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

When observing a 7-year-old boy exhibiting signs of neglect, what should the therapist prioritize as the next step?

1. Comment on the child's behavior

2. Call in the boy's mother for additional information

3. Assess for further signs of child neglect

4. Provide a snack to the child to alleviate hunger

The correct answer is: Assess for further signs of child neglect

Prioritizing the assessment for further signs of child neglect is crucial in this scenario. A thorough assessment allows the therapist to gather comprehensive information about the child's situation beyond the initial observations. This step is essential to understand the extent and severity of the neglect that the child may be experiencing, as well as to identify any additional areas of concern that may not be immediately visible. Focusing on assessment enables the therapist to create a clear picture of the child's living conditions, emotional state, and physical needs. It also serves as the foundation for any necessary interventions, ensuring they are based on a complete understanding of the child's circumstances. This approach is aligned with the ethical responsibility to safeguard the child's wellbeing, as it helps the therapist determine the best course of action for the child's safety and welfare. While other options may seem helpful in isolation, they do not address the core issue of understanding the full scope of neglect. Commenting on the child's behavior may inadvertently stigmatize him without providing any insights into his needs. Calling in the mother for additional information could be appropriate later, but without first assessing the situation, this step might not yield constructive information. Providing a snack might address an immediate need but does not evaluate the critical context of the neglect. Thus, comprehensive assessment is the