Medicaid’s promise to listen to what adults with intellectual and developmental disabilities have to say about what is and what is not working in their service system.

Improving the system for adults so they can be the boss of their own lives.

Guardianship and Supported Decision Making

Let’s create better supports so people with disabilities 

can lead more independent lives!


Supported Decision-Making helps you learn how to make
decisions about your life. You choose the people you trust to help you
understand complex information and make informed decisions about your medical,
legal, financial and other life matters.  It’s how most people make decisions. 

Being able to make choices about your life is crucial for the independence and happiness of all people. Decision-making is a skill and everyone needs practice. We all continue to grow and gain experience throughout our lives.  Supported Decision-Making (SDM) promotes your ability to be self-determined, have control over your own decisions, to be more self-sufficient and independent.  SDM empowers you to make informed decisions about your life that both protect your rights and ensure your safety and privacy.

About Guardianship:  A guardian is someone who can help you with making life decisions or make decisions for you. They are appointed by a judge to make those decisions. There are two types of guardianship: full and partial.  A full guardian can make decisions, with or without your opinion or permission in ALL areas of your life.  A partial (limited) guardian can make decisions, with our without your opinion or permission in SOME areas of your life. Many families seek guardianship to keep a person with a disability safe, but guardianship can be a restrictive option that may impact all or most civil rights of the person and it has not been proven to keep people safer.

Supported Decision-Making is an alternative to guardianship that enables people with disabilities to ask for support where and when they need it to make decisions about their life.  Powers of attorney, representative payees and simple release of information forms can also help families provide the needed supports and safeguards without going to court and imposing guardianship restrictions.

Supported Decision-Making is all about:

  • Self-determination and self-advocacy 
  • Showing people, that with their help, you can make good decisions that will improve the quality of your life
  • Working with a team of supporters to achieve your goals
  • Being willing to try new ideas and explore different possibilities
  • Looking at your own strengths and challenges when deciding on the supports you need in order to be successful
  • Be willing to accept the responsibilities and consequences of the decisions you make

Supported Decision-Making Agreements

When entering into a Supported Decision-Making agreement, the people who can help you in making decisions are called Supporters.  Supporters agree to help explain information, answer questions, weigh options, and let others know about decisions that you make.  They do not make decisions.

A Supported Decision-Making agreement includes a list of decisions that you want assistance in making and identifies Supporters you trust to help you.  Individuals and supporters can use existing sample SDM agreements (see list of resources) or create a new one, making sure the following elements are included:

  • Names and contact information of the people who will be supporting you with your agreement. 
  • Supporter Roles – a place for the supporter to voluntarily agree to help you make decisions in the areas of life you choose. Describes the role the supporter plays. 
  • Life Areas - where you will need help to make decisions in order to be healthy and safe and what kind of help you want.  For example: healthcare/medical, education, financial/money.  
  • How to change the agreement - describes how the agreement can be changed when needed. 
  • Signatures – a place for you and supporters to sign and date the agreement.


National Resources

Supporting People to Live Full Lives - Alternatives to Guardianship in Idaho

National Resource Center for Supported Decision-Making

American Civil Liberties Union - Sponsored Decision-Making Resource Library

Autistic Self-Advocacy Network: The Right to Make Choices - International Laws and Decision Making by People with Disabilities

Supported Decision - Making Teams: Setting the Wheels in Motion

Life Course Tools

The ARC, Center for Future Planning - Supported Decision - Making What Is It and What Do You Need to Know


Gabby's Story

Supported Decision-Making in Action: Timberley and Tonya's Story

Supported Decision-Making: Your Support, My decision

Supported Decision-Making (Canada)

Supported Decision-Making (Minnesota)

Making Health Care Choices: The Perspective of People with Disabilities

Decision Making 1

Decision Making 2

Ethics Panel

Judge Judge


Sample SDM Agreements

Support My Decision - Tools and Resources - Check out the ACLU: How to Make a Supported Decision - Making Agreement

Wisconsin Board for People with Developmental Disabilities - Sample SDM Agreement

Texas Council on Developmental Disabilities

Idaho Resources

Supporting People to Live Full Lives - Alternatives to Guardianship in Idaho

My Voice Counts - Guide for people with disabilities

Alternatives to Guardianship Resource List

Disability Rights Idaho

Idaho Legal Aid Services

Idaho Parents Unlimited, Inc.

Crisis Prevention and Court Services

Idaho Council on Developmental Disabilities

Idaho Supreme Court - Guardianships & Conservatorships

Idaho Volunteer Lawyers Program (IVLP)

Idaho Independent Living Centers

Idaho Forms

Living Will and Durable Power of Attorney for Health Care and Financial Affairs

HIPPA Authorization Form

Social Security Representative Payee Form

Idaho Declaration for Mental Health Treatment

Idaho Physician Orders for Scope of Treatment (POST)


We would like to hear from you.