What would you consider to be the most challenging part of working with clients on relapse management?

What would you consider to be the most challenging part of working with clients on relapse management? What might get in your way or make it difficult for you?

Once clients are engaged actively in treatment, retention becomes a priority. Many obstacles may arise during treatment. Lapses may occur. Frequently, clients are unable or unwilling to adhere to program requirements. Repeated admissions and dropouts can occur. Clients may have conflicting mandates from various service systems. Concerns about client and staff relationships, including setting appropriate boundaries, can compromise care. Intensive outpatient treatment (IOT) programs need to have clear decision making processes and retention strategies to address these and other circumstances.