THE IDEAL TOOL STEP 3: Assess alternatives Assess alternatives to guardianship
If the patient is unable to make a needed decision, the next step is to screen for alternatives to guardianship that exist or that can be put in place to address the patient’s unmet needs. Review the Alternatives to Guardianship Resource Guide for more information about the options. Need/Area of Concern Personal decision-making Medical treatment and discharge planning Options (examples) • Ensuring supports and accommodations • Supported decision-making • Advance directive for health care • Surrogate decision-making • Medical Order for Life-Sustaining Treatment (MOLST) Mental health/psychiatric treatment • Advance directive for mental health services • Voluntary admission to a mental health facility • Involuntary admission a mental health facility • Behavioral Health Administration (BHA) resources Managing assets or benefits • Withholding or withdrawal of medically ineffective treatment • Home & Community Based Services and informal options
• Financial power of attorney • Authorized representative for medical assistance • Representative Payees and U.S. Department of Veterans Affairs (VA) Fiduciaries • Achieving Better Life Experience (ABLE) accounts • Trusts including special needs trusts • Banking services • Specific transaction (Transaction authorized by court without appointing guardian)
• Mediation • Long-Term Care (LTC) Ombudsman • Reporting abuse, neglect, or exploitation
Other issues/concerns
Observations & notes:
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