An Ethical Assessment of Structured Intervention with Chemically Dependent Clients

ABSTRACT

Structured intervention is a widely accepted approach to helping the chemically dependent client get treatment. Because this method departs from the tradition of the client directly seeking help, it raises unique ethical diletnmas-for both client and practitioner-including issues of self-determination, secrecy, coercion, environmental manipulation, and “fair exchange.” Analysis of these issues using a model for ethical decision-making is followed by discussion of four ethical options for the practitioner. The authors identify a preferred emical position based on theoretical and practice knowledge plus professional and personal values.