Ethical Crossroads: The Choices We Make

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In this short story-based game, you’ll step into the role of a Developmental Services Worker supporting clients with dual diagnosis.
Each scenario presents an ethical dilemma — your task is to choose the most ethical response.
Try to complete all four dilemmas with the most ethical choices possible!

Created by

Allen Desjardins

Canada

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Ethical Crossroads: The Choices We MakeOnline version In this short story-based game, you’ll step into the role of a Developmental Services Worker supporting clients with dual diagnosis. Each scenario presents an ethical dilemma — your task is to choose the most ethical response. Try to complete all four dilemmas with the most ethical choices possible! by Allen Desjardins 1 Scenario 1 – Advocacy vs. Institutional Policy Question Text: You support Jordan, a client with dual diagnosis, who wants to attend a local self-advocacy group. Your agency’s policy requires prior approval for off-site activities. Jordan feels frustrated and says, “You’re supposed to help me speak up for myself, not stop me.” What do you do? a Encourage Jordan to go anyway because he has the right to advocate for himself. b Follow policy strictly and tell Jordan he can’t go until management approves. c Balances advocacy and policy by supporting Jordan’s rights within ethical limits. 2 Scenario 2 – Autonomy vs. Safety Question Text: Leah, who has schizophrenia and an intellectual disability, wants to go for a walk alone after dinner. Staff worry she might get disoriented after dark. She insists she’s fine. What do you do? a Refuse and tell her safety outweighs her wishes. b Allow her to go — autonomy comes first. c Talk with Leah about safety, suggest going earlier or walking with a friend, and document the plan. 3 Scenario 3 – Consent and Understanding Question Text: You need to review a new behavior support plan with Ryan, who has an intellectual disability and anxiety. When you ask if he understands, he nods but looks confused. What should you do? a Slow down, use plain language and visuals, and ask him to explain it back to you. b Skip the explanation — you’ll tell his family instead. c Move ahead — he said yes. 4 Scenario 4 – Boundaries vs. Compassion Question Text: Tara, a client with dual diagnosis, asks to add you on social media “just to stay in touch.” What do you do? a Decline and cite policy, without explanation. b Gently explain why professional boundaries matter and suggest other ways to connect. c Accept the request — she needs friendship.

Ethical Crossroads: The Choices We MakeOnline version

In this short story-based game, you’ll step into the role of a Developmental Services Worker supporting clients with dual diagnosis. Each scenario presents an ethical dilemma — your task is to choose the most ethical response. Try to complete all four dilemmas with the most ethical choices possible!

by Allen Desjardins

Scenario 1 – Advocacy vs. Institutional Policy Question Text: You support Jordan, a client with dual diagnosis, who wants to attend a local self-advocacy group. Your agency’s policy requires prior approval for off-site activities. Jordan feels frustrated and says, “You’re supposed to help me speak up for myself, not stop me.” What do you do?

Encourage Jordan to go anyway because he has the right to advocate for himself.

Follow policy strictly and tell Jordan he can’t go until management approves.

Balances advocacy and policy by supporting Jordan’s rights within ethical limits.

Scenario 2 – Autonomy vs. Safety Question Text: Leah, who has schizophrenia and an intellectual disability, wants to go for a walk alone after dinner. Staff worry she might get disoriented after dark. She insists she’s fine. What do you do?

Refuse and tell her safety outweighs her wishes.

Allow her to go — autonomy comes first.

Talk with Leah about safety, suggest going earlier or walking with a friend, and document the plan.

Scenario 3 – Consent and Understanding Question Text: You need to review a new behavior support plan with Ryan, who has an intellectual disability and anxiety. When you ask if he understands, he nods but looks confused. What should you do?

Slow down, use plain language and visuals, and ask him to explain it back to you.

Skip the explanation — you’ll tell his family instead.

Move ahead — he said yes.

Scenario 4 – Boundaries vs. Compassion Question Text: Tara, a client with dual diagnosis, asks to add you on social media “just to stay in touch.” What do you do?

Decline and cite policy, without explanation.

Gently explain why professional boundaries matter and suggest other ways to connect.

Accept the request — she needs friendship.

You can integrate the game into an LMS compatible with LTI 1.1 or LTI 1.3 such as Canvas, Moodle, or Blackboard. This way, the scores will be automatically saved into the platform’s gradebook.

Ethical Crossroads: The Choices We Make

Quiz

About this activity

Created by

Download the paper version to play

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Ethical Crossroads: The Choices We MakeOnline version

by Allen Desjardins

Scenario 2 – Autonomy vs. Safety Question Text: Leah, who has schizophrenia and an intellectual disability, wants to go for a walk alone after dinner. Staff worry she might get disoriented after dark. She insists she’s fine. What do you do?

Scenario 3 – Consent and Understanding Question Text: You need to review a new behavior support plan with Ryan, who has an intellectual disability and anxiety. When you ask if he understands, he nods but looks confused. What should you do?

Scenario 4 – Boundaries vs. Compassion Question Text: Tara, a client with dual diagnosis, asks to add you on social media “just to stay in touch.” What do you do?

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