Association of Social Work Boards (ASWB) Clinical Practice Exam

Arranging a sliding scale or pro bono services is a highly appropriate response in this scenario. When a client loses their job and insurance, it signifies a financial barrier that may prevent them from accessing needed mental health services. By offering a sliding scale, the social worker can adjust the fees based on the client's ability to pay, making treatment more accessible and ensuring continuity of care.

Pro bono services involve providing treatment at no cost, which can also be a viable option to help the client maintain their treatment during a difficult financial time. This approach not only demonstrates the social worker’s commitment to the client's well-being but also aligns with ethical principles in social work, emphasizing the importance of access to services regardless of a person's financial situation.

The other options do not optimally support the client's ongoing treatment needs given their financial constraints. For example, billing insurance later may not be feasible if the client has no coverage, while barter services could complicate professional boundaries and may not be suitable in a therapeutic context. Terminating services until new insurance is available would likely exacerbate the client’s situation and detract from their progress in therapy. Thus, arranging for a sliding scale or offering pro bono support remains the most beneficial and ethical choice for both the social worker and the client.