What is a key indicator that a substance use client may need inpatient treatment?

Uncontrollable substance use despite previous treatment is a significant indicator that a client may need inpatient treatment. This suggests that the client has been unable to manage their substance use issues on their own, even after having undergone previous treatment. It indicates a level of severity and a lack of control over their substance use, which can have serious implications for their health and safety. Inpatient treatment can provide a more structured and supportive environment, allowing for intensive therapy and monitoring that might be necessary when a client's addiction has proven resistant to less intensive outpatient approaches.

The other aspects, such as stable employment, prior outpatient success, and cooperation with outpatient requirements, might suggest a client is managing their situation adequately and may not require the intensive resources associated with inpatient treatment. These factors don't convey the same urgency or severity as uncontrollable substance use, which is why they are less indicative of the need for inpatient care.