Emphasise the collaborative nature of treatment

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Clients with co-occurring conditions often feel that they have very little control over their lives. It is important they understand that you will be working together throughout treatment, to help them re-establish a sense of autonomy and control. Collaborative approaches to decision-making about treatment, such as shared decision-making, have been shown to support clients with co-occurring conditions take a more active and informed role in their decision-making about treatment, in line with most clients’ preferences for involvement in treatment decision-making [142]. Shared decision-making may also facilitate agreement between clinicians and clients in terms of treatment decisions and treatment goals, as well as shared perceptions of the working alliance [142].