Friday, August 11, 2017

Issues for Elders: Guardianship should only be sought as a last resort

Jill Burzynski
Guardianship is a process whereby a person is deemed legally incapacitated to make certain or all decisions and another person or persons is appointed to make decisions on the legally incapacitated person’s behalf.

Many people are actually incapacitated and unable to make their own decisions, but never have to go through the guardianship process. Having appropriate legal documents in place avoid many guardianships. These legal documents may include trusts, durable powers of attorney and designations of health care surrogate. Most types of trusts do the best job of guardianship avoidance because they take the grantor out of harm’s way when judgment is lacking.

While durable powers of attorney are helpful, they give the agent concurrent authority, leaving the incapacitated person vulnerable both to exploitation and his or her own poor judgment. Even if no legal documents exist and a person is incapable of understanding and thus executing documents, a careful review of the way assets are titled may prove that guardianship may not be necessary.

Some guardianships are necessary, even when legal documents exist, when the incapacitated person rejects efforts to provide assistance and is neglecting his or her own care. The disease of dementia can slowly rob a person of the judgment necessary to live independently.

If discussions about alternative living situations are delayed until the judgment is completely lacking, the incapacitated person cannot take part in decisions about care when care is needed.

Assistance to prevent self-neglect include several options, but are largely driven by finances and the ability for family to assist. Family members may be willing to provide help, but the elder may not want this type of help because he or she may not wish to burden the family with that responsibility. Other times family may not be able to provide the assistance needed due to jobs or other family demands but the elder may have assumed that family would provide all needed care.

Home care by an outside agency can certainly prevent self-neglect but extensive home care is an expensive proposition. Some families try to cut that cost by hiring individuals rather than agencies, but this decision carries a risk of exploitation, unrecoverable theft and tax risks. Other options include care in an assisted living community or (when needed) memory care. An ongoing discussion about alternatives to living alone while a dementia process is in the early stages may prevent a guardianship necessary due to self-neglect.

Guardianships are sometimes necessary because of exploitation or scams. If a senior has named a fiduciary who is not acting in his best interest, a guardianship can rectify the situation. However, guardianship should not be used just because one of the children disagrees with the choice of fiduciary that the senior made. Seniors are often targeted by sweepstakes and scams. Seniors who have financial worries are particularly vulnerable to scams. When efforts to dissuade further participation in scams fails, a guardianship can stop the abuse.

The process of guardianship can be hard on the senior as well as the family. The court appoints an attorney to represent the alleged incapacitated person as well as an examining committee. The committee visits with the alleged incapacitated person and issues a report. The attorney explains the process to the alleged incapacitated person (to the extent possible) and represents the incapacitated person at a hearing. The process is expensive. After the adjudication of incapacity, the guardian has ongoing court responsibilities and is limited in the actions that can be taken without a court order.

Guardianships are absolutely necessary in situations where no alternatives exist to prevent exploitation or neglect. However, planning early in the aging process can be invaluable in avoiding the hardship of a guardianship.

Full Article & Source:
Issues for Elders: Guardianship should only be sought as a last resort


Kathy said...

Judges need to do a better job of dismissing cases where it's clear there are other means of care besides guardianship.

Maria M said...

I completely agree! Laws need to give the presumption of authenticity and validity, including a presumption that the agent is qualified. Otherwise, a malcontent can drag you through a guardianship wasting what's meant for a senior's care defending a frivolous lawsuit. The malcontent literally is able to destroy a family, achieving his/her goal to harm.

Boston Angel said...

NONE of what is described in this article took place to declare my mom incapacitated!!!!!!! The hearings were held IN SECRET! Neither my mother nor myself were allowed to participate or were even notified. NO ONE was at this hearing to represent my mom or the family. It was all done SECRETLY!! I did not know a Guardian had been appointed until a 3rd party told me. Neither myself or my mother were ever notified by the court. If I had known I would have fought hard to try to have been appointed as her Guardian. Her Guardian is a random attorney appointed by the court. His only interest is getting his hands on the assets. He has her warehoused in a,neglectful substandard Nursing Home. She is not sick enough to be in a Nursing Home!

Anonymous said...

In S CA hospitals work together to capture guardian business.  My Uncle went into Hoag Hospital and was held for several days without a definitive diagnosis.  I have 34 years of medical experience, and I was not allowed to see any test results. They kicked me out of the hospital, sent my Aunt home and proceeded with the dirty work of medical kidnapping of my Uncle.  My sister had medical people set up for home care, an ambulance for transport, etc.  When my sister went back to the hospital to check him out, he wasn't there.  The hospital administration said they did not know where he was.  The manager of the nursing service that was at his house said she would get to the bottom of it.  She found out he had been medically kidnapped to Newport Subacute.  He had been drugged when my sister went to the facility to arrange ambulance transport home.  They told her they would not allow ambulance personnel on their grounds, so my sister carried him out to the car herself.  The next day, Hoag social workers, Adult Protective services and other people who didn't identify themselves descended on the house.  Fortunately everything was so well set up, they could do nothing (but Dr Ovale who successfully did this to my Dad, is still working on capturing both my Aunt and Uncle).  My Uncle's Medicare was cancelled, (as if he was declared dead) and we are still trying to find out about his Social Security payents. The HIPAA law exists to help medical facilities and corporations to do their business without families being able to get involved with loved ones finances and medical issues.  This was all planned out long ago, and we must put a halt to this usurpation and murderous intent.

NASGA said...

Boston Angel and Anonymous, unfortunately, what's happened in both of your cases is becoming the norm instead of isolated instances. We are sorry for the pain your loved one and your family has been put through.

We hope you'll join NASGA and work with us for reform. You are not alone.