Deck 15: Discharge Planning and Continuing Care

Question 1

Research with physicians and airline pilots indicates that the best outcomes are gained when a case manager follows clients for ____________ after treatment.
a. 12 weeks
b. Till they engage in 12 step meetings
c. 90 days
d. one year
e. five years

Answer 1

five years

Question 2

What are some different types of service that may be recommended post treatment? What is the purpose of each?

Answer 2

No client can be expected to have resolved all their issues or gained mastery over potential situations. Discharge from treatment is a start, a finish. Referrals should be made for known issues a client has. For instance, if there are still unresolved marital relationship issues, they should be referred to a marriage counselor; if they have fallen behind in school, a referral should be made to their guidance counselor; etc.

Question 3

Clients should agree to painful consequences if not following their continuing care plan.

Answer 3

True

Question 4

he discharge summary must be entered into the client record:
a. at discharge.
b. within 72 hours of discharge.
c. upon the closure staffing.
d. within 7 days of the physical discharge.
e. within 15 days of the physical discharge (or otherwise mandated by the accrediting body).

Question 5

If clients depart "AMA" a discharge summary is still required.
The following are all short answer questions:

Question 6

Discharge planning begins at:
a. intake.
b. admission.
c. the first staffing.
d. treatment plan review.
e. 28 days.

Question 7

he continuing care contract should be leveraged with some agreed upon "painful" consequences. What are some examples of a painful consequence? What is their purpose?

Question 8

You should try to find ___________________ following treatment.
a. a group
b. aftercare
c. a halfway house
d. the least restrictive environment
e. none of the above

Question 9

Upon departure from treatment clients will have ___________ and need reinforcement and support.
a. urges
b. fear
c. mixed feeling
d. overconfidence
e. relief

Question 10

If the client is still shaky and has complicating medical, emotional disorders, he or she would benefit from:
a. aftercare group.
b. halfway house.
c. inpatient treatment.
d. continuing care.
e. none of the above.

Question 11

he author references discharge criterion developed by
a. The American Medical Association.
b. The American Psychiatric Association.
c. American Society of Addiction Medicine.
d. National Institute of Drug Abuse.
e. American Association of Addiction Psychiatry.

Question 12

Per a longitudinal study of recovery Airline Pilots, the relapse rate falls to nearly zero after:
a. treatment.
b. they commit to 12 steps.
c. they contract with a continuing care case manager.
d. 90 days.
e. five years.

Question 13

Which of the following is not a criterion for discharge from outpatient treatment?
a. Not intoxicated or in withdrawal.
b. There is a complicating medical condition requiring treatment in another setting.
c. Medical issues have stabilized and can be addressed in an outpatient setting.
d. The client recognizes the severity of their addiction.
e. All of the above are discharge criterion.

Question 14

Most treatment agencies offer continuing care.

Question 15

Which of the following is not a criterion for discharge from inpatient treatment?
a. The patient meets criterion for a more intense level of treatment.
b. An emotional/behavioral problem exists that needs treatment in another setting.
c. The client does not meet any of the level III continuing care dimensions.
d. The client is not in the required "stage of change."
e. All the above are discharge criterion.

Question 16

Clients are ready for discharge if they do not meet the criterion for substance dependence disorders.

Question 17

Most programs suggest clients continue to work the 12 steps after discharge;
a. most clients go to 90 meetings in 90 days.
b. most clients get a sponsor immediately.
c. most clients go to meetings regularly.
d. some clients go to a couple meetings then drop out.
e. none of the above.

Question 18

If a client may not be able to stay sober/clean between appointments and need additional support they would benefit from:
a. aftercare group.
b. halfway house.
c. inpatient treatment.
d. continuing care.
e. none of the above.

Question 19

he discharge summary must summarize which of the following (circle all that apply)?
a. Final assessment of the current condition
b. Discharge primary diagnosis
c. Discharge secondary diagnosis
d. Discharge tertiary diagnosis
e. Recommendations

Question 20

he more that people help and the fewer clients isolate; the more likely they will stay in recovery.

Question 21

After the discharge summary is complete, whom else should you write to or contact? Why?