What should social workers do if clients lack the capacity to give informed consent?

When clients lack the capacity to give informed consent, seeking permission from an appropriate third party is the most ethical and responsible course of action. This practice aligns with the NASW Code of Ethics, which emphasizes the importance of obtaining informed consent as part of professional practice.

In cases where clients may be unable to comprehend or evaluate the information necessary to make an informed decision, it is crucial to identify a legally recognized representative who can provide the necessary consent on their behalf. This could include guardians, legal advocates, or individuals appointed by the court, depending on the specific circumstances and jurisdiction. Involving a third party ensures that the client's rights and preferences are still considered, maintaining their autonomy as much as possible while also protecting their well-being.

Taking action without consent or simply informing clients later about services rendered disregards their right to participate in decisions about their own care and undermines the ethical principle of respecting client autonomy. Assigning decisions to a family member without proper legal authority may also pose risks, as not all family members are equipped or authorized to make informed decisions on behalf of the client. Thus, obtaining consent through the appropriate mechanisms not only adheres to ethical standards but also helps to protect the best interests of clients who may be vulnerable.