Understanding Supported Decision-Making – A New Path to Independence

In recent years, supported decision-making has emerged as an alternative to traditional guardianship. It is a model that empowers individuals, particularly those with intellectual, developmental or age-related disabilities, to make their own choices with the help of trusted supporters. But what exactly is supported decision-making (SDM), and how does it work?

At its core, supported decision-making is about recognizing that everyone, regardless of ability, deserves the right to make or have input regarding their own decisions. In the traditional guardianship system, a person's decision-making power may be legally handed over to someone else. However, SDM takes a different approach. It encourages individuals to seek support from people they trust — like family members, friends or professionals — without stripping them of their autonomy.

How Does Supported Decision-Making Work?

Think of it as a team approach. Instead of someone making decisions for you, they help you make decisions with the input you need. For example, an individual may ask a supporter to help explain legal documents, manage finances, or understand healthcare options. The final choice, however, always rests with the individual, ensuring they maintain control over their own life.

Benefits of Supported Decision-Making

Autonomy: The individual retains the right to make their own decisions, ensuring their personal choices and preferences are respected and honored.

Empowerment: SDM encourages the individual's decision-making skills and builds their confidence over time. This might involve providing resources and opportunities for learning and practice.

Personal Support Network: Trusted supporters, such as family members, friends or professionals, provide guidance by explaining information, exploring options, and assisting in communicating the individual's choices.

Flexibility: The level and type of support can vary depending on the individual's needs and preferences and can change over time.

Who Can Benefit from Supported Decision-Making?

Supported decision-making can benefit a wide range of individuals, including:

• Teens and young adults transitioning to adulthood.
• Older adults experiencing the onset of cognitive impairment or decline.
• Individuals with a significant disability determination.
• Individuals who are currently under guardianship.
• Family members and caregivers.

SDM and the Law

In some places, supported decision-making agreements are legally recognized as an alternative to guardianship. This shift demonstrates a growing understanding that people with disabilities should have more control over their lives while still receiving the support they need.

In Minnesota, the law states that you must prove to the court less restrictive options have been tried before guardianship can be put in place. This assures that options like SDM are explored first so individuals aren’t being placed under unnecessary guardianship.

A Future of Inclusion and Respect

Supported decision-making isn’t just a policy change; it’s a cultural shift. It recognizes that everyone has the right to make decisions about their own lives, even when they need support. We move closer to creating a society that values inclusion, independence and respect for all as more states and organizations adopt SDM practices.

If this approach may be an option for someone you know, here are some things you can do:

• Attend a free informational session, in person or via webinar, hosted by Lutheran Social Service of Minnesota. 
• Schedule a one-on-one meeting with a Supported Decision-Making facilitator to learn how SDM can be individualized for your family and needs. This meeting and ongoing service are free of charge to participants. 
• Sign up for an ongoing supported decision-making consultation with LSS.

LSS Supported Decision-Making services are offered free of charge to participants.

For more information, reach out to the Lutheran Social Service of Minnesota Supported Decision-Making team by completing this request for information form, by calling 888.806.6844 or emailing [email protected]. 

You can also find supported decision-making information on our website.

This service is provided through funding made possible by the Minnesota Department of Human Services.