The question highlights two contextual details:
The client grew up in an urban neighborhood.
The client is currently unemployed.
These details point strongly toward socioeconomic conditions, access to resources, exposure to systemic barriers, and the impact of poverty or underemployment—all of which are captured in economic and class experiences.
Therefore, Option C is the most salient factor for treatment planning in this scenario. Understanding economic and class realities helps the counselor:
Conceptualize stressors such as financial strain, housing instability, neighborhood safety, and limited opportunity.
Avoid pathologizing reactions that may be understandable responses to systemic and structural inequities.
Integrate advocacy, resource referral, and practical support into the plan when appropriate.4
Why the other options are less salient given the specific prompt:
A. Cultural identity – Always important, but the question specifically emphasizes urban upbringing and unemployment, which more directly point to class and economic context. Cultural identity may or may not be the central driver in this particular description.
B. Family background and history – Relevant to any case conceptualization, but not as clearly tied to the urban and unemployed descriptors given in the stem.
D. Psychological maturity and development – Also important, but the vignette does not supply information about developmental maturity; instead, it highlights environmental and economic context.
In the Treatment Planning work behavior area, NBCC emphasizes integrating contextual, socioeconomic, and environmental factors into goals and interventions, particularly when clients are affected by unemployment, neighborhood conditions, or social class pressures.4
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