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This site provides an ethics toolkit for practitioners, trainees and service managers who conduct or support practice in complex, cross-cultural or fragile settings. Practice may include clinical practice, community practice or other health and human services practice.

This practitioner toolkit emerged from the development of a toolkit for ethical researchers following a series of discussions with more than 750 global researchers and practitioners from more than 30 countries designed to inform and support ethical decision making and action. Many practitioners in this group felt that a toolkit designed for clinical practice would also be helpful. This has now extended beyond clinical practice to include community-based practice or other health and human services practice in areas as diverse as refugee support and the support of high performance athletes – indeed any context in which we are faced with choices that may impact others in potentially harmful ways.

What was clear from these discussions was that practitioners can be faced with circumstances that:
  • are often defined by complex, intractable challenges

  • involve practice-related settings with emerging and/or limited clinical infrastructure and in the context of broader resource limitations (for both individuals and institutions)

  • require service delivery by multi-team, cross-cultural and cross-sector partnerships involving many service providers

  • require service to be provided in the context of high humanitarian need and socio-political instability which may influence local priorities, policies and practices


In sum, context and potential impact are dual drivers for paying particular attention to upholding the highest possible standards of ethical conduct and preventing poor practice.

This toolkit promotes a values-driven, solution-focused and iterative approach to ethics. It seeks to illuminate and address existing and emerging issues in a rapidly changing landscape of expectations about ethical service delivery and ethical practitioner conduct.