Licensed Clinical Social Worker (LCSW) Practice Exam

When working with a client who has a history of substance abuse, what is the first step to take when using a relapse prevention model?

1. Establish a timeline for treatment

2. Assess the client's motivation to change his behavior

3. Set goals for sobriety

4. Introduce coping strategies for high-risk situations

The correct answer is: Assess the client's motivation to change his behavior

The first step in working with a client who has a history of substance abuse using a relapse prevention model is to assess the client's motivation to change their behavior. Understanding a client's motivation is crucial because it provides insight into how ready and willing they are to engage in the recovery process. High levels of motivation can lead to greater commitment and compliance with treatment, while lack of motivation can present challenges that need to be addressed first. Assessing motivation also allows the clinician to tailor interventions more effectively. For instance, if a client shows high motivation, the clinician can expand on relapse prevention strategies and coping skills. However, if motivation is low, it may be beneficial to explore the factors contributing to this ambivalence and work on enhancing the client’s motivation through various techniques, such as motivational interviewing. Establishing a timeline for treatment, setting goals for sobriety, and introducing coping strategies are all important components of the relapse prevention model, but they should follow the initial assessment of motivation. Prioritizing motivation assessment helps ensure that subsequent steps in the treatment process are aligned with the client's readiness to change.