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If a social worker notices no progress in a long-term client's treatment, what should be the social worker's best course of action?

  1. Support the client's self-determination

  2. Consult with an experienced colleague

  3. Research treatment indications and outcomes

  4. Suggest termination at the next session

The correct answer is: Consult with an experienced colleague

When a social worker observes no progress in a long-term client's treatment, consulting with an experienced colleague is the most appropriate course of action. This approach allows the social worker to gain insights from someone who may have dealt with similar cases or who possesses different therapeutic strategies. It fosters a collaborative environment, which can lead to a more effective intervention plan and possibly alternative approaches that the social worker may not have considered. Consultation can also help in identifying any potential biases or blind spots in the social worker's perspective regarding the client's situation. By discussing the case with a colleague, the social worker can explore new treatment modalities, theoretical frameworks, and best practices, ultimately enhancing the client’s treatment. While supporting the client's self-determination is crucial in therapy, it does not directly address the need to reassess and enhance treatment effectiveness when progress is lacking. Researching treatment indications and outcomes can be beneficial; however, it may not provide immediate, practical solutions tailored to the unique dynamics of the client’s case. Suggesting termination can be premature without exploring other strategies or options for improving the therapeutic outcome. Thus, consulting with a colleague is the most pro-active and responsible step in ensuring the client receives the best possible care.