Question

During a utilization review phone call, a social worker in private practice is informed that one of her clients who has a diagnosis of PTSD is only authorized for two more sessions. The social worker disagrees and asserts that the client needs 10 more sessions in order to be sufficiently able to deal with the demands of everyday life. However, the utilization review agent maintains that insurance will not pay for more than 2 sessions. The social worker knows that the client is unemployed and will be unable to pay without insurance. The social worker should:

A. Refer the client to a community mental health agency that is understaffed.
B. Terminate the client after the two sessions are complete.
C. Continue to see the client and explore an alternative payment plan.
D. Continue to see the client free of charge.

Answer 1

The social worker should continue to see the client and explore an alternative payment plan.

Step-by-step explanation:

The social worker should continue to see the client and explore an alternative payment plan. Since the client is only authorized for two more sessions according to insurance, it is important for the social worker to find a solution that allows the client to receive the necessary treatment without financial burden. Exploring an alternative payment plan, such as adjusting fees based on the client's financial situation or connecting the client with resources that can provide financial assistance, can help ensure that the client continues to receive the support they need.