This introductory-level course explores the ethical dilemmas arising from healthcare decisions involving children and adolescents. It examines the potentially conflicting interests and wishes of children and their parents and families. An ethical decision making model offers the clinician guidance in framing difficult questions and balancing rights and responsibilities. Confidentiality, sexuality, violence and medications are addressed. This thought-provoking course provides guidance and resources for occupational therapists in a broad range of settings.