Therapist Development Center Practice Exam 1

In the context of relapse prevention, what should a social worker do first for a client with a long history of drug abuse?

1. Refer the client to Narcotics Anonymous.

2. Explain the importance of involving the client's family in the recovery process.

3. Discuss the genetic and environmental impact of his father's addiction.

4. Ask clarifying questions to identify the client's motivation to change his behavior.

The correct answer is: Ask clarifying questions to identify the client's motivation to change his behavior.

In the context of relapse prevention for a client with a long history of drug abuse, the focus should be on understanding and exploring the client's motivation to change. Asking clarifying questions helps the social worker gauge the client's readiness for change, which is a critical first step in the therapeutic process. This approach aligns with motivational interviewing techniques, which prioritize helping clients articulate their own reasons for wanting to change and exploring any ambivalence they may have. By identifying the client's motivation, the social worker can tailor interventions that resonate with the client's values and aspirations, ultimately fostering a greater commitment to recovery. Establishing motivation first also serves to strengthen the therapeutic alliance, as clients often feel more empowered when their thoughts and feelings are acknowledged and explored. The other options, while potentially beneficial later in the treatment process, do not address the immediate need to understand the client’s personal motivation and readiness for change. For instance, family involvement, genetic factors, or referral to support groups can be vital components of recovery but are most effective when the client already has a clear understanding of why they want to engage in these processes. Thus, exploring the client's own motivation is a foundational step in setting the stage for a successful relapse prevention strategy.