Client Engagement & Equity
Using the client’s own words in goals supports this
What is client‑centered care?
The “M” in SMART goals stands for this
What is Measurable?
Harm reduction prioritizes this over abstinence
What is safety and reduced risk?
Treatment plans must be individualized, not this
What is generic or cookie‑cutter?
Treatment plans must be updated at this minimum frequency
What is 1x per year or whenever a change occurs in the client's life
Cultural humility means this, not expertise
What is lifelong learning and self‑reflection?
“Client will attend treatment” is missing this SMART component
What is Specific (and/or Time‑limited)?
Offering naloxone supports which treatment philosophy
What is harm reduction?
Goals should directly link to this assessment framework
What is the comp assessment?
Progress notes should reflect progress toward this
What are treatment plan goals?
When a client disengages, treatment plans should do this
What is adjusting goals and interventions?
A goal that says “client will never relapse” violates this SMART principle
What is Achievable/Realistic?
“Meeting the client where they’re at” best describes this approach
What is client‑centered care?
Copy‑paste language puts treatment plans at risk for this
What is non‑compliance or audit findings?
This regulation protects SUD treatment information
What is 42 CFR Part 2?
This approach reduces shame and improves retention
What is non‑judgmental, supportive engagement?
This makes a treatment goal measurable and audit‑ready
What are frequency, duration, and timeframes?
A harm‑reduction goal example for someone still using substances
What is “Client will use safer-use strategies and attend 1 session/week”?
This should always align between assessment, plan, and progress notes
What are problems, goals, methods and interventions?
Missing coordination of care documentation affects this
What is continuity and safety of care?
What is punitive or threatening language?
What is punitive or threatening language?
Harm‑reduction goals can still be SMART if they include this element
What is client‑defined progress (e.g., reduced use, safer use, engagement)?
This documentation mistake often occurs when staff misunderstand harm reduction
What is writing abstinence-only goals that don’t match the client’s stage?
The biggest red flag auditors see in treatment planning
What is no clear medical necessity?
This happens when notes don’t match the treatment plan
What is lack of medical necessity or recoupment risk?