Licensed Clinical Social Worker (LCSW) Practice Exam

What should a social worker do FIRST when an adolescent arrives for a therapy session intoxicated, yet coherent and cooperative?

1. Confront the acting out behavior

2. Call the parents immediately

3. Assess the level of intoxication

4. Refer the adolescent to a substance abuse program

The correct answer is: Confront the acting out behavior

The first action a social worker should take when an adolescent arrives for a therapy session intoxicated, yet coherent and cooperative, is to assess the level of intoxication. This step is crucial as it allows the therapist to understand the adolescent's current state and any potential risks involved. Assessing the level of intoxication involves checking for any signs that could indicate how impaired the adolescent might be and whether they can engage effectively in the session. This assessment can guide the social worker in determining the appropriate steps to ensure the adolescent's safety and well-being, particularly if their behavior suggests they might need immediate medical attention or other interventions. By starting with a thorough assessment, the social worker can then decide on a more informed course of action, whether that involves addressing the behavior, involving parents, or making a referral to substance abuse resources in a manner that is sensitive to the adolescent's current state. Prioritizing the assessment ensures that the adolescent is treated with care and in a context that promotes safety and understanding.