Rehabilitation practitioners are faced with a variety of complex ethical decisions in a dynamic, changing world. Attention to principle ethics, virtue ethics, critical thinking, and creativity are essential for best practice. This article presents one tool (DECK--Decision-Making that Enhances Counselor Know-How) to facilitate such ethical decision-making that utilizes the Tarvydas Integrative Decision-Making Framework of Ethical Behavior. The use of the DECK is demonstrated through sample scenarios and in a variety of rehabilitation counseling contexts. (Contains 2 tables and 1 figure.)