Which ethics framework best describes CCAR practice and how does it guide decision making?

• A. A strict paternalistic framework prioritizing safety above client autonomy.
• B. A utilitarian framework focused on outcomes for the greatest number.
• C. A client-centered, nonjudgmental, harm-minimization framework that emphasizes autonomy, confidentiality, and boundaries.
• D. A punitive framework that emphasizes sanctions for noncompliance.

Answer: (C)

The ethical orientation in CCAR practice is a client-centered, nonjudgmental, harm-minimization approach that emphasizes autonomy, confidentiality, and boundaries. This guides decision making by putting the client’s goals and choices at the forefront, exploring options without judgment, and building trust through confidentiality while clearly defining boundaries to keep the relationship safe and respectful. It also prioritizes harm reduction and empowerment, helping the client progress in their recovery rather than enforcing compliance through punishment or coercion. Paternalistic framing would override client autonomy in the name of safety, a utilitarian approach would push for the greatest good at the expense of individual rights, and a punitive stance focuses on sanctions rather than supportive recovery work.