LMSW LMSW Case Management and Service Coordination 1 — Questions and Answers
Question 1: Which function of case management involves identifying clients who may benefit from services but are not yet receiving them?
- Service planning
- Monitoring
- Outreach (Correct answer)
- Advocacy
Correct answer: Outreach
Outreach is the proactive process of identifying and engaging potential clients in the community who need but are not accessing available services.
Question 2: A case manager conducts a comprehensive biopsychosocial assessment. Which area is MOST important to assess when determining eligibility for intensive case management services?
- Client's insurance coverage only
- Level of functioning across biological, psychological, and social domains (Correct answer)
- Educational history exclusively
- Geographic proximity to the agency
Correct answer: Level of functioning across biological, psychological, and social domains
A biopsychosocial assessment examines functioning across all domains to determine the level and type of services a client needs.
Question 3: In case management, 'service coordination' refers to:
- Providing direct therapy to the client
- Arranging, linking, and monitoring multiple services across providers on behalf of the client (Correct answer)
- Completing administrative paperwork
- Determining the client's diagnosis
Correct answer: Arranging, linking, and monitoring multiple services across providers on behalf of the client
Service coordination involves organizing and linking a client with multiple service providers while monitoring the quality and appropriateness of those services.
Question 4: Which model of case management places the case manager directly in the community alongside the client, providing services in natural settings?
- Broker model
- Clinical model
- Assertive Community Treatment (ACT) model (Correct answer)
- Strengths-based model
Correct answer: Assertive Community Treatment (ACT) model
The ACT model uses a multidisciplinary team that provides intensive, community-based services directly in the client's environment rather than in an office.
Question 5: When a social worker encounters a conflict between what a client wants and what the treatment team recommends, the FIRST action should be to:
- Override the client's wishes for their own good
- Dismiss the team's recommendation entirely
- Facilitate a discussion to explore the client's perspective and clarify options (Correct answer)
- Document the conflict and take no further action
Correct answer: Facilitate a discussion to explore the client's perspective and clarify options
Facilitating dialogue that honors client self-determination while providing full information about all options is the ethical first step in resolving such conflicts.
Question 6: A care plan in case management should be:
- Developed solely by the case manager without client input
- Vague to allow flexibility in service delivery
- Specific, measurable, time-limited, and developed collaboratively with the client (Correct answer)
- Focused exclusively on the client's deficits
Correct answer: Specific, measurable, time-limited, and developed collaboratively with the client
Effective care plans include SMART goals developed with the client to ensure relevance, measurability, and shared ownership of the plan.
