What should a DSP do when there's a conflict between an individual's preferences and safety concerns?

Engaging in open communication with the individual is crucial when there's a conflict between their preferences and safety concerns. This approach allows the Direct Support Professional (DSP) to understand the individual's perspective, desires, and values while also expressing the importance of safety. It creates an opportunity for collaboration and discussions regarding potential compromises or alternatives that respect the individual's autonomy while addressing safety needs.

This communication can lead to a more informed decision-making process, making the individual feel valued and heard, which is a fundamental principle of person-centered care. The DSP can guide the conversation to explore the risks and benefits in a respectful manner, ensuring the individual is active in their care choices.

In contrast, immediately enforcing safety measures without conversation may lead to feelings of resentment or alienation from the individual. Disregarding preferences entirely disregards the individual's rights and autonomy, which is not in line with person-centered values. Consulting only family members excludes the individual from the decision-making process, which can undermine trust and harm the relationship between the DSP and the individual. Thus, open communication serves as the best practice for balancing preferences with safety concerns.