An HLOC recommendation should be discussed collaboratively, clearly, and respectfully.
Clients may experience fear, shame, uncertainty, logistical concerns, or concerns based on previous experiences with treatment. Taking time to explain the clinical recommendation and understand the client's perspective can help maintain the therapeutic relationship and support access to appropriate care.
What should I discuss with my client?
When discussing an HLOC recommendation:
- Explain the clinical concerns that led to the recommendation.
- Explain why the current level of care may no longer be sufficient to meet the client's needs.
- Describe the goals and potential benefits of the recommended level of care.
- Invite questions and remain open to the client's perspective.
- Address misconceptions, fears, or concerns when possible and appropriate.
- Discuss available options rather than presenting the recommendation as the only possible answer.
- Reinforce continued support during the transition, when appropriate.
Approach the conversation as a collaborative discussion rather than simply informing the client of a decision.
Consider exploring:
- What the client understands about the recommendation
- What questions or concerns they have
- Their treatment preferences and goals
- Any previous experiences with higher levels of care
- Practical barriers that may affect their ability to access treatment
The goal is to help the client understand why the recommendation was made while giving them an opportunity to participate in planning.