A New Tool for Social Work Education
The Mezzo-Informed Ethical Decision-Making Model
DOI:
https://doi.org/10.18060/28829Keywords:
ethics, ethical decision-making model, culture, social work educationAbstract
Traditional ethical decision-making models largely address dilemmas through the lens of the individual social worker and client. These models do not consistently examine privilege and other cultural factors, mezzo and macro contexts, and the larger team in the work setting. While nearly all existing decision-making models focus on the one-on-one relationship between clients and social workers, the Mezzo-Informed Ethical Decision-Making Model is a new 10-step tool that builds on existing work and adds organizational considerations, as well as the provider’s social privileges and biases, cultural responsiveness, and impacts on the community and agency. The model, designed for teaching students and early-career providers, is presented step-by-step with an illustrative case study. The Mezzo-Informed Model fills a gap in current approaches by accounting for the mezzo system of an agency where others are involved in the process, knowing that the individual provider is frequently not the sole decision-maker. Behavioral health educators are encouraged to use this model paired with a case study to support students in developing ethical critical thinking skills.
References
Abrams, L. S., & Moio, J. A. (2009). Critical race theory and the cultural competence dilemma in social work education. Journal of Social Work Education, 45(2), 245-261. https://doi.org/10.5175/JSWE.2009.200700109
Azzopardi, C., & McNeill, T. (2016). From cultural competence to cultural consciousness: Transitioning to a critical approach to working across differences in social work. Journal of Ethnic & Cultural Diversity in Social Work, 25(4), 282-299. https://doi.org/10.1080/15313204.2016.1206494
Barsky, A. (2025, June 17). Ethics alive! When DEI becomes a dirty word: Rethinking our language. The New Social Worker. https://www.socialworker.com/api/content/7b56d33e-487d-11f0-9f56-1248ae80e59d/
Bennett, M. D., & Gibson, J. M. (2006). A field guide to good decisions: Values in action (Annotated ed.). Praeger. https://doi.org/10.5040/9798400650789
Boland-Prom, K., & Anderson, S. C. (2005). Teaching ethical decision making using dual relationship principles as a case example. Journal of Social Work Education, 41(3), 495-510. https://doi.org/10.5175/JSWE.2005.200303117
Boryczko, M. (2022). Critical thinking in social work education. A case study of knowledge practices in students’ reflective writings using semantic gravity profiling. Social Work Education, 41(3), 317-332. https://doi.org/10.1080/02615479.2020.1836143
Bryan, V., Sanders, S., & Kaplan, L. (2022). Common morality and ethical decision-making. In The helping professional’s guide to ethics: Theory in practice (2nd ed., pp. 37-54). Oxford University Press.
Chircop Coleiro, A., Creaner, M., & Timulak, L. (2023). The good, the bad, and the less than ideal in clinical supervision: A qualitative meta-analysis of supervisee experiences. Counselling Psychology Quarterly, 36(2), 189-210. https://doi.org/10.1080/09515070.2021.2023098
Congress, E. P. (2000). What social workers should know about ethics: Understanding and resolving practice dilemmas. Advances in Social Work, 1(1), 1-25. https://doi.org/10.18060/124
Corey, G., Schneider Corey, M., & Callanan, P. (2006). Issues and ethics in the helping professions (7th ed.). Brooks/Cole Pub Co.
Council on Social Work Education [CSWE]. (2022). 2022 educational policy and accreditation standards (EPAS) for baccalaureate and master’s social work programs. Author. https://www.cswe.org/getmedia/bb5d8afe-7680-42dc-a332-a6e6103f4998/2022-Educational-Policy-and-Accreditation-Standards-(EPAS).pdf
CSWE. (2023, March 30). CSWE calls for academic freedom in higher education: Legislative proposals threaten to stifle higher education institutions’ ability to address fundamental values in social work education programs. Author. https://www.cswe.org/news/newsroom/cswe-calls-for-academic-freedom-in-higher-education/
CSWE. (2025, July). DEI ban & restrictions tracker. Author. https://www.cswe.org/advocacy-policy/dei-ban-and-restrictions-tracker/
Cox, T. L., & Singh, M. I. (2024). Infusing social justice into the signature pedagogy: A decision-making model emphasizing anti-racism, diversity, equity, and inclusion (ADEI) in social work practicum. Journal of Ethnic & Cultural Diversity in Social Work, 34(5-6), 1-12. https://doi.org/10.1080/15313204.2024.2305960
Daniel, C. L. (2008). From liberal pluralism to critical multiculturalism: The need for a paradigm shift in multicultural education for social work practice in the United States. Journal of Progressive Human Services, 19(1), 19-38. https://doi.org/10.1080/10428230802070215
Dolgoff, R., Harrington, D., & Loewenberg, F. M. (2011). Ethical decisions for social work practice (9th edition). Brooks/Cole Pub Co.
Freud, S., & Krug, S. (2002). Beyond the code of ethics, Part 1: Complexities of ethical decision making in social work practice. Families in Society: The Journal of Contemporary Social Services, 83(5), 474-482. https://doi.org/10.1606/1044-3894.55
Gibson, J. M. (2013). Pause: How to turn tough choices into strong decisions. Joan McIver Gibson, Ph.D.
Gottlieb, M. (2021). The case for a cultural humility framework in social work practice. Journal of Ethnic & Cultural Diversity in Social Work, 30(6), 463-481. https://doi.org/10.1080/15313204.2020.1753615
Green, R., Gregory, R., & Mason, R. (2009). Preparing for social work practice in diverse contexts: Introducing an integrated model for class discussion. Social Work Education, 28(4), 413-422. https://doi.org/10.1080/02615470802109999
Greenfield, J. C., Atteberry Ash, B., & Plassmeyer, M. (2018). Teaching social work and social policy in the era of hyperpartisanship. Journal of Social Work Education, 54(3), 426-434. https://doi.org/10.1080/10437797.2017.1421489
Healy, L. M. (2007). Universalism and cultural relativism in social work ethics. International Social Work, 50(1), 11-26. https://doi.org/10.1177/0020872807071479
Hill, M., Glaser, K., & Harden, J. (1995). A feminist model for ethical decision making. In E. J. Rave & C. C. Larsen (Eds.), Ethical decision making in therapy: Feminist perspectives (pp. 18-37). The Guilford Press.
Hochman, Y., Segev, E., & Shai, O. (2023). “Do you know the impostor syndrome?” Professional identity among early-career social workers. Social Work Education, 42(8), 1117-1133. https://doi.org/10.1080/02615479.2022.2061945
Johnson, M. K., Weeks, S. N., Peacock, G. G., & Domenech Rodríguez, M. M. (2022). Ethical decision-making models: A taxonomy of models and review of issues. Ethics & Behavior, 32(3), 195-209. https://doi.org/10.1080/10508422.2021.1913593
Johnston, L. B. (2009). Critical thinking and creativity in a social work diversity course: Challenging students to “think outside the box”. Journal of Human Behavior in the Social Environment, 19(5), 646-656. https://doi.org/10.1080/10911350902988001
Kendi, I. X. (2019). How to be an antiracist (1st ed.). One World.
Kohli, H. K., Huber, R., & Faul, A. C. (2010). Historical and theoretical development of culturally competent social work practice. Journal of Teaching in Social Work, 30(3), 252-271. https://doi.org/10.1080/08841233.2010.499091
Kung, W. W., & Johansson, S. (2022). Ethical mental health practice in diverse cultures and races. Journal of Ethnic & Cultural Diversity in Social Work, 31(3-5), 248-262. https://doi.org/10.1080/15313204.2022.2070889
Lacasse, J. R., & Gambrill, E. (2015). Making assessment decisions: Macro, mezzo, and micro perspectives. In B. Probst (Ed.), Critical thinking in clinical assessment and diagnosis (pp. 69-84). Springer International Publishing. https://doi.org/10.1007/978-3-319-17774-8_4
Li, C., Kemer, G., & Lu, J. (2022). Predictors for supervisee disclosure in supervision: A mediation model. Counselor Education and Supervision, 61(2), 193-203. https://doi.org/10.1002/ceas.12233
Mattocks, N. O. (2018). Social action among social work practitioners: Examining the micro-macro divide. Social Work, 63(1), 7-16. https://doi.org/10.1093/sw/swx057
Miller, S. E., Hall, D. M. H., & Tice, C. J. (2009). Assessing critical thinking: The use of literature in a policy course. The Journal of Baccalaureate Social Work, 14(2), 89-104. https://doi.org/10.18084/basw.14.2.4425p5004t361212
Miller, S. E., Tice, C. J., & Harnek Hall, D. M. (2011). Bridging the explicit and implicit curricula: Critically thoughtful critical thinking. The Journal of Baccalaureate Social Work, 16(1), 33-45. https://doi.org/10.18084/basw.16.1.h535520178j2k033
Milner, M., & Wolfer, T. A. (2023). Using the reflective judgment model to understand and appraise effective reasoning by social work students. Journal of Social Work Education, 59(1), 78-90. https://doi.org/10.1080/10437797.2021.1970064
Montero, D. (2011). End-of-life issues in the United States after Terri Schiavo: Implications for social work practice. Advances in Social Work, 12(2), 164-180. https://doi.org/10.18060/1841
National Association of Social Workers [NASW]. (2013). NASW standards for social work case management. Author. https://www.socialworkers.org/LinkClick.aspx?fileticket=acrzqmEfhlo%3D&portalid=0
NASW. (2021). Code of ethics of the national association of social workers. Author. https://www.socialworkers.org/About/Ethics/Code-of-Ethics/Code-of-Ethics-English
National Association of Social Workers. (2025, January). Tips & Tools for social workers: Seeking social workers to revise the standards and indicators for cultural competence in social work practice. Author. https://www.socialworkers.org/Practice/Tips-and-Tools-for-Social-Workers/Seeking-Social-Workers-to-Revise-the-Standards-and-Indicators-for-Cultural-Competence-in-Social-Work-Practice
O’Brien, P., & Willison, J. S. (2022). Anti-oppressive social work practice and the carceral state. Oxford University Press. https://doi.org/10.1093/oso/9780190076757.001.0001
Palmer, N., & Kaufman, M. (2003). The ethics of informed consent: Implications for multicultural practice. Journal of Ethnic and Cultural Diversity in Social Work, 12(1), 1-26. https://doi.org/10.1300/J051v12n01_01
Perez, E. N. (2022). “Talking about race is exhausting”: Social work educators’ experiences teaching about race and racism. Journal of Ethnic & Cultural Diversity in Social Work, 31(3-5), 186-197. https://doi.org/10.1080/15313204.2022.2072431
Pollack, D. (2007). Sexual orientation and religion from the perspective of the code of ethics. Social Work, 52(2), 179-180. https://doi.org/10.1093/sw/52.2.179
Raines, J. C., & Dibble, N. T. (2021). Ethical decision-making in school mental health (2nd ed.). Oxford University Press. https://doi.org/10.1093/oso/9780197506820.001.0001
Reamer, F. G. (2013). The evolution of social work ethics: Bearing witness. Advances in Social Work, 15(1), 163-181. https://doi.org/10.18060/14637
Reamer, F. G. (2018). Social work values and ethics (5th ed.). Columbia University Press. https://doi.org/10.7312/ream18828
Rogers, M., & Brown, C. (2023). Critical ethical reflexivity (CER) in feminist narrative inquiry: Reflections from cis researchers doing social work research with trans and non-binary people. International Journal of Social Research Methodology, 27(4), 447-461. https://doi.org/10.1080/13645579.2023.2187007
Rogerson, C. V., Prescott, D. E., & Howard, H. G. (2022). Teaching social work students the influence of explicit and implicit bias: Promoting ethical reflection in practice. Social Work Education, 41(5), 1035-1046. https://doi.org/10.1080/02615479.2021.1910652
Simon, J. D., Boyd, R., & Subica, A. M. (2022). Refocusing intersectionality in social work education: Creating a brave space to discuss oppression and privilege. Journal of Social Work Education, 58(1), 34-45. https://doi.org/10.1080/10437797.2021.1883492
Smith, L., Kashubeck-West, S., Payton, G., & Adams, E. (2017). White professors teaching about racism: Challenges and rewards. The Counseling Psychologist, 45(5), 651-668. https://doi.org/10.1177/0011000017717705
Stadler, H., & Paul, R. D. (1986). Counselor educators’ preparation in ethics. Journal of Counseling & Development, 64(5), 328-330. https://doi.org/10.1002/j.1556-6676.1986.tb01124.x
Steinman, S. O., Richardson, N. F., & McEnroe, T. (1997). The ethical decision-making manual for helping professionals (1st ed.). Cengage Learning.
Strickland, C. A., & Sharkey, C. N. (2022). Power knowledge in social work: Educating social workers to practice racial justice. Journal of Ethnic & Cultural Diversity in Social Work, 31(3-5), 240-247. https://doi.org/10.1080/15313204.2022.2070897
Urwin, J. (2018). Imposter phenomena and experience levels in social work: An initial investigation. The British Journal of Social Work, 48(5), 1432-1446. https://doi.org/10.1093/bjsw/bcx109
Wahler, E. A. (2012). Identifying and challenging social work students’ biases. Social Work Education, 31(8), 1058-1070. https://doi.org/10.1080/02615479.2011.616585
Webb, S. A. (2009). Against difference and diversity in social work: The case of human rights. International Journal of Social Welfare, 18(3), 307-316. https://doi.org/10.1111/j.1468-2397.2009.00659.x
Weinberg, M., & Campbell, C. (2014). From codes to contextual collaborations: Shifting the thinking about ethics in social work. Journal of Progressive Human Services, 25(1), 37-49. https://doi.org/10.1080/10428232.2014.856739
Welfel, E. R. (2016). A model for ethical practice: Using resources to enhance individual judgment and ethical resolve. In Ethics in counseling & psychotherapy: Standards, research, and emerging issues (6th ed., pp. 27-56). Cengage Learning.
Williams, C. C. (2006). The epistemology of cultural competence. Families in Society: The Journal of Contemporary Social Services, 87(2), 209-220. https://doi.org/10.1606/1044-3894.3514
Wong, B., & Chau, S. (2022). Mixed-race people and social work: A critical literature review. Journal of Ethnic & Cultural Diversity in Social Work, 31(6), 315-328. https://doi.org/10.1080/15313204.2021.1991867
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