LMSW Practice Test

When addressing substance abuse in clients, a social worker should use approaches that emphasize

1. a strict, punitive stance on drug use

2. collaborative goal-setting and harm reduction

3. immediate abstinence without support systems

4. isolation from potentially enabling environments

The correct answer is: a strict, punitive stance on drug use

The most effective approach for addressing substance abuse in clients is one that emphasizes collaborative goal-setting and harm reduction. This method recognizes the complexities of addiction and the need for a supportive environment that encourages individuals to set realistic goals for their recovery journey. By focusing on collaboration, the social worker engages with the client to identify their own goals and aspirations concerning substance use, promoting empowerment and motivation. Harm reduction acknowledges that while the ideal may be complete abstinence, not all clients are ready or able to achieve this immediately. Instead, it encourages safe practices and gradual change, which can reduce the negative consequences of substance use while supporting the client's autonomy and progress at their own pace. In contrast, a strict and punitive stance does not foster a supportive environment conducive to recovery, as it often leads to fear and avoidance rather than constructive dialogue. Similarly, immediate abstinence without establishing a supportive system can set clients up for failure, as they may not have the necessary resources to maintain such a change. Lastly, isolation from enabling environments ignores the importance of community and social support, which are vital for many individuals in recovery from substance use issues.