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Client-centered orientation involves dialogue and clarification. Encouraging questions ensures understanding and builds trust. Rushing, withholding, or forcing signatures undermines engagement.

Orientation must include a clear explanation of confidentiality policies, including legal exceptions like mandated reporting. This builds trust and ensures informed participation. Administrative reasons are secondary.

Aftercare ensures long-term support through groups, sponsors, and continued services. Abrupt termination or indefinite continuation is not appropriate.

Addressing the colleague privately respects dignity while ensuring client safety. If the issue persists, supervisors or authorities should be involved. Public or client disclosure is inappropriate.

Diagnosis is based on DSM-5 criteria such as tolerance, withdrawal, loss of control, and continued use despite harm. Motivation, family input, and employment provide context but are not diagnostic criteria. NCAC-I assessment competencies require adherence to standardized criteria.