Maslow's Hierarchy of Needs
Deficiency needs (Needs related to physiological, security, social, and esteem) before growth needs (self-actualization)
SWs should always address medical and substance issues first.
Prioritization can be client desires and motivation, agency setting, resources, funding, etc., but also ensure treatment plan is being regularly evaluated.
SW must always recognize if client actions are due to a medical/substance abuse issue before attributing them to psychological factors.
Regardless, client right to self determination is more important, but SWs should still provide options.