Trends in Guardianship Reform: Implications for the Medical and Legal Professions

Author:

Hommel Penelope A.,Wang Lu-In,Bergman James A.

Abstract

In recent years, there has been a slow but dramatic change in society's attitudes toward persons with disabilities—an evolution away from traditional paternalistic approaches which foster dependency, toward policies focused on maximizing the potential for autonomy and independence among individuals of limited capacity. This change is clearly reflected in efforts across the country to revise state guardianship statutes. This article analyzes significant trends in these reform efforts, and highlights important practice implications for physicians and attorneys whose practices include serving persons who are limited in their capacity to make informed decisions.

Publisher

Cambridge University Press (CUP)

Subject

General Medicine

Reference111 articles.

1. 59. Indeed there was no guarantee that the proposed ward would actually receive the notice, for methods other than personal service were commonly permitted. Mitchell 12 Clearinghouse Rev at 453 (cited in n. 6).

2. 5. Indeed, some statutes listed “advanced age” as a basis for a finding of incompetence, even though the link between old age and dysfunction is highly controversial. See Alexander, , 31 Stan L Rev at 1009 (cited in n. 4); Horstman, , 40 Mo L Rev at 215–216 (cited in n. 2).

3. 45. NM Stat Ann 45-5-101.T.

4. 43. On the other hand, the committee must consult with the attending or family physician if s/he is available for consultation.

5. 98. NM Stat Ann 45-5-304.C(3); ND Cent Code 0.1-28-04.2.b(2). See NM Stat Ann 45-5-407.F(3) (conservatorship).

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1. Legislative style and judicial discretion: The case of guardianship law;International Journal of Law and Psychiatry;2012-09

2. Guardianship and the Elderly;Handbook of Neuropsychology and Aging;1997

3. The Guardianship Experience of Women: The Relationship Between Older Wards and Their Guardians;Journal of Women & Aging;1996-12-05

4. Capacity assessments for requests to restore legal competence;International Journal of Geriatric Psychiatry;1995-03

5. Convening Expert Panels to Identify Mental Capacity Assessment Items;Canadian Journal on Aging / La Revue canadienne du vieillissement;1995

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