How do professionals involved in the public good (social workers, counselors of at-risk youth, etc.) handle issues of autonomy?

Where is their greater responsibility – to the public good or to the manager of the agency? Explain

Use an example to illustrate your case.

Are professional not involved in the public good faced with a similar dilemma?  If so, explain.

How would you react to the trolley/train dilemma and why?  Does autonomy play a role in your decision making?  Did your response change with each scenario?