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

When a minor client reveals a pregnancy but does not want her parents informed due to jurisdiction laws, what should the social worker do FIRST?

1. Maintain confidentiality per the client's request

2. Discuss the pregnancy with the minor's parents

3. Explain the legal requirement to inform the parents

4. Refer the client to another therapist

The correct answer is: Explain the legal requirement to inform the parents

When a minor client reveals a pregnancy but does not want her parents informed, the first step a social worker should take is to explain the legal requirements surrounding this situation, particularly the necessity of parental involvement based on jurisdiction laws. Understanding the legal framework is crucial, as many states require that parents or guardians be informed in cases involving a minor's pregnancy. By prioritizing this step, the social worker fosters transparency, helping the minor realize the complexities of her situation and the potential implications of her request for confidentiality. Discussing the legal requirements also allows the social worker to establish a foundation of trust and provide the minor with necessary information regarding her options, rights, and potential next steps. This can empower the minor client to make informed decisions about her pregnancy while navigating the legal structures in place that might impact her autonomy and care. Maintaining confidentiality without discussing legal obligations might leave the minor vulnerable and unaware of the implications of her choices. Thus, addressing the legal requirement to inform the parents helps ensure that the minor understands the limits of confidentiality and the reasons behind them.