Supported Decision-Making Overview
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Questions and Answers

What is the primary aim of Supported Decision-Making?

  • To enhance the role of guardians in decision-making
  • To limit the decisions of individuals with disabilities
  • To replace guardianship entirely
  • To allow individuals with disabilities to make choices with support (correct)

Who can be chosen as supporters in Supported Decision-Making?

  • Only legal representatives
  • Professionals only
  • Only family members
  • Anyone known and trusted by the individual (correct)

How does Supported Decision-Making differ from guardianship?

  • It permits individuals to be fully independent
  • It allows individuals to make their own decisions rather than having someone else make them (correct)
  • It requires a legal process
  • It offers strict guidelines that must be followed

Which of the following is a common misconception about individuals under guardianship?

<p>They are restricted from making important decisions (C)</p> Signup and view all the answers

What types of decisions might individuals with disabilities need assistance with in Supported Decision-Making?

<p>Personal health care and living arrangements (A)</p> Signup and view all the answers

Why is Supported Decision-Making considered flexible?

<p>It can be adapted to different locations and individuals’ needs (B)</p> Signup and view all the answers

What could be a potential barrier to implementing Supported Decision-Making?

<p>A lack of awareness or understanding of SDM (D)</p> Signup and view all the answers

What is a key benefit of having a support network in Supported Decision-Making?

<p>Encouragement of personal agency and informed choices (D)</p> Signup and view all the answers

What is expected to happen to the number of individuals with intellectual or developmental disabilities (I/DD) under guardianship in the coming decades?

<p>Increase due to enhanced medical care (C)</p> Signup and view all the answers

What has contributed to the shift from guardianship to Supported Decision-Making?

<p>A paradigm shift toward rights-focused constructs (B)</p> Signup and view all the answers

How has Supported Decision-Making been viewed in other countries compared to the United States?

<p>It has been evolving for more than a decade in other countries (B)</p> Signup and view all the answers

What key principle does Article 12 of the United Nations Convention on the Rights of People with Disabilities emphasize?

<p>Persons with disabilities enjoy legal capacity on an equal basis with others (B)</p> Signup and view all the answers

What positive outcome was observed in individuals who participated in the Supported Decision-Making pilot project?

<p>They exercised decision-making rights with assistance from supporters (A)</p> Signup and view all the answers

What did the local pharmacist do to assist the participant in making her own decision about medication?

<p>Reviewed the pros and cons of the medication with her and her supporter (C)</p> Signup and view all the answers

What aspect of life do individuals with disabilities have the right to make decisions about under Supported Decision-Making?

<p>Every aspect of their lives, including health care and relationships (B)</p> Signup and view all the answers

What was a common sentiment among supporters of participants in the Supported Decision-Making process?

<p>Vindication for not pursuing guardianship (B)</p> Signup and view all the answers

What demographic is expected to significantly grow in numbers among individuals with I/DD facing guardianship issues by 2030?

<p>Individuals over 60 years old (B)</p> Signup and view all the answers

What effect did the Supported Decision-Making have on the pilot participants compared to conventional guardianship?

<p>They developed a strong sense of independence (D)</p> Signup and view all the answers

Flashcards

What is Supported Decision-Making?

Supported Decision-Making (SDM) empowers individuals with disabilities to make choices about their lives with assistance from a chosen support network.

Who's involved in Supported Decision-Making?

SDM allows individuals with disabilities to choose people they trust to be part of their support network, helping them make decisions.

How does SDM differ from guardianship?

Instead of a guardian making decisions for someone with a disability, SDM puts the individual in charge of their own choices.

How is SDM relatable to everyday life?

All of us rely on support from others when making decisions, be it a friend, a mentor, or a professional.

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What kinds of decisions are supported in SDM?

People with disabilities can make their own decisions about important aspects of their life with the support of a chosen network.

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Who are the supporters in SDM?

Supporters in SDM are chosen by the individual and can consist of family, friends, colleagues, and professionals.

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How is SDM structured?

SDM has a structured process with flexibility to adapt to the individual's unique needs.

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Why is SDM important?

SDM emphasizes individual autonomy and eliminates the need for a guardian to make life choices for the individual.

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Guardianship

A legal process where a court appoints someone to make decisions for an individual who is deemed unable to do so themselves.

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Paradigm Shift in Disability

A shift from overly protective guardianship towards empowering individuals with disabilities to make their own choices with support.

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Supported Decision-Making (SDM)

A model that allows individuals to make decisions with guidance from trusted supporters, respecting their right to make their own choices.

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Legal Capacity

The belief and practice that everyone, including individuals with disabilities, has the right to make their own choices.

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Decision-Making Ability

The ability to understand the implications of a decision and make a choice based on that understanding.

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Decision Supporters

People who offer guidance and assistance to individuals in making decisions, respecting the individual's autonomy.

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SDM Agreement

A legal agreement between an individual and their decision supporters, outlining their roles in the process.

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Demonstration Project

Independent evaluation of the effectiveness of supported decision-making, involving individuals with disabilities aged 25 to 80.

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Positive Changes with SDM

Positive effects experienced by individuals in the demonstration project who exercised their decision-making rights with support.

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Getting Started with SDM

A practical approach to implementing SDM, providing guidance and tools to begin using it.

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Study Notes

Supported Decision-Making (SDM) Overview

  • SDM empowers individuals with disabilities to make their own life choices, with support from a chosen team.
  • This differs from guardianship, where a guardian makes decisions for the individual.
  • SDM is a process where individuals consult with trusted supporters before making decisions.
  • Examples of support-seeking decisions are everyday choices like dating or job changes, showing that everyone utilizes SDM.

SDM for Individuals with Disabilities

  • Those with disabilities may need assistance with decisions about living, health, relationships, or finances.
  • Support comes from a network of trusted individuals or providers, chosen by the person with a disability.
  • Supporters respect the individual's choices and preferences.

SDM Structure and Process

  • SDM has a structured process but remains flexible and adaptable to individual needs.
  • It varies across locations and individuals.

Importance of SDM

  • Individuals under guardianship lack the right to make their own decisions.
  • Guardianship can affect significant life choices like health care, finances, relationships, family, etc., all made by the guardian.
  • A significant number (potentially 1.5 to 3 million) of US adults are under guardianship.
  • A substantial increase in guardianship cases involving individuals with disabilities is projected due to improved life expectancy.

The "Paradigm Shift"

  • SDM represents a shift from the traditional, overly protective model of guardianship towards a rights-focused approach.
  • The shift is supported by international movements towards legal capacity for all, including people with disabilities.
  • Documents like the UN Convention on the Rights of People with Disabilities highlight this shift.

Values Underlying SDM

  • All adults, with or without disabilities, have the right to make their own decisions concerning their life, including healthcare, finances, relationships, living arrangements, or even political choices.

How SDM Works

  • Evaluation of pilot projects involving people with disabilities found SDM effective as an alternative to guardianship.
  • Individuals utilize SDM by gathering information, consulting supporters, and making their own independent decisions.
  • Positive outcomes were observed for individuals and their supporters, including a sense of empowerment and reduced anxiety about guardianship.

Example of SDM in Action

  • One participant used SDM to make a decision about medication.
  • Instead of having a guardian decide for the individual, the person was supported by trusted professionals in a clear exchange of information.

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Description

This quiz explores the concept of Supported Decision-Making (SDM), emphasizing its significance for individuals with disabilities. Participants will learn how SDM empowers individuals to make their own choices with support from a trusted team, as opposed to traditional guardianship. The quiz also covers the flexible structure and process of SDM, highlighting its importance in everyday decision-making.

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