Licensed Clinical Social Worker (LCSW) Practice Exam

A social worker must treat a child who was sexually abused while living with the perpetrator. What should be the first step?

1. Conduct interviews with both children

2. Develop a safety plan for the victim

3. Consult with social services about the living arrangements

4. Provide individual therapy to the perpetrator

The correct answer is: Develop a safety plan for the victim

Developing a safety plan for the victim is a critical first step when working with a child who has experienced sexual abuse. The primary concern in any case of abuse is the immediate safety and well-being of the child. A safety plan involves assessing the child's current living situation, identifying risks, and creating strategies to ensure the child is protected from further harm. This could include immediate steps like relocating the child, involving law enforcement if necessary, and connecting the child and their guardians with resources such as safe shelters or support groups. While consulting with social services about living arrangements or conducting interviews with children involved might be important in the overall treatment process, these actions should come after guaranteeing the child's safety. Providing individual therapy to the perpetrator is not an appropriate first step and could compromise the safety and trust required in the therapeutic setting for the child. In cases of abuse, prioritizing the victim's safety is crucial before moving on to other relevant interventions.