Have realistic expectations

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It is important that AOD workers have realistic expectations regarding the course of treatment and outcomes to be expected of clients with co-occurring conditions. It is commonly believed that clients with co-occurring conditions are more difficult to treat, require more intensive treatments, and have poorer treatment outcomes. However, co-occurring conditions are not an insurmountable barrier to treating people with AOD use disorders. It is important that treatment plans are developed collaboratively to build patient trust and treatment engagement [133], and tailored to the client’s readiness for change [129]. As discussed in Chapter A2, research has shown that clients with co-occurring conditions can benefit just as much as those without co-occurring conditions from usual AOD treatment [78, 99, 102, 143].