What role does client autonomy play in CCAR decision making?

• A. Clinician makes all decisions to ensure safety.
• B. Autonomy is discouraged in favor of standardized protocols.
• C. Autonomy only applies to minor decisions.
• D. Client autonomy is central; decisions should honor client preferences while supporting safety and legal duties.

Answer: (D)

The main concept being tested is that client autonomy should guide CCAR decisions. In recovery coaching, the person receiving support is at the center of planning, and decisions are made through collaboration that respects their values, goals, and preferences. The coach provides options, information, and support, while also maintaining safety and meeting legal duties. This balance means honoring what the client wants while taking necessary steps to prevent harm and comply with laws and regulations.

Saying the clinician makes all decisions contradicts the client-centered approach and can reduce engagement and empowerment. Treating autonomy as something only for minor decisions ignores the many choices that affect treatment, risk management, and safety. Treating autonomy as discouraged in favor of standardized protocols undermines the collaborative, individualized nature of recovery support.