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Supported Decision-Making

Legal/Rights

§ 01 — Definition

Supported decision-making (SDM) is an alternative to guardianship and conservatorship in which the person keeps their legal right to decide and formally designates trusted supporters to help them understand options, weigh consequences, and communicate their choice. It is usually documented in a written supported decision-making agreement, and a growing number of states have enacted statutes recognizing those agreements — often requiring courts to consider SDM and other less restrictive alternatives before imposing a guardianship. SDM pairs well with targeted legal tools that transfer narrow authority without removing rights: a durable power of attorney for finances, an advance health care directive, a HIPAA authorization, or a representative payee for benefits. It is endorsed by the Administration for Community Living and reflected in the UN Convention on the Rights of Persons with Disabilities.

§ 02 — Why it matters for benefits

Guardianship is not a default step at age 18 — it is the most restrictive option on a spectrum, and courts in many states now expect families to show why something lighter would not work. For many autistic adults, an SDM agreement plus a power of attorney delivers the protection parents actually want without stripping the right to vote, marry, or sign a lease.

§ 03 — Related

Source: ABA Commission on Law and Aging; Administration for Community Living; UN CRPD Article 12; state SDM agreement statutes