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Case Management (Revised)

Case Management in the Community Context: An Interagency Perspective

1. Under which interorganizational model does the case manager retain full and autonomous control over the case and is accountable only to the parent agency?

A. The single agency model

B. The informal partnership model

C. The formal consortium model

D. All of the above


2. Which interorganizational model is better suited to culturally diverse communities?

A. The single agency model

B. The informal partnership model

C. The formal consortium model

D. All of the above


3. Memoranda of understanding are particularly useful for:

A. Ensuring continuity of services during staff turnover.

B. Clarifying lines of authority and control over various aspects of the case management process.

C. Recording commitments for providing or funding case management resources.

D. All of the above.


4. QSOAs supplant MOUs.

A. True

B. False


5. Not all needed services are available and at times the successful case manager must create them.

A. True

B. False


6. To be effective, case management requires that connections be made at the administrative / director level of agencies.

A. True

B. False


7. Because social environments for delivering services do change over time, _____ is a hallmark of effective case management.

A. Flexibility

B. Individuation

C. Both (A) and (B)

D. None of the above


Evaluation and Quality Assurance of Case Management Services

8. A key component of a successful case management intervention is the:

A. Establishment of linkages to other agencies in a service network.

B. Evaluation of contextual factors that play a critical role in program operations.

C. Planning, funding, and performance of an agency’s own evaluation.

D. All of the above.


9. The Assertive Community Treatment model appears to be effective in:

A. Improving quality of life for the client.

B. Improving level of functioning for the client.

C. Reducing psychiatric hospitalization.

D. All of the above.


10. Which of the following is a source that programs can use to establish benchmarks?

A. Policy and procedure manual

B. Federal, State, and local case management standards

C. Agency case management program descriptions and mission statements

D. All of the above


11. Greater continuity of care can be defined as all of the following, except for:

A. Fewer clients with no outpatient treatment episode after a detoxification discharge.

B. Fewer clients using numerous and/or expensive services.

C. Patterns showing shorter periods of time between detoxification discharge and outpatient treatment admission.

D. Fewer people with “revolving door” detoxification admissions.


12. Although the data needs of case managers may vary from agency to agency, rapid access to data in which area is critical?

A. Information about clients currently on the caseload, including outcome data so case managers have feedback on their performance.

B. Data that allow case managers to track clients through various services.

C. Data that produce “flags” for follow-up letters, aftercare, and other time-sensitive functions.

D. All of the above.


13. Clients might consider a program successful if it is supportive, reliable, and easily accessible, as opposed to “efficient.”

A. True

B. False


Case Management for Clients With Special Needs

14. Part of the case manager’s linking function in working with an HIV-positive client is to educate the network of service providers, including substance abuse treatment staff, to recognize the competing demands of staying sober and dealing with the social and physical sequelae of HIV disease.

A. True

B. False


15. The case manager must facilitate communication and service coordination between two agencies whose treatment approaches may be based on different assumptions in the integrated model of treatment services for clients with a dual diagnosis.

A. True

B. False


16. To manage client symptoms and behaviors, anticipate problems, and reinforce the medical management of the client, all staff who work with dual-diagnosis clients need some knowledge of the:

A. Benefits of commonly prescribed drugs.

B. Potential side effects of commonly prescribed drugs.

C. Actual abuse potential of commonly prescribed drugs.

D. All of the above.


17. The case manager should address the needs of clients released from institutions in order of importance, with which of the following being the first priority?

A. Referral to sources of skills training.

B. Immediate stability.

C. Advocacy for the offender both in the treatment environment and the criminal justice system.

D. Training in setting and accomplishing short- and long-term goals.


Funding Case Management in a Managed Care Environment

18. A managed care organization will only be able to clearly justify case management as a reimbursable service if a comprehensive case management system within a managed care framework is developed with the inherent flexibility and resources necessary to eventually show tangible savings.

A. True

B. False


19. Many managed care organizations establish, or will only contract with, integrated provider networks that:

A. Offer a full range of services.

B. Extend coverage over a wider geographical or population area.

C. Maximize efficiencies in areas like management information systems.

D. All of the above.


20. Credentialing standards of managed care organizations and other providers require that case management be performed by people with master’s degrees in:

A. Social work

B. Education

C. Either (A) or (B)

D. None of the above


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