Applying Ethical Decision-Making in Practice
Ethical decision-making isn't just theoretical—it's a practical skill you'll use throughout your social work career. Understanding frameworks is important, but knowing how to apply them to real situations is what makes the difference in effective practice.
The NASW Code of Ethics provides a helpful hierarchy of values, placing protection of human life at the top, followed by self-determination and confidentiality. This means when safety is at risk, it may take precedence over other considerations. Similarly, Loewenberg and Dolgoff's Ethical Principles Screen gives you a ranked order: protection of life, equality, autonomy, least harm, quality of life, privacy, and truthfulness.
For a step-by-step approach, Reamer's model breaks the process into manageable parts: identify the issues, recognize who's affected, explore possible actions, examine reasons for and against each option, consult with others, make and document your decision, and evaluate outcomes. This structured approach helps ensure you've considered all important factors.
When applying these frameworks, start by clearly identifying the ethical principles at stake and who will be affected by your decision. Gather all relevant information, including cultural factors and client preferences. Consider all possible options and their potential consequences, both immediate and long-term. Document your reasoning process thoroughly and be prepared to adjust your approach based on outcomes.