Which elements should be recorded to document a client's progress toward sobriety?

• A. Objective evidence such as test results, attendance, milestones achieved, self-reported sobriety, and changes in risk level.
• B. Only self-reported sobriety.
• C. Only milestones achieved.
• D. Changes in risk level only.

Answer: (A)

Documenting progress toward sobriety requires a comprehensive record that combines multiple indicators to give a true, actionable picture of how the client is doing over time. Objective evidence from tests provides verifiable proof of sobriety status, while attendance shows ongoing engagement with treatment and support services. Milestones achieved reflect concrete steps completed in the recovery process, such as finishing a program phase or maintaining abstinence for a set period. Self-reported sobriety offers the client’s perspective and can highlight changes not yet visible in tests or records, but it’s most reliable when checked against other data. Changes in risk level capture shifts in safety and relapse potential, guiding the intensity and type of supports needed. Together, these elements create a well-rounded view of progress that’s more accurate and actionable than relying on any single measure. Recording only one aspect—like self-report or milestones or risk level—misses important context and can lead to incomplete or biased conclusions.