Which factor is NOT commonly a barrier to referrals?

• A. Transportation
• B. Cost
• C. Wait times
• D. Positive client engagement

Answer: (D)

Understanding what blocks referrals helps you see how to keep clients moving toward the next step in care. Transportation, cost, and wait times are common barriers because each can physically or financially limit a client’s ability to access or follow through with services. Transportation can prevent getting to appointments; costs can deter seeking or continuing care; wait times can lead to frustration and disengagement. Positive client engagement, in contrast, is not a barrier—it indicates clients are willing to participate, trust the process, and are more likely to accept referrals and attend subsequent services.