ANSWERS TO KNOWLEDGE BASED QUESTIONS

[Pages:4]ANSWERS TO KNOWLEDGE-BASED QUESTIONS

1. Describe three different settings in which substance abuse treatment can take place. Answer: Substance abuse treatment can occur in a variety of settings. Three of the most common are outpatient, inpatient, or partial hospitalization.

2. Define the role of a case manager vs. the role of a counselor in substance abuse treatment settings. Answer: A case manager is responsible for assisting the client in meeting treatment plan goals through providing services such as finding housing, transportation, services for children, etc. A counselor is responsible for providing actual treatment for the client.

3. What is Alcoholics Anonymous? How does it relate to substance abuse treatment? Answer: Alcoholics Anonymous is a twelve-step support group for individuals with alcoholism. Although AA is not a treatment program per se, many substance abuse treatment programs have adopted the AA twelve-step philosophy and expect their clients to become involved in an AA program.

4. List the key elements that should be included in an individualized treatment plan. Answer: The key elements to be included in an ITP are: ? Identifying information ? DSM-IV diagnoses ? Justification or reason for treatment ? Proposed treatment process including type of service and frequency ? Treatment goals and objectives that are measurable, with target achievement dates

5. Name two voluntary accreditation organizations that set standards for substance abuse treatment facilities. What standards are used for outpatient centers? inpatient programs? Answer: Two organizations are CARF and the Joint Commission. Community-based outpatient substance abuse programs seeking Joint Commission accreditation follow the standards outlined in the Comprehensive Accreditation Manual for Behavioral Health Care (CAMBHC). Hospital-based inpatient substance abuse programs are surveyed under the Comprehensive Accreditation Manual for Hospitals (CAMH). CARF is guided by a set of principles that emphasize the rights of the individuals served by rehabilitation facilities. These principles address the need for clients to be

involved in planning and choosing their own care. Substance abuse programs that provide detoxification, outpatient services (including intensive outpatient and partial hospitalization), or residential services and that comply with other general eligibility criteria are eligible for CARF accreditation. Two CARF standards manuals are relevant to substance abuse programs: the Behavioral Health Standards Manual and the Opioid Treatment Program Standards Manual. 6. Define involuntary commitment. What are the basic steps to obtain an involuntary commitment? Answer: Involuntary commitment is a legal process by which individuals who are deemed to be a danger to themselves or to others may be admitted to a treatment program even though they refuse or cannot consent to the treatment. Involuntary commitment is governed by state statutes and the criteria and procedures vary from state to state. The following steps represent a typical series of events in the overall process:

7. What are the two primary agencies that regulate long-term-care facilities? Answer: ? The Centers for Medicare and Medicaid Services at the federal level and ? The state agency at the state level.

8. What are the primary reimbursement categories and pay sources for care of residents in long-term-care facilities?

Answer: ? Medicaid ? Medicare Part A for up to 100 days per spell of illness in skilled nursing facilities ? Medicare Part B for services such as physicians' visits, durable medical

equipment ? Managed Care ? Commercial insurance ? Private pay

9. Who determines how long-term-care facilities are reimbursed under the Medicaid program? Answer: The individual state agency through state legislation

10. What is the single most important content characteristic of a care plan in a long-term care facility that is subject to federal regulations? Answer: Care plans must be individualized to the residents' care needs, strengths, and individual preferences. Standardized care plans that do not list the caregiver's daily care responsibilities for the individual resident are not regarded as resident-centered and may present both legal and regulatory compliance problems in the event of a negative care outcome.

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