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What do you do if your client disagrees with the treatment plan?

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As a social worker, you're bound to face clients who disagree with the treatment plans you propose. It's a delicate situation that requires empathy, patience, and a strategic approach. Your role is not just to advocate for a particular course of action but also to understand and respect your client's perspective. This means engaging in a dialogue where you listen actively and validate their feelings. The goal is to build a strong therapeutic alliance where your client feels heard and empowered to take an active role in their treatment. Remember, collaboration is key to successful outcomes in social work.

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1 Understand Concerns

When a client disagrees with their treatment plan, the first step is to fully understand their concerns. Listen without judgment and acknowledge their feelings. It's crucial to determine the reasons behind their disagreement, whether it's fear, misunderstanding, or a difference in values. By showing that you are willing to listen and take their perspective seriously, you can maintain trust and open the door to further discussion. This understanding can then inform how you might adapt the treatment plan to better align with your client's needs and preferences.

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Adriano Batista, MBA

Educa??o, Saúde Mental, Responsabilidade Social, Desenvolvimento Sustentável
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Na minha experiência, a resposta come?a um pouco antes da tríade planejamento, plano de tratamento e execu??o. Evitará problema a existência de posicionamento e políticas institucionais claras e uma boa comunica??o institucional. Um Código de ética e Conduta estendido aos clientes é fundamental, pois as a??es de clientes podem ter impactos positivos ou negativos na reputa??o da empresa. Por essa raz?o, deixar claro que a empresa se esfor?a para trabalhar com organiza??es que compartilham de seus valores e compromissos com a ética e o cumprimento das leis, faz a diferen?a. O cliente, ao contratar o servi?o sabe antecipadamente o posicionamento da empresa, o que torna fácil esclarecer detalhes do plano que eventualmente n?o ficou claro.

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Dr. Claire Green-Forde, LCSW

Humanist. Keynote Speaker.Health Equity & Racial Justice Thought Leader. Executive & Organizational Leader. Mental Health Expert. Certified DiSC trainer. In awe of Charmaine Green-Forde
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In my experience, if a client doesn't accept the treatment plan or recommendation, this is a great opportunity to pause, ask questions, and listen. What concerns do they have? Are there barriers that make it more difficult or easy to do this plan? Do they feel that they actively participated in developing the plan or is it a plan you and the team came up with and told the client they should do? Is this client legally mandated? Ultimately, the client is in charge of their lives and our role is not to convince or force them to do what we think is best for them. Our role is to work alongside, honor their requests, explore their concerns, and celebrate their autonomy.

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Dominique SEON

Commercial spécialisé en agroalimentaire avec expertise en négociation client
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Lorsqu’un client n’est pas d’accord, il faut l'écouter et comprendre son désaccord avec l'option proposée. il faut se donner un délai de réflexion. replanifier un rendez-vous et étudier les solutions possibles en, intégrant les demandes du client et nos possibilités. l'écoute et la communication sont importants.

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Aurore Prieur Brusque

Gérante APB Coaching chez APB Coaching | Accompagnement en Management et Développement Commercial
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Je recommande que les plans de paiements soient accompagnés d'un contrat signé qui reprend toutes les conditions. Je demande un acompte avant de commencer et le plan de paiement est étalé sur une durée de 3 mois maximum. Je rappelle l'engagement et les responsabilités de la personne lorsqu'il décide faire une formation avec moi. Je lui fais valider avec moi que tout est clair. Le plus grand conseil en plus du formalisme que je conseille est la clarté avec laquelle vous communiquez avec votre client sur le plan de paiement et pourquoi vous acceptez celui-ci.

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2 Open Dialogue

Encouraging an open dialogue is essential when a client disagrees with the treatment plan. You should provide a safe space for them to express their thoughts and feelings. Ask open-ended questions to facilitate discussion and clarify any misconceptions they may have about the treatment. This exchange allows you to explain the rationale behind your recommendations and address any misinformation. Through respectful conversation, you can explore alternatives that might be more acceptable to the client while still achieving therapeutic goals.

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Alain NONO

Conseiller en Gestion de Patrimoine @ Refer at Refer | Financial Sales, Insurance Industry
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Lorsqu'il y a désaccord, il faut déjà rechercher la raison. 1. Qu'est-ce qui pousse le patient à refuser le plan de traitement 2. Est-ce que les explications données ont été suffisamment claires ? 3. Avons-nous pris le temps nécessaire pour bien écouter le véritable problème du patient ? Si à ces questions là réponse est positive, alors dans ce cas, il est peut-être préférable de reformuler ce plan, ou faire intervenir un autre Collaborateur, qui va peut-être aborder sur un autre angle, en gardant le même plan, et le patient pourra être d'accord En quelque sorte l'effet placebo.

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3 Collaborative Revision

A collaborative approach to revising the treatment plan can often resolve disagreements. Work together with your client to identify aspects of the plan that they are comfortable with and those that need adjustment. This partnership empowers the client, giving them a sense of control and investment in their own care. Remember, the plan should be flexible enough to accommodate changes while still being effective. The aim is to reach a compromise that respects the client's autonomy while promoting their well-being.

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Claudina Ozório

Psicóloga Clínica - Fundadora da ORI_Ente.Si: Psicologia e Diversidade - Doutora em Psicologia Clínica pela Puc-Rio - Palestrante - Pesquisadora
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é importante a participa??o do paciente em seu próprio tratamento. Sempre! Porém, a depender da situa??o, n?o há negocia??es possíveis em determinadas fases do tratamento, como em casos de dependência quimica e psiquiatria. Com pacientes em outras situa??es que n?o envolvem transtornos psiquiátricos (graves) é preciso negociar, renegociar, ver e rever o tratamento com a participa??o dele, que é o maior interessado em sua própria melhoria e desenvolvimento. A dire??o do tratamento deve ser conduzida respeitando a individualidade e a subjetividade de cada paciente, sempre.

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4 Educate and Inform

Education plays a critical role when addressing disagreements over a treatment plan. Provide clear and accessible information about the benefits and potential risks of the proposed interventions. Use language that your client can understand and avoid jargon that might confuse or alienate them. Informing clients about the evidence supporting certain treatments can also help alleviate concerns and build confidence in the plan. It's about empowering clients with knowledge so they can make informed decisions about their care.

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5 Seek Support

Sometimes, you might need to seek support from colleagues or supervisors when a client disagrees with a treatment plan. Consultation can offer new perspectives and strategies for engaging with the client. It's also an opportunity to ensure that your approach is ethically sound and in line with best practices. Additionally, involving a multidisciplinary team can provide a more holistic understanding of the client's needs and lead to more comprehensive care planning.

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6 Reflect and Adapt

Finally, it's important to reflect on the experience and adapt your approach for future interactions. Consider what worked well and what could be improved upon. Use this as a learning opportunity to enhance your skills in negotiation, communication, and treatment planning. Adapting your methods based on feedback and outcomes will not only benefit your current client but also improve your effectiveness with others in the future. Remember, social work is an evolving practice that requires ongoing self-reflection and professional development.

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7 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?

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Dr. Marina A. Badillo-Diaz, LCSW

School Social Worker & Administrator| Professor & Researcher| Consultant & Entrepreneur| 21st Century Skills & AI Social Work Practice| Former School Social Work Association of America Board Member
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In best practice, treatment plans are best done collaboratively with the client to include their input. It's best to meet the client where they are at and have the client share what they want to work on for their goals and treatment plan. align with the client's needs, values, and preferences. It is ethically important to prioritize client self-determination in the process. Respecting client self-determination and working collaboratively to adapt treatment plans not only adheres to ethical principles in social work but also enhances the effectiveness of treatment by ensuring that it is tailored to the unique needs and preferences of each client.

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What do you do if your client disagrees with the treatment plan?

1

2

3

4

5

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7

1 Understand Concerns

2 Open Dialogue

3 Collaborative Revision

4 Educate and Inform

5 Seek Support

6 Reflect and Adapt

7 Here’s what else to consider

Social Work

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What do you do if your client disagrees with the treatment plan?

1

2

3

4

5

6

7

1 Understand Concerns

2 Open Dialogue

3 Collaborative Revision

4 Educate and Inform

5 Seek Support

6 Reflect and Adapt

7 Here’s what else to consider

Social Work

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