Clinical Practice SWES Practice Exam

In the context of treatment planning for a resistant adolescent, what is the most effective first step?

1. Family therapy sessions

2. In-depth individual therapy

3. Engaging in brief supportive intervention

4. Assessment of family dynamics

The correct answer is: Engaging in brief supportive intervention

Engaging in brief supportive intervention serves as an effective first step in the treatment planning for a resistant adolescent primarily because it establishes a foundation of trust and rapport. This approach allows the clinician to create a safe space for the adolescent, promoting open communication and encouraging participation in further treatment options. Supportive interventions are typically non-confrontational and tailored to the adolescent's immediate needs, fostering a sense of understanding and support without the pressure of deeper therapeutic work. Additionally, this initial intervention can help gauge the adolescent's specific concerns and readiness for change, which is crucial in a resistant population. By addressing immediate emotional needs and creating a positive connection, clinicians can lay the groundwork for more intensive therapies, whether they be individual or family-focused, later on. While family therapy sessions, in-depth individual therapy, and assessment of family dynamics are all important components in a comprehensive treatment plan, they might not be the most effective initial strategy for a resistant adolescent. These approaches often require more commitment and may be met with resistance, whereas a brief supportive intervention can engage the adolescent effectively, making it a more suitable first step in the process.