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Case Management, Care Planning, and Behavioral Health for Homeless Individuals

Vital Role of Case Management for Individuals Experiencing Homelessness

1. Individuals receiving which type of case management show reduced substance use and psychiatric symptoms over 12 months?

A. Standard case management

B. Intensive case management

C. Clinical case management

D. Critical time intervention

2. Which care coordination activity is critical to case management?

A. Developing a plan that is not only cost-effective but feasible to implement.

B. Identifying barriers to achieving health goals.

C. Accompanying clients to doctor appointments.

D. All of the above.

3. Which of the following is more effective in reducing length of hospitalization, substance use, and days of homelessness compared to standard case management because it has a built-in multidisciplinary team approach that allows for better care coordination.

A. Assertive Community Treatment

B. Intensive case management

C. Clinical case management

D. Critical time intervention

4. How does case management help reduce costs and alleviate the economic impact of homelessness?

A. Case management connects clients to rent subsidies, permanent supportive housing, rapid rehousing, and housing first programs interventions which reduce homelessness.

B. Case management interventions increase insurance coverage.

C. Case management interventions decrease substance use and psychiatric symptoms.

D. All of the above.

Advance Care Planning for Individuals Experiencing Homelessness

5. Why should ACP be facilitated earlier for the homeless population than for the general population?

A. Mortality rates for the homeless are estimated to be three-to-four times greater than the general U.S. population.

B. The average life expectancy for the homeless is estimated to be 12 years less than the general U.S. population.

C. Both (A) and (B).

D. None of the above.

6. Which of the following may be given alongside curative treatment plans to individuals with life-threatening or complex illnesses?

A. Palliative care

B. End-of-life care

C. Both (A) and (B)

D. None of the above

7. A recent study revealed that most of those experiencing homelessness would prefer to not receive cardiopulmonary resuscitation, even if they had a chance of returning to their current state of health.

A. True

B. False

8. The Patient Self-Determination Act passed in 1990 requires Medicare and Medicaid providers to:

A. Assist in completing an advance directive.

B. Be educated about patient self-determination and advance directives and to periodically inquire about any existing advance directive or other form of document regarding their patients’ medical care wishes.

C. Both (A) and (B).

D. None of the above.

Behavioral Health among Youth Experiencing Homelessness

9. Rates of having at least one psychiatric disorder among homeless youth can be as high as _____ times the rate of youth in the general population.

A. 2

B. 3

C. 4

D. 5

10. Homeless youth who have substance use issues are more likely to:

A. Have co-occurring mental health disorders, including depression, anxiety, and conduct disorders.

B. Engage in high risk behaviors including unprotected sex, sex while under the influence of drugs or alcohol, and multiple sex partners, placing them at greater risks for sexually transmitted infections and unintended pregnancies.

C. Both (A) and (B).

D. None of the above.

11. Which of the following has a positive impact in deterring homeless youth from substance use and risky sexual behaviors?

A. Having adult network members, who are kin, who are in a position of power and influence.

B. Having adult network members, who are non-kin, who are in a position of power and influence.

C. Having peers who are enrolled in school and who refrain from risky behaviors.

D. All of the above.

12. Homeless youth that identify as lesbian, gay, bisexual, or transgender experience higher rates of familial rejection, pervasive societal discrimination, violence and trauma, which in turn can contribute to self-hatred, the development of psychiatric disorders, and suicidal ideation.

A. True

B. False

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