Principles & Beliefs for Ethical Discussions 

Ethical dilemmas exist because often there are not clear answers (hence dilemma). Decision making is a process. Different clinicians will have different perspectives, we all benefit from conversations that consider complexities from a variety of lenses. To come to these difficult conversations with courage, non-judgment, open minds. Transparency creates safety and decreases shame. 

Any and all decisions or discussions are founded in the belief that each clinician knows their clients best and operates from sound clinical practices based on case conceptualization and the unique treatment needs of each client system.

As in all practices, we operate within the bounds of informed consent; we update treatment plans as needed, as new information becomes available; and we get consultation when uncertain. 

A careful discernment process, not made in isolation, is best practice. 

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8 Point Model for Decision Making

• Identify problem
• Identify issues involved
• Review ethical guidelines
• Obtain consultation
• Consider possible & probable courses of action
• Enumerate the consequences for each action
• Decide on your course of action
• Document thinking process/ action/ outcome

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Self-care

Deep self-care is the foundation for all good practice. Attending your wellbeing (mind, body, spirit) is not a luxury, it is essential for our work in order that we do no harm, and can sustain what is required to be present to others, to self, and to process. 

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