What should social workers do when a client lacks decision-making capacity?

When a client lacks decision-making capacity, social workers have an ethical obligation to safeguard the interests and rights of the client. This responsibility is rooted in the principles of respect for individual autonomy and the commitment to support clients in a manner that promotes their well-being. Safeguarding a client's interests means that social workers must act in the best interests of the client, ensuring that any decisions made on their behalf are aligned with their values, preferences, and overall welfare.

It is crucial for social workers to assess the client's capacity and involve them as much as possible in the decision-making process. This approach can include collaborating with other professionals, family members, or legal representatives, ensuring that the client's rights are upheld throughout. Protecting the client's interests also involves advocating for necessary services, resources, and support systems that can aid in their care and treatment.

This ethical obligation underscores the importance of promoting dignity and respect for clients, aligning with the overarching values of social work practice as outlined in the NASW Code of Ethics. By focusing on safeguarding the client’s interests, social workers can fulfill their role as advocates and protectors of those who may be vulnerable or unable to advocate for themselves.