What should a case manager do when a client is not progressing with their service plan goals?

When a client is not progressing with their service plan goals, conducting a reassessment and updating the service plan is the most appropriate action. This approach reflects a fundamental aspect of case management, which involves continuous monitoring and adaptation of care plans to meet the client's evolving needs.

Reassessing the client allows the case manager to identify potential barriers or challenges that may hinder progress, whether they are related to the client's circumstances, engagement, or even the relevance of the goals themselves. This step ensures that the service plan aligns with the current realities and priorities of the client, thereby enhancing the likelihood of achieving desired outcomes.

Updating the service plan can involve modifying goals, incorporating new strategies, or addressing any external factors affecting the client's progress. It is a collaborative process and reinforces the case manager's role in advocating for the client, ensuring they receive the necessary support and resources.

Other options, such as discharging the client from the program or ignoring the lack of progress, fail to address the underlying issues affecting the client’s engagement with the service plan. Encouraging the client to try harder is also not a constructive approach, as it does not consider the complexities of their situation or provide the necessary support to guide them toward improvement.