In working with a client who has an intellectual disability, which principle may be adjusted?

In the context of working with clients who have an intellectual disability, self-determination may be adjusted to accommodate their unique needs and capabilities. Self-determination typically refers to the ability of individuals to make choices and to have control over their own lives. However, when working with a client with an intellectual disability, it is important to recognize that their capacity for decision-making may vary significantly.

Adjusting self-determination doesn't mean removing it altogether but rather ensuring that choices align with the client's cognitive capabilities and support systems. For instance, a social worker might provide additional support, guidance, or simplified information to help the client understand their options and make informed decisions. This adjustment ensures that the individual's voice is still honored while taking into account their specific challenges.

Client autonomy can be respected and maintained; however, it may need to be balanced with the level of support and guidance they may require. Cultural competence is essential in understanding and respecting the diverse backgrounds of clients but does not directly pertain to the cognitive limitations that might affect self-determination. Confidentiality is a core principle that remains fundamentally important regardless of a client’s cognitive abilities, as it protects the individual's private information. Thus, adjusting self-determination is a necessary practice in social work when considering