What approach should a case manager take when a client expresses a desire to change their goals?

When a client expresses a desire to change their goals, the most effective approach is to consult with the client and adjust their goals to fit their current needs. This method promotes a collaborative relationship between the case manager and the client, which is essential in behavioral health. Acknowledging the client's input and evolving circumstances not only shows respect for their autonomy but also empowers them in their recovery process.

By actively engaging the client in discussions about their goals, the case manager can better understand the factors influencing the client's desire for change. This partnership enables the case manager to facilitate a personalized and relevant action plan that can lead to better outcomes. This strategy aligns with person-centered care principles, which emphasize the importance of tailoring support based on an individual's unique situation and aspirations.

In contrast, resisting changes to maintain the original plan disregards the client's needs and can hinder their progress. Delaying discussions about changes until the next meeting may result in missed opportunities for immediate support, and developing new goals without the client's input undermines their agency and could lead to goals that are not meaningful or motivating for them. Thus, engaging the client in goal-setting and allowing for adjustments is the most supportive and effective approach for successful case management.