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During admission, screening determines urgency, safety, and appropriate level of care. Daily opioid use with current withdrawal signs, recent last use, and a history of overdose represents high medical and safety risk. NCAC II competencies direct counselors to prioritize stabilization needs and rapid linkage to medically appropriate services before routine intake. Option C accomplishes this by arranging evaluation for withdrawal management and overdose risk mitigation, potentially including medication for opioid use disorder as ordered by a qualified prescriber. Warm handoffs (direct contact with receiving providers while the client is present/on the line) improve follow-through. Option A delays care in a high-risk situation. Option B offers education without addressing acute risk. Option D is unsafe and outside scope. Screening should also include a brief safety check (suicidality, polysubstance use such as benzodiazepines), explain confidentiality and consent, and document the referral path. After stabilization, the client can return for comprehensive intake and collaborative treatment planning informed by clinical findings.

Case management reduces barriers that derail engagement. Option C coordinates three essentials: (1) linkage to a MOUD-capable clinic with sliding-scale or public funding, (2) benefits navigation (Medicaid/charity programs) to sustain access, and (3) transportation support (bus passes, ride vouchers, route planning) to ensure attendance at initiation and follow-ups. Warm handoffs—direct contact while the client is present—increase uptake. NCAC II competencies emphasize advocacy, interagency collaboration, and follow-through. Options A and D miss evidence-based care. Option B is incomplete and risks no-shows. Translate tasks into SMART objectives (appointment by a date, benefits application submitted, confirm first dose) and document releases, contacts, and outcomes. Integrate overdose education and adherence supports into the treatment plan, with early measurement of cravings and attendance to guide next steps.

NCAC II planning emphasizes SMART, trackable routines and rapid feedback loops. A concise micro-plan targeting the high-risk window operationalizes behavior change (e.g., dinner + 20-minute walk; urge-surfing; text a peer). A simple daily log (urge rating and which steps were done) supports measurement-based care. Twice-weekly reviews enable quick adjustments and reinforce adherence. Option A postpones responsive care; Option C is too vague to shape behavior; Option D removes essential feedback. Address barriers (childcare, transport), incorporate reminders, and consider reinforcement (contingency management) if adherence remains low. Document rationale and outcomes to guide step-ups or modality changes as needed.

Medication continuity prevents withdrawal and relapse. Option B ensures coordinated handoff: confirm the new pharmacy, verify prescriptions and refills with the prescriber under valid releases, and provide a written plan with contact info, dosing reminders, and contingency steps. Option A is passive and risky. Option C is unsafe. Option D invites gaps. NCAC II discharge competencies emphasize proactive coordination, minimum necessary information sharing, documentation of all contacts, and giving clients clear instructions. Include transportation and reminder supports; schedule an early follow-up to confirm the switch occurred without interruption.

Effective discharge planning minimizes gaps and addresses practical barriers. Option B operationalizes continuity: book early follow-ups, coordinate transportation (bus passes, rideshare vouchers, or peer carpools under valid releases), and create a structured post-shift check-in routine for the highest-risk window. NCAC II competencies emphasize warm handoffs, written safety plans, and measurable aftercare objectives. Option A is passive; Option C risks abandonment; Option D delays critical supports. Document appointments, transportation arrangements, and contact preferences; provide a written plan with crisis numbers and a brief relapse-prevention script for post-shift cravings. Verify attendance and troubleshoot within the first week.