Deck 15: Employee Assistance Programs, Private Practice, Coaching and Managed Care

Question 1

____________________ provide mental health services to employees, recognizing that personal and professional issues can affect work performance, health, and general well-being.

A) Private practices
B) Managed care systems
C) Employee assistance programs
D) All of the above

Answer 1

Employee assistance programs

Question 2

___________________ are reimbursements to EAP counselors provided by companies themselves.

A) First-party payments
B) Second-party payments
C) Third-party payments
D) Fourth-party payments

Answer 2

Fourth-party payments

Question 3

Which of the following is a service provided to an organization by an EAP that includes skill building for supervisors, managers, and executive on topics such as conflict management, communication skills, and performance management?

A) workplace consultation
B) policy consultation
C) training
D) critical incident management

Answer 3

training

Question 4

Which of the following EAP services consists in EAPs responding to traumatic events that affect the workplace?

A) Program implementation and management
B) Training
C) Critical incident management
D) Workplace consultation

Question 5

All of the following, according to Shallcross (2011) are tips for building a successful private practice except

A) Meeting regularly with a cohort of professional peers
B) Keeping in contact with current and former clients through Facebook and/or Twitter
C) Returning phone calls within 24 hours
D) Taking a marketing or business class

Question 6

________________ is a general term used to describe the systems of businesses and organizations that arrange for the financing and delivery of medical and mental health services.

A) Private practice
B) Executive coaching
C) Managed care
D) Employee Assistance Program

Question 7

Which of the following is described as "a way of providing care, a philosophy of care, a way to finance care, and a way to control costs" (Talbott, 2001, p. 279)?

A) SAMHSA
B) Psychiatric Mental Health Nursing
C) Managed care
D) None of the above

Question 8

__________________ designated federal funding for the development of managed care programs and required employer to offer managed care options to employees.

A) The Health Maintenance Organization Act of 1973
B) Wickline v. State of California
C) Muse v. Charter Hospital of Winston-Salem, Inc.
D) Joint Commission on Accreditation of Health care Organization

Question 9

The process by which a managed care organization monitors the therapeutic process is called

A) Capitation
B) Utilization review
C) carve-out
D) gatekeeping

Question 10

Miller (1996) referred to time-limited treatments imposed by MCOs that result in early termination as

A) capitation
B) rationing
C) gatekeeping
D) cost efficiency

Question 11

In which of the following court cases was a service provider held liable for the HMO's decision to limit hospitalization, even though the provider had recommended additional treatment?

A) Wickline v. State of California
B) Muse v. Charter Hospital of Winston-Salem, Inc.
C) Tarasoff v. University of California - Berkeley
D) Bogust v. Iverson

Question 12

In which case did the court rule that it was the duty of the mental health facility to provide care to patients based on patients' medical conditions, not on the needs of insurance companies?

A) Wickline v. State of California
B) Muse v. Charter Hospital of Winston-Salem, Inc.
C) Tarasoff v. University of California - Berkeley
D) Bogust v. Iverson

Question 13

__________________ occurs when a practitioner assigns a more serious diagnosis than is warranted to obtain more authorized sessions.

A) Downcoding
B) Upcoding
C) Treatment planning
D) Integrity

Question 14

A counselor whose client exhibits symptoms of borderline personality knows that she might struggle to receive reimbursement for this diagnosis due to its severity and persistence so she gives a mood disorder diagnosis instead. The behavior by the counselor would be considered

A) Standard practice
B) Rationing
C) Capitation
D) Downcoding

Question 15

__________________ is a nonprofit organization whose goal is to improve the quality of healthcare services.

A) National Committee for Quality Assurance
B) Joint Commission on Accreditation of Health care Organizations
C) Health Care Finance Agency
D) None of the above.

Question 16

Which of the following is a form of payment in which the provider is paid on a per-member basis?

A) carve-out
B) case management
C) capitation
D) case rate

Question 17

__________________ is a coordinated set of professional activities focused on treatment planning and assurance of treatment delivery that addresses the client's needs while maintaining quality, cost-effective outcomes.

A) capitation
B) case management
C) carve-out
D) case rate

Question 18

______________, a relatively new discipline, is designed to help clients who are not in psychological distress and are able to use their strengths and resources to pursue goals, actions, and outcomes that enhance their lives, either personally or professionally.

A) career counseling
B) college/university counseling
C) addictions counseling
D) coaching

Question 19

Which of the following is the name of the coaching credential offered by the Center for Credentialing in Education (CCE)?

A) Human Services - Board Certified Practitioner
B) Licensed Professional Coach
C) Board Certified Coach
D) National Certified Counselor

Question 20

_________________ is designed for people who are in executive management and involves a one-on-one helping relationship between the coach and the client.

A) life coaching
B) executive coaching
C) health and wellness coaching
D) career coaching

Question 21

How have managed care systems impacted the counseling process?

Question 22

Let's assume that you're a counselor in private practice and you receive third-party reimbursements through an MCO. You have been seeing a client who is working on existential issues resulting from the unexpected death of her child. The client exhibits symptoms of sadness, grief, and loss, but does not meet the criteria for an Axis I diagnosis. You have met with the client six times (the allotted amount of sessions that the MCO will reimburse), but you believe she could benefit from additional sessions. You could justify additional counseling sessions and continue to receive reimbursement from the MCO if you diagnosed the client with an Axis I diagnosis. Using Haas and Malouf's model of ethnical decision making, describe how you might handle this situation.

Question 23

As a clinical mental health counselor, how might you go about securing a placement on a provider panel?