FROM JESSICA

It didn’t happen.
Let’s look at why.

A missed goal gives us something to work with. We look at where things stopped, use the help that’s missing and choose a next step the person can actually do.

DES MOINES & CENTRAL IOWA · VIRTUAL ACROSS IOWAJESSICA CLARK, CADC · PRIVATE PAY

By Jessica Clark, CADC · October 26, 2026

In this article
THE REVIEW

Start with what happened,
not a label.

“They’re not motivated.” “They don’t care.” “They always do this.” Those words can end a conversation before we’ve learned anything useful.

I want the sequence. You meant to call. When were you going to do it? Did you have the number? Were you worried about the questions? Did something happen that morning? Where did you stop?

That doesn’t remove responsibility. It makes the responsibility specific enough to work on. We can’t practice “care more.” We can practice making the call and asking for an appointment.

THE GOAL

Check who
chose it.

Sometimes a parent, a partner and a professional have agreed on what should happen, and the adult expected to do it has barely spoken. Ask what they want and what they are willing to try.

Wanting to keep a job may be the starting point. Wanting mornings to feel different may be the starting point. We can talk honestly about how substance use affects that goal without demanding the person use our preferred language.

If the person agreed just to get everyone off their back, we need to know. An honest smaller commitment gives us more to work with than a large promise nobody intends to keep.

FIND THE STOPPING POINT

What needs
to change?

  • Too many steps

    Separate finding a provider, making the call, completing intake and getting there. Choose which step comes next.

  • Something practical is missing

    A working phone, identification, transport, childcare or a document can block an otherwise reasonable task. Work on the missing piece.

  • The person needs practice

    Write down the questions. Rehearse the conversation. Make the call together, then review what they can do independently next time.

  • Health needs attention

    Withdrawal, worsening mental health, severe sleep problems or difficulty functioning may require clinical assessment. Don’t reduce a medical problem to a goal-setting problem.

  • The goal isn’t theirs

    Return to what the person wants to change. Discuss the real choices and consequences without pretending you can supply their willingness.

TRY AGAIN

Make the next step
clear enough to begin.

A smaller step still needs a finish. “Look into jobs” can stretch indefinitely. “Find the number for one employer” gives us an action to review.

Agree on the support. I might sit with someone while they work through an intake call. Later they make the call and tell me how it went. Eventually they only need help when something unusual comes up.

These are examples of how involvement can change. There is no required sequence for every person. We use the amount of help that serves the next task and review it as skills and confidence grow.

THE RELATIONSHIP

They need to be able
to come back honestly.

People trusted me enough to return after setbacks. That mattered. If the only acceptable update is a success story, we lose the information we need when things get difficult.

We can name a missed commitment plainly. We can also notice the part that did happen. Maybe the person found the paperwork and got stuck on one question. That is a different place to start than assuming nothing was done.

Dignity and respect don’t depend on a perfect week. The work continues with what is true today.

THE AFTER MODEL

Change the goal
so the next one is achievable.

Understand. Practice together. Take the lead. Use support deliberately. If something changes, we return to the part that needs attention.

The goal isn’t to make someone good at reporting to me forever. It is to help them understand the situation, use their tools and handle more of life themselves. A smaller next step can be part of getting there.

A FEW QUESTIONS

The next
questions.

Does making a goal smaller mean lowering expectations?

It means choosing an action the person can begin and review. The larger goal can stay in view while we work on the next achievable step.

Can we change the plan after a setback?

Yes. We look at what happened, what support or care is needed and what to try next. We don’t need to repeat an arrangement that isn’t working.

There is an after.

You don’t have to figure it all out
before you call.

A free, private 20-minute conversation.

515-373-4131