Which item is NOT typically included when documenting progress toward sobriety?

• A. Subjective opinions about the client's character.
• B. Objective evidence such as test results, attendance, milestones achieved, self-reported sobriety, and changes in risk level.
• C. Changes in risk level.
• D. Self-reported sobriety.

Answer: (A)

Progress toward sobriety is documented using objective, verifiable information rather than personal judgments. The record should show measurable indicators of change, such as test results, attendance, milestones achieved, what the client reports about their sobriety, and any shifts in risk level. These elements provide a concrete, trackable picture of progress that treatment teams can rely on to adjust plans and determine next steps.

Subjective opinions about the client's character aren’t typically included because they’re not reliable measures of progress and can introduce bias. They don’t reflect concrete changes in behavior or risk, whereas the other items listed describe observable or self-validated evidence of sobriety progress.