What is the primary ethical responsibility of a social worker regarding client autonomy?

The primary ethical responsibility of a social worker regarding client autonomy is to respect clients' rights to make their own choices and decisions. This principle is deeply rooted in the ethical standards of the social work profession, which emphasize the importance of self-determination. Social workers are tasked with empowering clients, helping them to explore their options and make informed decisions that align with their values and preferences.

Respecting client autonomy acknowledges that individuals are the best experts on their own lives and that they have the right to direct their own care, even if the social worker may have differing opinions about what those choices should be. This approach fosters trust in the therapeutic relationship and promotes the dignity and worth of the client, which are fundamental values in social work ethics.

In contrast, expecting clients to always comply with recommendations undermines their autonomy and decision-making capacity, as it primarily reflects a paternalistic approach. Similarly, guiding clients towards decisions that the social worker personally believes are best can also encroach on the client's autonomy and self-determination. Limiting clients' choices for their safety might be necessary in certain situations, such as when there is an immediate risk of harm, but it should be approached carefully to not hinder the overall principle of supporting client autonomy.