SLB Scenario
Situation: You work for a private organization that is contracted by the county child welfare agency to
provide case management to parents whose children are in foster care. A parent in recovery who is
working towards regaining custody of her children reports to you that she experienced a relapse. She
voluntarily discloses that she recently had a difficult and stressful day, and a co-worker talked her into
using at the end of her shift. She immediately went to a 12-step meeting after she used. She accepts
responsibility for her choice, but she is very upset and afraid of the consequences of lost progress
towards reunification with her children. There is no formal record of this disclosure yet.
Generate pros and cons of each action, and highlight the action you would most likely take.
-Require her to submit urine for a drug screen that day to document the relapse, and call the
caseworker and your supervisor immediately.
ros:
ƒons:
-Report the disclosure to your supervisor, put it in your case notes from the session, and await further
guidance.
ros:
ƒons:
-Omit the disclosure from your notes, and warn her that drug screen frequency will be increasing.
ros:
ƒons:
-Remind her that relapse is part of recovery, and tell her that if she continues to be honest with you and
screen negative in the future, you will not be formally documenting the relapse.
ros:
ƒons:
You may be inclined to respond: well, it depends. What further information about this mom, her
history, the expectations of your job, and your relationship with her would you consider when making
this decision?
•
”he Mom and her History:
Your Job:
Your Relationship:

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