What happens when an adult child is capable of some independence—but still needs a trusted voice and guidance to help think things through?

Supported Decision Making (SDM) is a way for people with disabilities to make their own decisions — with a little help from people they trust. Instead of turning decision-making over to a guardian, SDM lets individuals stay in control while family members, friends, or professionals help them understand information, weigh their options, and communicate their choices. Support can cover any area of life — healthcare, finances, housing, education, or daily living — and it’s completely flexible. A person can get help in one area or many, and the support always reflects their individual needs and goals.

What are the Benefits of Supported Decision Making?

• Supports independence and autonomy

• Can reduce or prevent the need for guardianship (limited or full)

• Agreements can be flexible, covering only the areas where support is needed

What does a Supported Decision-Making Agreement Typically Include?

• Name and contact information of the person and supporter(s)

• Types of decisions supporter(s) may help with

• The supporter(s)’ role (explaining information, helping communicate decisions, etc.)

• Signatures of the person and supporter(s), and two witnesses or a notary

Supported Decision Making Agreements May Cover Decisions Related To:

• Medical care

• Finances

• Housing

• Education

• Daily living

Decision-Making Support Tools

• Release of Information forms

  • Allows supporters to access medical, educational, or financial information

  • Supported Decision-Making Agreement

• Outlines who helps and how

  • Representative Payer

• Manages SSI/SSDI benefits on behalf of the person.

  • Power of Attorney (Health Care or Finance)

• Allows someone to make decisions only if the person cannot.

Getting Started with Supported Decision-Making

• Start a conversation

  • Discuss strengths, areas where support is helpful, and goals for independence.

• Identify “Supporters”

  • Choose trusted people who are willing and able to assist

  • Talk through what support looks like

• What decisions need help? How will information be shared? How will decisions be communicated? When will things be revisited

  • Create an individualized agreement

• Tailor it to the person’s needs and preferences

  • Share the agreement

• Provide copies to all relevant places (e.g., schools, doctors, service providers, financial institutions, etc.)

*Additional information can be found at: _https://wi-bpdd.org/wp-content/uploads/2024/01/SDM_toolkit_01262024.pdf

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Author: Wisconsin Family Connections Center
Additional Author: Coalition for Children, Youth & Families