Question 1

In the United States, although a mandate for electronic health records has been in place since 2004, most treatment settings have not moved to electronic health records.

Accepted Answer

As of my last update in 2023, the majority of healthcare providers in the United States have adopted electronic health records (EHRs), largely due to incentives provided by the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, which encouraged the adoption of EHRs through financial incentives.

Question 2

The increased access to health care helps to move substance abuse and mental health treatment toward integration with general health care, especially because .

Accepted Answer

The Mental Health Parity and Addiction Equity Act (MHPAEA) requires health insurance plans to provide the same level of benefits for mental health and substance use treatment and services that they do for medical/surgical care. The Affordable Care Act (ACA) expanded this requirement by making mental health and substance use disorder services essential health benefits that must be covered by health insurance plans, thus working in combination with the MHPAEA to integrate these services with general health care.

Question 3

Which of the following is true of Managed Behavioral Health Care Organizations (MBHOs)?

Accepted Answer

MBHOs specialize in the provision of addiction and mental health care, focusing on managing and delivering behavioral health services.

Question 4

Managed care is a system designed to .

Accepted Answer

Managed care aims to control both the quality and cost of health care by implementing strategies such as limiting access to services, choosing specific service providers, and enforcing measures to contain costs.

Question 5

Among the barriers faced by diverse racial and ethnic communities/populations needing addiction or mental health services is a lack of .

Accepted Answer

A lack of diverse racial and ethnic representation within the behavioral health workforce can hinder the effectiveness of addiction or mental health services for diverse communities, as it may result in a lack of culturally competent care and understanding.

Question 6

According to Carnevale Associates, the Affordable Care Act "does not require care integration but it includes numerous provisions to encourage it."

Accepted Answer

The Affordable Care Act (ACA) does not mandate care integration directly, but it does include several provisions aimed at encouraging the integration of care. These provisions are designed to improve healthcare quality, accessibility, and efficiency by promoting the coordination of services across different healthcare providers.

Question 7

Traditionally, outcome evaluation in the drug and alcohol field has been based on simplistic, either/or measures, thus failing to capture client change in all its permutations.

Accepted Answer

Traditional outcome evaluations in the drug and alcohol field have often relied on simplistic, binary measures such as abstinence or relapse, which do not fully capture the complex and nuanced changes clients may experience in their recovery journey.

Question 8

Which of the following is true of key informants as a means to measuring substance-abuse-related needs?

Accepted Answer

Key informants provide valuable insights based on their experiences and observations, but their subjective opinions need to be complemented with objective data to ensure a comprehensive understanding of substance-abuse-related needs.

Question 9

Write a short note on the Affordable Care Act of 2010.

Accepted Answer

The answer of Write a short note on the Affordable...

Question 10

In a managed care system, inpatient clients have the greatest likelihood of maintaining effective social ties; of having individualized, multidimensional treatment; and of retaining a sense of responsibility for themselves and their own recovery.

Accepted Answer

Managed care systems often prioritize cost-efficiency and may limit the duration and type of care, which can restrict individualized, multidimensional treatment and the development or maintenance of effective social ties.

Question 11

In the context of outcome evaluation in the drug and alcohol field, which of the following is true?

Accepted Answer

Many psychosocial criteria, such as the level of social functioning, psychological well-being, and quality of life, are more accurately represented as continuous variables. This approach allows for a more nuanced understanding of changes over time, reflecting the complex nature of recovery from substance use disorders.

Question 12

As far as individual clients are concerned, the focus on outcome follow-up should begin at the first intake interview.

Accepted Answer

From the first intake interview, focusing on outcome follow-up helps in setting clear goals, monitoring progress, and adjusting interventions as needed, ensuring that the services provided are effective and meet the client's needs.

Question 13

Is it a good idea for clients to leave treatment with an understanding that follow-up will ensue?

Accepted Answer

Regular and positive follow-up contacts can help maintain the client's intent to cooperate and continue applying what they have learned in treatment, supporting their ongoing recovery or improvement.

Question 14

Identify which of the following statements is true of managed care systems:

Accepted Answer

Managed care systems are designed to provide cost-effective and efficient healthcare services, which includes offering the least intrusive (or least intensive) treatment necessary to effectively address a patient's condition. This approach helps in managing healthcare costs while still providing necessary care.

Question 15

In identifying desired outcomes, substance abuse professional must bear in mind that .

Accepted Answer

The answer of In identifying desired outcomes, substance abuse professional...

Question 16

As applied in the context of the Mental Health Parity and Addiction Equity Act of 2008, what is the extent of equity in the comparison between physical health benefits and mental health (and substance use) benefits?

Accepted Answer

The Mental Health Parity and Addiction Equity Act of 2008 requires that insurance plans offer the same level of benefits for mental health and substance use treatment and services as they do for physical health, including equal benefits coverage, financial requirements, treatment limitations, and cost-sharing.

Question 17

In recent years, the context within which human service organizations exist has been so radically altered that it often feels completely unfamiliar to experienced practitioners. Highlight some of the current trends.

Accepted Answer

The answer of In recent years, the context within which...

Quiz 9: Successful Service Programs