What steps should be taken when there is evidence of treatment noncompliance?

• A. Screen for substance use, refer to treatment, monitor progress, and adjust supervision as needed
• B. Ignore noncompliance to avoid conflict
• C. Punish with immediate removal from supervision without assessment
• D. Allow unlimited misses as a personal choice

Answer: (A)

When there is evidence of treatment noncompliance, respond with a proactive, collaborative approach that balances accountability with support for recovery. Start by screening for substance use and related factors to understand why noncompliance occurred—relapse risk, mental health issues, or barriers to accessing treatment. If needed, refer the person to appropriate treatment or adjust the current plan to fit their present needs, ensuring they have access and that providers are coordinated with. Then implement ongoing monitoring to track treatment attendance, progress, and outcomes through regular check-ins, progress reports, and any appropriate objective tests. Based on what you learn, adjust supervision to support engagement—this might mean tweaking supervision intensity, offering reminders or incentives for treatment participation, and aligning consequences with demonstrated progress. The goal is to reduce risk to the community while promoting long-term recovery, rather than responding with punitive or withdrawal-based actions that can derail treatment and increase relapse risk.