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A licensed clinical social worker has been treating a client for depression for six months. The client reveals that her husband, who is also a client of the same agency but seen by a different therapist, has been physically abusive. The social worker should FIRST:

A.Report the husband to law enforcement for domestic violence
B.Notify the husband's therapist about the abuse disclosure
C.Assess the client's immediate safety and develop a safety plan ✓ Correct
D.Recommend couples counseling to address the marital conflict
Why It's Correct
When a client discloses domestic violence, the social worker's first priority is always safety. Assessing immediate danger and collaboratively developing a safety plan respects the client's autonomy while addressing the most urgent clinical concern. Reporting, notifying other providers, or recommending couples counseling may be appropriate later steps, but none should precede a safety assessment.
Expert Insight
On the ASWB exam, when you see "FIRST" in the question stem, they're testing your ability to prioritize. In domestic violence scenarios, safety always comes first — before reporting, before involving other parties, and before any therapeutic intervention that could escalate risk. Couples counseling is specifically contraindicated when there is active abuse.
See why the other answers are wrong
Why the Other Choices Are Incorrect
A. Report the husband to law enforcement

Domestic violence reporting laws vary by state, and in most jurisdictions, reporting is not mandatory for adult victims who have the capacity to make their own decisions. More importantly, reporting without the client's consent could escalate danger and violates the client's right to self-determination. Safety assessment must come first.

B. Notify the husband's therapist

Sharing this information with the husband's therapist without the client's explicit consent would violate confidentiality. Even though both are clients of the same agency, each therapeutic relationship has its own confidentiality protections. Cross-disclosure could also put the client at greater risk if the husband learns she disclosed.

D. Recommend couples counseling

Couples counseling is specifically contraindicated when there is active domestic violence. It can create a false sense of equality between partners when a power imbalance exists, and the abusive partner may use information from sessions to further manipulate or harm the victim.

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