On October 16, the AARP Public Policy Institute released a report presenting findings from an in-depth study of how professional guardians make decisions about where incapacitated adults live.
The report, entitled Choosing Home for Someone Else: Guardian Decisions on Long-Term Services and Supports (Karp, N. & Wood, E.), includes original research on where people under guardianship live, how guardians make residential decisions, and how they seek to balance independence and perceived risk, often in the face of restricted options. The report includes recommendations bearing on effective, person-centered guardian residential decisions.
Guardians are responsible for society’s most vulnerable at-risk adults. One of their most important decisions is where the incapacitated person will live: in a personal residence, the community or a nursing facility. Their choices are limited by the options available particularly as budget cutbacks have impacted home and community based services. At the same time, guardians’ consent may be necessary to make long-term services and supports function as they should.