Understanding Supported Decision-Making for People with Disabilities

What Is Supported Decision-Making?

Supported decision-making is a process that allows individuals with disabilities to make their own choices about their lives with help from a network of trusted supporters. Rather than transferring legal authority to a guardian, supported decision-making keeps the individual at the center of every decision.

Why It Matters

For decades, many individuals with intellectual and developmental disabilities were placed under full guardianship, meaning another person made all major decisions on their behalf. Supported decision-making recognizes that most people — regardless of disability — can direct their own lives when given the right support.

How It Works

A supported decision-making agreement typically involves:

• Choosing supporters: The individual selects trusted friends, family members, or professionals
• Defining the support: Supporters help gather information, explain options, and communicate decisions
• Maintaining authority: The individual retains full legal decision-making power
• Regular review: Agreements are revisited as needs and circumstances change

Legal Recognition

A growing number of states now formally recognize supported decision-making agreements in law. Advocacy organizations continue to push for broader adoption as a preferred alternative to guardianship across the country.

Getting Started

If you or a family member is interested in supported decision-making, contact a disability advocacy organization in your area. Many offer free consultations and template agreements to help you get started.