What is the best indicator of a client’s readiness for change at the outset of treatment?

The best indicator of a client’s readiness for change at the outset of treatment is the client's emotional and physical pain levels. Readiness for change is often tied closely to how much pain or distress a client is currently experiencing. If a client is experiencing significant emotional or physical discomfort due to their substance use or related issues, they may be more motivated to seek help and engage in the treatment process. This pain can act as a critical catalyst for change, compelling the individual to take active steps towards recovery.

In contrast, while factors like financial stability, family support, and previous treatment history can influence the overall success of the treatment process, they do not directly indicate the client's current readiness to change. Financial stability may affect access to treatment, a supportive family can provide encouragement, and previous experiences can sometimes foster a sense of hopelessness or motivation. However, the immediate and pressing feelings of pain are often what prompt the client to take action, making emotional and physical pain levels the most relevant measure of readiness for change at the beginning of treatment.