A man with a psychiatric disability continues to be fearful of connecting with others even...

This question aligns with Domain IV: Assessment, Planning, and Outcomes, which focuses on reassessing individuals’ needs when progress stalls to identify underlying barriers. The CPRP Exam Blueprint emphasizes “conducting assessments to identify factors, such as trauma, that may impact recovery goals, particularly when expected progress is not achieved.” The individual’s persistent fear of connecting with others, despite reduced symptoms and skills training, suggests a potential underlying issue, such as trauma, that requires further assessment.

Option A: Assessing the individual’s experience with trauma is the best next step, as trauma can cause persistent fear of social connection, even after symptom reduction and skills training. This assessment ensures the practitioner understands the root cause and can tailor interventions, aligning with person-centered planning.

Option B: Stressing the importance of relationships may pressure the individual without addressing the underlying fear, which could be counterproductive and non-therapeutic.

Option C: Reviewing motivation assumes the issue is a lack of effort, which is premature and dismissive without first exploring potential barriers like trauma.

Option D: Requesting a medication change assumes a pharmacological issue without evidence, ignoring the need to assess non-symptom-related barriers like trauma.

Extract from CPRP Exam Blueprint (Domain IV: Assessment, Planning, and Outcomes):

“Tasks include: 1. Conducting assessments to identify barriers to progress, including trauma or other psychosocial factors. 4. Revising rehabilitation plans based on reassessment findings to address underlying issues.”