working in a treatment facility is visited by an attorney. The attorney say he represents the ex-wife of one of the client's. According to the attorney, the ex-wife and the client are involved in a custody battle. The attorney says his client is interested in the client's diagnosis and progress. The counselor should:
give the attorney a copy of the federal regulations concerning confidentiality
What is DAST
Drug Abuse Screening Test (DAST)
A 20- and 28-item adaptation of the Michigan Alcohol Screening Test (MAST) to detect consequences related to drug abuse without being specific about the drug, thus alleviating the necessity of using different instruments specific to each drug.
Discuss consent and minors
State laws are relied upon to determine the definition of minors and whether or not the consent of a parent (or guardian or other person legally responsible for the minor) is required for them to obtain substance abuse treatment. The regulations concerning consent for release of information follow state laws: If state law requires parental consent for treatment, then consent of both the minor patient and the parent (or guardian) must be obtained to disclose information. However, regardless of the requirement for parental consent, programs must always obtain the minor’s for disclosure. The parent’s signature alone is not sufficient. ASSENT
Explain the ACT model of case management
The Program of Assertive Community Treatment (PACT) model, originally developed in Wisconsin (Stein and Test, 1980), emphasizes the following components Making contact with clients in their homes and natural settings Focusing on the practical problems of daily living Assertive advocacy Manageable caseload sizes Frequent contact between a case manager and client Team approach with shared caseloads Long-term commitment to clients
Chronic public inebriates;parolees with substance abuse problems; dually diagnosed clientsWhat is BIRP and explain the I and give example
Behavior, Intervention, Response, Plan
Intervention- DBT- distress tolerance ; Solution focused- miracle question ; MI- scaling question
Client friends you on facebook. You decline the connection (Why?) . When she comes into the office the next day she begins to yell at you and tell you that if you do not become friends with her she will kill herself. (what do you do next?)
Code of ethics
Discuss/ process/ call GCAL/ call 911/ Notify supervisor
What is SASSI
Substance Abuse Subtle Screening Inventory (SASSI)
The SASSI is a brief self-report, easily administered psychological screening measure that is available in separate versions for adults and adolescents. The Adult SASSI-3 helps identify individuals who have a high probability of having a substance dependence disorder
Name the 6 basic ethical principles
autonomy, nonmaleficence, beneficence, justice, fidelity, and veracity
Explain the Brokerage/Generalist model of case management and who usually appropriate for this model?
How do we document the results of assessment?
What does this document assist us with creating?
Interpretive summary
Treatment plan
What is consultation?
Who do you consult with during ethical issues ?
Consultation is meetings for discussion, decision-making and planning. The most common consultation is the regular in-house staffing in which client cases are reviewed with other members of the treatment team. Consultations may also be conducted in individual sessions with the supervisor, other counselors, psychologists, physicians, probation officers, and other service providers connected to the client's case.