One of the most complex parts of direct support work is balancing personal choice with health and safety. DSPs navigate this challenge every day.
People receiving support have the right to make decisions about their lives—what they eat, where they go, who they spend time with, and how they live. At the same time, DSPs have a responsibility to ensure safety and follow care plans, policies, and regulations.
Supporting choice starts with respectful communication. Instead of saying “you can’t,” effective DSPs explain risks, offer alternatives, and involve the person in problem-solving. Choice is strongest when people understand the consequences and options available.
Safety does not mean eliminating all risk. Growth often involves reasonable risk—trying something new, making mistakes, and learning from them. DSPs support this by planning ahead, documenting discussions, and involving supervisors or teams when needed.
Clear documentation and adherence to the Individual Service Plan (ISP) are essential. When choices involve higher risk, DSPs must ensure that decisions are informed, documented, and supported appropriately.
Balancing choice and safety is not about control—it is about partnership. When DSPs approach this balance with respect and transparency, they help people live fuller, more self-directed lives.
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