Licensed Clinical Social Worker (LCSW) Therapist Development Center Practice Exam

In the context of substance withdrawal, what is a critical step for a therapist working with a diagnosed opioid withdrawal client?

1. Suggest outpatient therapy immediately

2. Initiate detox services at a mental health facility

3. Provide comprehensive therapy before detox

4. Offer crisis intervention support at home

The correct answer is: Initiate detox services at a mental health facility

In the context of managing opioid withdrawal, initiating detox services at a mental health facility is a critical step for several reasons. Opioid withdrawal can be physically and psychologically challenging, often requiring medical supervision to ensure safe and effective management of symptoms. A detox facility is equipped to provide the necessary medical care, monitoring, and support that an individual may need during this difficult time, thereby minimizing the risk of complications associated with withdrawal. Detoxification services can include medication-assisted treatment, which is essential in alleviating the distressing symptoms of withdrawal and can enhance the client’s chances of successful outcome. By providing a structured environment where trained professionals can address both the physical and emotional needs of the client, the therapist not only helps in immediate symptom management but also lays the groundwork for further treatment plans, such as inpatient or outpatient therapy after stabilization. While outpatient therapy, comprehensive therapy prior to detox, and crisis intervention can play important roles in the overall treatment plan, they are less suited as initial interventions for someone experiencing acute opioid withdrawal symptoms. These approaches may not adequately address the immediate safety and health concerns, making the initiation of detox services the most appropriate first step in this scenario.