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

When beginning therapy with a 16-year-old client whose parents need to provide consent, what is the best initial action for the social worker?

1. Discuss confidentiality with only the parents

2. Obtain written consent from parents before addressing the client

3. Obtain verbal consent from the minor while securing parents' consent

4. Proceed with therapy without consent

The correct answer is: Obtain verbal consent from the minor while securing parents' consent

The most appropriate initial action in this scenario is to obtain verbal consent from the minor while simultaneously working to secure the parents' consent. This approach recognizes the autonomy of the 16-year-old client and engages them in the therapeutic process. It fosters a sense of agency and participation, which can be crucial for building trust and rapport in the therapeutic relationship. By obtaining verbal consent from the minor, the social worker acknowledges the adolescent's capacity to make decisions about their own treatment, even if they are not legally the final decision-makers. Additionally, this step provides an opportunity for the social worker to explain the therapeutic process and what to expect during sessions, ensuring that the minor feels comfortable and informed. Simultaneously working to secure parental consent is essential for legal compliance and respecting the guardians' role in the care of the minor. This dual approach balances the ethical consideration of the minor's autonomy with the legal requirements of parental involvement. This choice also stands out because simply discussing confidentiality solely with the parents or obtaining written consent without engaging the minor can lead to a lack of communication and trust, which may hinder the effectiveness of therapy. Proceeding with therapy without consent is not advisable due to the ethical and legal implications surrounding treatment of minors.