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Client-centered, evidence-informed practice recognizes that readiness to change varies. Harm reduction and motivational interviewing (MI) are appropriate, ethically aligned strategies that respect autonomy and promote safety. The social worker can collaborate on goals such as setting drinking limits, safer use practices, medication consults (e.g., naltrexone discussions with medical providers), overdose education where relevant, and linkage to supportive services. MI techniques—open questions, affirmations, reflective listening, summaries—enhance change talk and self-efficacy without coercion. Option A undermines engagement and access. Option C risks resistance and shaming, contrary to MI spirit. Option D imposes a singular pathway, potentially conflicting with cultural fit and client preference; while mutual-help groups may be helpful, mandating them as a condition can erode alliance. Ethical practice includes informed consent, respect for self-determination, and nonmaleficence. Monitoring outcomes with collaborative metrics, safety planning, and periodic reassessment of goals ensures responsiveness over time.