In the best intrest of the client ( is it really)

Introduction

In my recent video, I explore a phrase we hear far too often in disability support: "in the best interest of the client." On the surface, it is a guiding principle for thoughtful, respectful care. But in reality, it’s often used to justify choices that leave clients out of the conversation entirely. In this blog post, I want to expand on the video’s key points, exploring how this phrase can shift from an empowering concept to a way to control or dismiss people’s choices—especially when cultural, medical, and disability-specific viewpoints clash.

"Best Interests": A Weaponized Phrase

In the video, I discuss how this phrase is frequently weaponized, turning what should be a supportive idea into a tool for restriction. When someone claims to be acting "in the best interest of the client," they may mean well, but it’s often used to make decisions without the client’s input. Instead of empowering choice, it limits autonomy, favoring assumptions over individuals’ experiences and wishes. Too often, "best interest" becomes a pretext for overlooking the client’s preferences in favor of what others think is right.

Cultural and Contextual Differences in "Best Interests"

As mentioned in the video, cultural backgrounds significantly influence what we view as “best.” In some communities, family-centered decisions align with “best interests,” while in others, personal independence is the priority. Recognizing these differences is essential for true support. When cultural perspectives are ignored, assumptions can lead to unnecessary tension and frustration. By understanding that "best" looks different depending on each person’s cultural background, support providers can foster a more inclusive and understanding environment.

Medical vs. Disability Models: Divergent Views on Autonomy

The video also touches on the differing perspectives between medical and disability-centered approaches. The medical model often focuses on diagnosis, treatment, and measurable improvements. Disability-focused perspectives, however, emphasize personal autonomy, choice, and lived experience. This contrast can cause friction when medical perspectives take priority over a client’s right to make their own choices. For true client-centered support, both viewpoints need to be balanced, with the client’s preferences taking precedence.

How to Truly Act in the Client’s Best Interest

In the video, I highlight ways we can support clients genuinely and effectively. Acting in someone’s best interest means centering their voice, involving them in decisions, and respecting their unique context. This approach isn’t about applying a one-size-fits-all solution but about ensuring that clients are the primary decision-makers in their own lives. By respecting each person’s background, culture, and preferences, support providers can foster more respectful, empowering relationships.

Conclusion

"In the best interest of the client" can and should be a call to action for respectful, inclusive support. As I discuss in the video, true support is about listening to clients, respecting their choices, and understanding that they are the best experts in their own lives. By making this shift, we can turn "best interests" from a weapon into a foundation for genuine, empowering care.