Individuals who receive guardianship services maintain a level of independence and self-determination appropriate to their functional capacity, and are at minimized risk of abuse, neglect, or exploitation.
Examples: The guardian can determine the individual’s wishes by considering how the individual has made similar decisions in the past, verbal and non-verbal indicators of preference, or written documentation of the individual’s expressed wishes, such as advance directives that were developed prior to the individual’s loss of decision-making capacity.
Examples: Involved parties can include close friends and family, doctors, internal ethics committees, the court, attorneys, or religious leaders.
To ensure compliance with previously established advance directives, guardianship workers:
provide copies to relevant medical and/or psychiatric service providers; and
store copies in a safe and accessible location.
Improved quality of life and increased capacity are promoted by:
encouraging relationships and a sense of connectedness;
identifying services and supports that will promote continued growth and improved capacity;
helping the individual to develop a sense of value or purpose; and
regularly re-assessing the individual’s capacity and pursuing termination of guardianship or a change to the court order as appropriate.
The guardianship worker works with, or on behalf of, the individual to:
arrange for needed or requested services as identified in the guardianship plan;
monitor the quality and appropriateness of services; and
facilitate the initiation or termination of services as appropriate.
The guardian should tailor the type and frequency of service monitoring according to the requirements of the court order, the needs of the individual, frequency and intensity of the services being provided, and frequency of contact with informal caregivers and cooperating providers.
The guardianship worker monitors the quality and appropriateness of services by:
directly communicating with current service providers;
attending case conferences as appropriate;
observing the effectiveness of services through regular contact with the individual; and
participating in direct-service planning teams with outside providers.
The organization ensures each Individual has an emergency response plan that includes, as appropriate: developing food or emergency kits;
awareness of evacuation procedures at residential facilities where the individual resides;
conducting emergency drills as needed;
inclusion in local or state-wide emergency plans or evacuations; and
search and rescue procedures for individuals with a history of wandering.