2019 -- H 5909

========

LC002231

========

     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2019

____________

A N   A C T

RELATING TO PROBATE PRACTICE AND PROCEDURE -- SUPPORTED DECISION-

MAKING ACT

     

     Introduced By: Representatives Craven, McEntee, and McKiernan

     Date Introduced: March 27, 2019

     Referred To: House Judiciary

     It is enacted by the General Assembly as follows:

1

     SECTION 1. Title 33 of the General Laws entitled "PROBATE PRACTICE AND

2

PROCEDURE" is hereby amended by adding thereto the following chapter:

3

CHAPTER 15.3

4

SUPPORTED DECISION-MAKING ACT

5

     33-15.3-1. Short title.

6

     This chapter shall be known and may be cited as the "Supported Decision-Making Act."

7

     33-15.3-2. Purpose.

8

     (a) The purpose of this chapter is to achieve all of the following:

9

     (1) Provide assistance in gathering and assessing information, making informed

10

decisions, and communicating decisions for adults who would benefit from decision-making

11

assistance;

12

     (2) Give supporters legal status to be with the adult and participate in discussions with

13

others when the adult is making decisions or attempting to obtain information;

14

     (3) Enable supporters to assist in making and communicating decisions for the adult but

15

not substitute as the decision maker for that adult; and

16

     (4) Establish the use of supported decision-making as an alternative to guardianship.

17

     (b) This chapter is to be administered and interpreted in accordance with all of the

18

following principles:

 

1

     (1) All adults should be able to choose to live in the manner they wish and to accept or

2

refuse support, assistance, or protection;

3

     (2) All adults should be able to be informed about and participate in the management of

4

their affairs; and

5

     (3) The values, beliefs, wishes, cultural norms, and traditions that adults hold, should be

6

respected in supporting adults to manage their affairs.

7

     33-15.3-3. Definitions.

8

     For the purposes of this chapter:

9

     (1) "Adult" means an individual who is eighteen (18) years of age or older.

10

     (2) "Affairs" means personal, health care, and financial matters arising in the course of

11

activities of daily living and includes all of the following:

12

     (i) Those health care and personal affairs in which adults make their own health care

13

decisions, including monitoring their own health; obtaining, scheduling, and coordinating health

14

and support services; understanding health care information and options; and making personal

15

decisions, including those to provide for their own care and comfort; and

16

     (ii) Those financial affairs in which adults manage their income and assets and its use for

17

clothing, support, care, comfort, education, shelter, and payment of other liabilities of the

18

individual.

19

     (3) "Good faith" means honesty in fact and the observance of reasonable standards of fair

20

dealing.

21

     (4) "Immediate family member" means a spouse, child, sibling, parent, grandparent,

22

grandchild, stepparent, stepchild, or stepsibling.

23

     (5) "Person" means an adult; health care institution; health care provider; corporation;

24

partnership; limited liability company; association; joint venture; government; governmental

25

subdivision, agency, or instrumentality; public corporation; or any other legal or commercial

26

entity.

27

     (6) "Principal" means an adult who seeks to enter, or has entered, into a supported

28

decision-making agreement with a supporter under this chapter.

29

     (7) "Supported decision-making" means a process of supporting and accommodating an

30

adult to enable the adult to make life decisions, including decisions related to where the adult

31

wants to live, the services, supports, and medical care the adult wants to receive, whom the adult

32

wants to live with, where the adult wants to work, and how the adult wants to manage finances,

33

without impeding the self-determination of the adult.

34

     (8) "Supported decision-making agreement" or "the agreement" means an agreement

 

LC002231 - Page 2 of 22

1

between a principal and a supporter entered into under this chapter.

2

     (9) "Supporter" means a person who is named in a supported decision-making agreement

3

and is not prohibited from acting pursuant to § 33-15.3-6(b).

4

     (10) "Support services" means a coordinated system of social and other services supplied

5

by private, state, institutional, or community providers designed to help maintain the

6

independence of an adult, including any of the following:

7

     (i) Homemaker-type services, including house repair, home cleaning, laundry, shopping,

8

and meal-provision;

9

     (ii) Companion-type services, including transportation, escort, and facilitation of written,

10

oral, and electronic communication;

11

     (iii) Visiting nurse and attendant care;

12

     (iv) Health care provision;

13

     (v) Physical and psychosocial assessments;

14

     (vi) Financial assessments and advisement on banking, taxes, loans, investments, and

15

management of real property;

16

     (vii) Legal assessments and advisement;

17

     (viii) Education and educational assessment and advisement;

18

     (ix) Hands-on treatment or care, including assistance with activities of daily living such

19

as bathing, dressing, eating, range of motion, toileting, transferring, and ambulation;

20

     (x) Care planning; and

21

     (xi) Other services needed to maintain the independence of an adult.

22

     33-15.3-4. Presumption of capacity.

23

     (a) All adults are presumed to be capable of managing their affairs and to have legal

24

capacity.

25

     (b) The manner in which an adult communicates with others is not grounds for deciding

26

that the adult is incapable of managing the adult's affairs.

27

     (c) Execution of a supported decision-making agreement may not be used as evidence of

28

incapacity and does not preclude the ability of the adult who has entered into such an agreement

29

to act independently of the agreement.

30

     33-15.3-5. Supported decision-making agreements.

31

     (a) A supported decision-making agreement must include all of the following:

32

     (1) Designation of at least one supporter;

33

     (2) The types of decisions for which the supporter is authorized to assist; and

34

     (3) The types of decisions, if any, for which the supporter may not assist.

 

LC002231 - Page 3 of 22

1

     (b) A supported decision-making agreement may include any of the following:

2

     (i) Designation of more than one supporter;

3

     (ii) Provision for an alternate to act in the place of a supporter in such circumstances as

4

may be specified in the agreement; and

5

     (iii) Authorization for a supporter to share information with any other supporter named in

6

the agreement, as a supporter believes is necessary.

7

     (c) A supported decision-making agreement is valid only if all of the following occur:

8

     (1) The agreement is in a writing that contains the elements of the form contained in §

9

33-15.3-11;

10

     (2) The agreement is dated; and

11

     (3) Each party to the agreement signed the agreement in the presence of two (2) adult

12

witnesses, or before a notary public.

13

     (d) The two (2) adult witnesses required by subsection (c)(3) of this section may not be

14

any of the following:

15

     (1) A supporter for the principal;

16

     (2) An employee or agent of a supporter named in the supported decision-making

17

agreement;

18

     (3) A paid provider of services to the principal; and

19

     (4) Any person who does not understand the type of communication the principal uses,

20

unless an individual who understands the principal's means of communication is present to assist

21

during the execution of the supported decision-making agreement.

22

     (e) A supported decision-making agreement must contain a separate declaration signed

23

by each supporter named in the agreement indicating all of the following:

24

     (1) The supporter's relationship to the principal;

25

     (2) The supporter's willingness to act as a supporter; and

26

     (3) The supporter's acknowledgement of the role of a supporter under this chapter.

27

     (f) A supported decision-making agreement may authorize a supporter to assist the

28

principal to decide whether to give or refuse consent to a life sustaining procedure pursuant to the

29

provisions of chapters 4.10 and 4.11 of title 23.

30

     (g) A principal or a supporter may revoke a supported decision-making agreement at any

31

time in writing and with notice to the other parties to the agreement.

32

     33-15.3-6. Supporters.

33

     (a) Except as otherwise provided by a supported decision-making agreement, a supporter

34

may do all of the following:

 

LC002231 - Page 4 of 22

1

     (1) Assist the principal in understanding information, options, responsibilities, and

2

consequences of the principal's life decisions, including those decisions relating to the principal's

3

affairs or support services;

4

     (2) Help the principal access, obtain, and understand any information that is relevant to

5

any given life decision, including medical, psychological, financial, or educational decisions, or

6

any treatment records or records necessary to manage the principal's affairs or support services;

7

     (3) Assist the principal in finding, obtaining, making appointments for, and implementing

8

the principal's support services or plans for support services;

9

     (4) Help the principal monitor information about the principal's affairs or support

10

services, including keeping track of future necessary or recommended services; and

11

     (5) Ascertain the wishes and decisions of the principal, assist in communicating those

12

wishes and decisions to other persons, and advocate to ensure that the wishes and decisions of the

13

principal are implemented.

14

     (b) Any of the following are disqualified from acting as a supporter:

15

     (1) A person who is an employer or employee of the principal, unless the person is an

16

immediate family member of the principal;

17

     (2) A person directly providing paid support services to the principal, unless the person is

18

an immediate family member of the principal; and

19

     (3) An individual against whom the principal has obtained an order of protection from

20

abuse or an individual who is the subject of a civil or criminal order prohibiting contact with the

21

principal.

22

     (c) A supporter shall act with the care, competence, and diligence ordinarily exercised by

23

individuals in similar circumstances, with due regard either to the possession of, or lack of,

24

special skills or expertise.

25

     33-15.3-7. Recognition of supporters.

26

     A decision or request made or communicated with the assistance of a supporter in

27

conformity with this chapter shall be recognized for the purposes of any provision of law as the

28

decision or request of the principal and may be enforced by the principal or supporter in law or

29

equity on the same basis as a decision or request of the principal.

30

     33-15.3-8. Limitations of liability.

31

     (a) A person, who in good faith acts in reliance on an authorization in a supported

32

decision-making agreement, or who in good faith declines to honor an authorization in a

33

supported decision-making agreement, is not subject to civil or criminal liability or to discipline

34

for unprofessional conduct for any of the following:

 

LC002231 - Page 5 of 22

1

     (1) Complying with an authorization in a supported decision-making agreement based on

2

an assumption that the underlying supported decision-making agreement was valid when made

3

and has not been revoked;

4

     (2) Declining to comply with an authorization in a supported decision-making agreement

5

based on actual knowledge that the agreement is invalid.

6

     33-15.3-9. Access to information.

7

     (a) A supporter may assist the principal with obtaining any information to which the

8

principal is entitled, including, with a signed and dated specific consent, protected health

9

information under the Health Insurance Portability and Accountability Act of 1996 [Pub. L. 104-

10

191], educational records under the Family Educational Rights and Privacy Act of 1974 [20

11

U.S.C. § 1232g], or information protected by 42 U.S.C.A. § 290dd-2, 42 C.F.R Part 2.

12

     (b) The supporter shall ensure all information collected on behalf of the principal under

13

this section is kept privileged and confidential, as applicable; is not subject to unauthorized

14

access, use, or disclosure; and is properly disposed of when appropriate.

15

     33-15.3-10. Reporting of suspected abuse, neglect, or exploitation.

16

     If a person who receives a copy of a supported decision-making agreement or is aware of

17

the existence of a supported decision-making agreement has cause to believe that the principal,

18

who is an adult with a developmental disability or an elder, is being abused, neglected, or

19

exploited by the supporter, the person shall report the alleged abuse, neglect, or exploitation

20

pursuant to §§ 40.1-27-02, and 42-66-8.

21

     33-15.3-11. Form of supported decision-making agreement.

22

     A supported decision-making agreement may be in any form not inconsistent with the

23

following form and the other requirements of this chapter. Use of the following form is presumed

24

to meet statutory provisions.

25

SUPPORTED DECISION-MAKING AGREEMENT

26

Appointment of Supporter

27

I, .....................................(insert your name), make this agreement of my own free will.

28

I agree and designate that:

29

Name:...............................

30

Address: .............................................

31

Phone Number: ...................................

32

E-mail Address: ....................................

33

is my supporter. My supporter may help me with making everyday life decisions relating to the

34

following:

 

LC002231 - Page 6 of 22

1

     Y/N Obtaining food, clothing, and shelter

2

     Y/N Taking care of my health

3

     Y/N Managing my financial affairs

4

     Y/N Other (specify):

5

______________________________________________________________________________

6

______________________________________________________________________________

7

I agree and designate that:

8

Name: ................................................

9

Address: ...................................

10

Phone Number:....................................

11

E-mail Address: ...........................................

12

is my supporter. My supporter may help me with making everyday life decisions relating to the

13

following:

14

     Y/N Obtaining food, clothing, and shelter

15

     Y/N Taking care of my physical health

16

     Y/N Managing my financial affairs

17

     Y/N Other (specify):

18

______________________________________________________________________________

19

______________________________________________________________________________

20

My supporter(s) is (are) not allowed to make decisions for me. To help me with my decisions, my

21

supporter(s) may:

22

     (1) Help me access, collect, or obtain information that is relevant to a decision, including

23

medical, psychological, financial, educational, or treatment records;

24

     (2) Help me gather and complete appropriate authorizations and releases;

25

     (3) Help me understand my options so I can make an informed decision; and

26

     (4) Help me communicate my decision to appropriate persons.

27

Effective Date of Supported Decision-Making Agreement

28

This supported decision-making agreement is effective immediately and will continue

29

until.................................(insert date) or until the agreement is terminated by my supporter or me

30

or by operation of law.

31

Signed this ..................day of .................., 20.............

32

Consent of Supporter

33

I, ...................................... (name of supporter), consent to act as a supporter under this agreement,

34

and acknowledge my responsibilities under chapter 15.3 of title 33.

 

LC002231 - Page 7 of 22

1

.....................................................................................................................................................

2

(Signature of supporter) (Printed name of supporter)

3

My relationship to the principal is: .................................................

4

I, ........................................... (Name of supporter), consent to act as a supporter under this

5

agreement, and acknowledge my responsibilities under chapter 15.3 of title 33.

6

.......................................................................................................................................................

7

(Signature of supporter) (Printed name of supporter)

8

My relationship to the principal is: ..........................................................

9

Consent of the Principal

10

.......................................................................................................................................................

11

(My signature) (My printed name)

12

Witnesses or Notary

13

...........................................................................................................................................................

14

(Witness 1 signature) (Printed name of witness 1)

15

...........................................................................................................................................................

16

(Witness 2 signature) (Printed name of witness 2)

17

Or

18

State of .....................................

19

County of ..................................

20

This document was acknowledged before me on (date) by

21

...................................................................... and ............................................................................. .

22

(Name of adult with a disability) (Name of supporter)

23

.......................................................................

24

(Signature of notarial officer)

25

(Seal, if any, of notary)

26

.......................................................................

27

(Printed name)

28

My commission expires: ................................................

29

     SECTION 2. Section 33-15-47 of the General Laws in Chapter 33-15 entitled "Limited

30

Guardianship and Guardianship of Adults" is hereby amended to read as follows:

31

     33-15-47. Forms.

32

     The following forms shall be used for the purposes of this chapter:

33

STATE OF RHODE ISLAND PROBATE COURT

34

OF THE COUNTY OF ______________________ __________________

 

LC002231 - Page 8 of 22

1

No. ________________

2

ESTATE OF ____________________________

3

PERSONAL ESTATE ESTIMATED AT $________ CITY/TOWN OF

4

      ________________

5

19 _____________

6

PETITION FOR LIMITED GUARDIANSHIP OR GUARDIANSHIP

7

______________________hereby petitions the Probate Court of the city/town of _____________

8

Petitioner

9

to appoint a limited guardian/guardian for ______________ who currently resides at

10

________________________, in the city/town of __________________, and whose date of birth

11

Address

12

is __________________.

13

Based upon an assessment conducted by __________________ on______________________,

14

Date

15

which functional assessment reflects the current level of functioning of __________________, it

16

Respondent

17

has been determined that _____________ lacks decision-making ability in one or more of the

18

Respondent

19

following areas as indicated:

20

     ____ health care

21

     ____ financial matters

22

     ____ residence

23

     ____ association

24

     ____ other

25

     Regarding each area indicated, please describe the specific assistance needed:

26

     

27

     

28

     

29

     

30

     

31

     Indicate which of the following less restrictive alternatives to guardianship have been

32

explored and deemed inappropriate as indicated:

33

     ____ Durable Power of Attorney for Health Care

34

     ____ Living Will

 

LC002231 - Page 9 of 22

1

     ____ Power of Attorney

2

     ____ Durable Power of Attorney

3

     ____ Trusts

4

     ____ Joint Property Arrangements

5

     ____ Representative Payee

6

     ____ Money Management

7

     ____ Single Court Transactions

8

     ____ Government Benefit and Social Service Programs

9

     ____ Housing Options

10

     ____ Supported Decision-Making Agreement

11

     ____ Other

12

     Please describe the basis for the determination that the alternative will not meet the needs

13

of the respondent for each alternative explored and deemed inappropriate:

14

     

15

     

16

     

17

     

18

     

19

     

20

     

21

     

22

     

23

     

24

     

25

     

26

     

27

     

28

     

29

     The following individual/agency is willing to serve as guardian:

30

     

31

     

32

     

33

     Upon information and belief the above individual/agency has:

34

□ No conflict of interest that would interfere with guardianship duties.

 

LC002231 - Page 10 of 22

1

□ No criminal background that would interfere with guardianship duties.

2

□ The capacity to manage financial resources involved.

3

□ The ability to meet requirements of law and unique needs of individual.

4

□ Demonstrated willingness to undergo training.

5

     The Respondent has the following heirs at law:

6

     NAME: RESIDENCE:

7

     

8

     

9

     

10

     

11

     

12

     

13

___________________________________

14

Signature

15

___________________________________

16

Name

17

___________________________________

18

Address

19

_____________________________

20

Telephone

21

     Subscribed and sworn to before me this as to the truth of the above facts by ________ in

22

________ on the ________day of ________, 19____.

23

___________________________________

24

Notary Public

25

___________________________________

26

Print Name

27

DECREE

28

__________________

29

Dated __________________________

30

PROBATE JUDGE

31

     This notice should be served at once and returned to the clerk of the court.

32

NOTICE

33

STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS

34

BY THE PROBATE COURT OF THE __________ OF ____________

 

LC002231 - Page 11 of 22

1

BY THE COUNTY OF ______________ AND STATE AFORESAID

2

     To ________________________

3

     Estate or ______________

4

     Docket No. _____________

5

GREETING:

6

     A petition for Limited Guardianship/Guardianship has been filed in the Probate Court of

7

the city/town of _______________________. ________________________ has requested that

8

the Probate Petitioner

9

Court appoint a limited guardian/guardian for you.

10

     A hearing regarding this Petition shall be held

11

      On: ____________________________________

12

date

13

      At: ____________________________________

14

time

15

at the Probate Court for the town of .

16

     

17

Address

18

     

19

     The Petition requests that the Probate Court consider the qualification of the following

20

individual/agency to serve as your limited guardian/guardian:

21

     

22

     

23

     A guardian ad litem will be appointed by the Probate Court to visit you, explain the

24

process and inform you of your rights.

25

     You have the right to attend the hearing to contest the petition, to request that the powers

26

of the guardian be limited or to object to the appointment of particular individual/agency limited

27

guardian/ guardian. If you wish to contest the petition, you have the right to be represented by an

28

attorney, at state expense, if you are indigent.

29

     If the Petition is granted and a limited guardian/guardian is appointed, the Probate Court

30

may give the limited guardian/guardian the power to make decisions about one or more of the

31

following:

32

     Your health care; your money; where you live; and with whom you associate.

33

     Copies of this Notice will be mailed to:

34

The administrator of any care or treatment facility where you live or receive primary

 

LC002231 - Page 12 of 22

1

services;

2

your spouse, and heirs at law; any individual or entity known to petitioner to be

3

regularly

4

supplying protection services to you.

5

CERTIFICATION OF SERVICE

6

     I certify that I hand-delivered and read this Notice to __________________ on the

7

________ day of________, 19____.

8

___________________________________

9

Signature

10

___________________________________

11

Print Name

12

___________________________________

13

Address

14

CERTIFICATION OF NOTICE

15

     I certify that, as required by Rhode Island General Laws § 33-15-17.1(e), I mailed a copy

16

of this Notice to the following persons, at the addresses listed, on the ________ day of ________,

17

19____.

18

___________________________________

19

Signature

20

___________________________________

21

Print Name

22

___________________________________

23

Address

24

     Subscribed and sworn to before me this ________ day of ________, 19____.

25

________________________________

26

Notary Public

27

WITNESS

28

     Judge of the Probate Court of the ________ of ________ this ________ day of

29

________, 19____.

30

__________________________________

31

Clerk

32

DECISION-MAKING ASSESSMENT TOOL

33

Name of Individual being assessed: Current Address:

34

_________________________ _____________________________

 

LC002231 - Page 13 of 22

1

Date of Birth: Permanent Address (if different):

2

_________________________ _____________________________

3

Instructions for Completion

4

     This document will be used by a Probate Court to determine whether to appoint a

5

guardian to assist this individual in some or all areas of decision-making.

6

     This document has two parts. Please first complete the part which is right after these

7

instructions, titled Assessment. Then complete the second section, titled Summary.

8

     To a physician completing this document: The individual's treating physician must

9

complete this document. If there is any information of which the treating physician completing

10

this document does not have direct knowledge, he or she is encouraged to make such inquiries of

11

such other persons as are necessary to complete the entire form. Those persons might include

12

other medical personnel such as nurses, or other persons such as family members or social service

13

professionals who are acquainted with the individual. If the physician has received information

14

from others in completing the form, the names of those individuals must be listed on the

15

Summary.

16

     To a non-physician completing this document: Professionals or other persons acquainted

17

with the individual being assessed may also complete this document. If there is information of

18

which a non-physician completing this document does not have knowledge, such non-physician

19

may either leave portions of the document blank, or also make inquiries or do such investigation

20

as is necessary to complete the entire document. Again, the names of any individual from whom

21

information is derived should be listed on the Summary.

22

     The document must be signed and dated by the person completing it. It does not need to

23

be notarized.

24

A. BIOLOGICAL ASSESSMENT

25

     THE FOLLOWING IS BASED UPON A PHYSICAL EXAMINATION CONDUCTED

26

BY ME ON

27

     __________________________

28

     (DATE)

29

     1. DIAGNOSIS and PROGNOSIS:

30

     

31

     2. MEDICATION (PLEASE LIST):

32

     

33

     

34

     

 

LC002231 - Page 14 of 22

1

     

2

     

3

     How do the above medications, if any, affect the individual's decision-making ability?

4

Please explain:

5

     

6

     

7

     

8

     

9

     

10

     3. CURRENT NUTRITIONAL STATUS:

11

     

12

     

13

     

14

     

15

     

16

B. PSYCHOLOGICAL ASSESSMENT

17

1. MEMORY (CIRCLE ONE)

18

     (A) Intact; (B) Mild Impairment; (C) Moderate Impairment; (D) Severe Impairment

19

2. ATTENTION (CIRCLE ONE)

20

     (A) Intact; (B) Mild Impairment; (C) Shifting/Wandering; (D) Delirium; (E)

21

Unresponsive

22

3. JUDGMENT (CIRCLE ONE)

23

     (A) Intact; (B) Able to Make Most Decisions; (C) Impaired; (D) Gross Impairment

24

4. LANGUAGE (CIRCLE ALL THAT APPLY)

25

     (A) Intact (B) Sensory Deficits (Hearing/Speech/Sight)

26

     (C) Impairment In Comprehension/Speech: Mild/Moderate/Severe

27

     (D) Completely Unresponsive

28

5. EMOTION (CIRCLE ALL THAT APPLY)

29

     (A) ANXIETY/DEPRESSION: (1) None (2) History of Anxiety/Depression

30

     (3) Moderate Symptoms of Anxiety/Depression

31

     (4) Severe symptoms with sleep/appetite/energy disturbance

32

     (5) Suicide/Homicidal

33

     (B) OTHER: (1) Suspiciousness/Belligerence/Explosiveness

34

     (2) Delusions/Hallucinations (3) Unresponsive

 

LC002231 - Page 15 of 22

1

     If you circled any of the above, other than (A) or (1) for any of the above categories,

2

please explain whether the situation is treatable or reversible, and if so, how:

3

C. SOCIAL ASSESSMENT

4

1. MOBILITY (CIRCLE ALL THAT APPLY)

5

     (A) Intact/Exercises (B) Drives Car Or Uses Public Transportation

6

     (C) Independent Ambulation in Home Only; (D) Walker/Cane; (E) Requires Assistance

7

     If you circled (C), (D), or (E), is situation treatable or reversible? If so, how?

8

     

9

     

10

     

11

     

12

     

13

2. SELF CARE (CIRCLE ALL THAT APPLY)

14

     (A) No Assistance Needed;

15

     (B) Requires Assistance with (1) Meals (2) Bathing (3) Dressing (4) Toileting/Feeding

16

     If you circled any of (B), is individual aware that assistance is required?

17

___________________

18

     Is individual willing to accept assistance?

19

     Is individual able to arrange for assistance?

20

3. CARE PLAN MAINTENANCE (CIRCLE ALL THAT APPLY)

21

     (A) No Active Problem; (B) Initiates Problem Identification; (C) Actively Cooperative;

22

(D) Passively Cooperative; (E) Passively Uncooperative; (F) Actively Uncooperative

23

4. SOCIAL NETWORK RELATIONSHIPS

24

(CIRCLE ONE IN (A) AND IN ONE IN (B))

25

     SUPPORT:

26

     (1) Very Good Supportive Network; (2) Some Support From Family And Friends; (3) No

27

Or Limited Support From Family/Friends; (4) Needs Community Support; (5)

28

Isolated/Homebound

29

     (B) SOCIAL SKILLS:

30

     (1) Very Good Social Skills; (2) Good Social Skills; (3) Interacts With Prompting; (4)

31

Isolated

32

D. SUMMARY

33

     I hereby certify that I have reviewed sections A, B, & C attached hereto and based on

34

such assessments that the individual's decision-making ability is as follows:

 

LC002231 - Page 16 of 22

1

     (1) PLEASE DESCRIBE AS FULLY AS YOU CAN THE INDIVIDUAL'S DECISION-

2

MAKING ABILITY IN EACH OF THE FOLLOWING AREAS:

3

     A. FINANCIAL MATTERS

4

     

5

     

6

     

7

     

8

     

9

     B. HEALTH CARE MATTERS

10

     

11

     

12

     

13

     

14

     

15

     C. RELATIONSHIPS

16

     

17

     

18

     

19

     

20

     

21

     D. RESIDENTIAL MATTERS

22

     

23

     

24

     

25

     

26

     

27

     (2) PLEASE INDICATE YOUR OPINION REGARDING WHETHER THE

28

INDIVIDUAL NEEDS A SUBSTITUTE DECISION-MAKER IN ANY OF THE FOLLOWING

29

AREAS: (Circle one for each category. If you circle "limited" for any category, please explain.)

30

     (1) FINANCIAL MATTERS Yes No Limited

31

     

32

     

33

     

34

     

 

LC002231 - Page 17 of 22

1

     

2

     (2) HEALTH CARE MATTERS Yes No Limited

3

     

4

     

5

     

6

     

7

     

8

     (3) RELATIONSHIPS Yes No Limited

9

     

10

     

11

     

12

     

13

     

14

     (4) RESIDENTIAL MATTERS Yes No Limited

15

     

16

     

17

     

18

     

19

     

20

     (5) OTHER: If there are any other areas in which you think the individual lacks decision-

21

making ability or has limited decision-making ability, please explain.

22

     

23

     

24

     

25

     

26

     

27

     __________________________________

28

      Signature

29

_______________________________

30

Name (Print or Type)

31

_______________________________

32

Title

33

_______________________________

34

Date

 

LC002231 - Page 18 of 22

1

_______________________________

2

     Names and titles of others who assisted in Preparation of This Assessment.

3

     

4

     

5

     

6

     

7

     

8

     STATE OF RHODE ISLAND PROBATE COURT

9

OF THE

10

COUNTY OF ___________________

11

Estate of ________________________ Docket No. ________________

12

ANNUAL STATUS REPORT

13

     (1) The residence of the ward is

14

     (2) The medical condition of the ward is:

15

     

16

     

17

     

18

     (3) I perceive the following changes in the decision making capacity of the ward:

19

     

20

     

21

     

22

     (4) The following is a summary of the actions I have taken and decisions I have made on

23

behalf of the ward during the last year:

24

     

25

     

26

     

27

     (If more space is needed, please attach a supplement).

28

__________________________

29

Guardian

30

__________________________

31

Date

32

STATE OF RHODE ISLAND PROBATE COURT OF

33

COUNTY OF _____________ THE _______________________

34

     (Estate Name)

 

LC002231 - Page 19 of 22

1

      Probate Court No. ______

2

REPORT OF THE GUARDIAN AD LITEM

3

     Now comes (Name of Guardian Ad Litem) for (Name of Proposed Ward) and reports that

4

on (Date), I personally visited the proposed ward at (Address). I explained to (Name of Proposed

5

Ward) the following:

6

     * The nature, purpose, and legal effect of the appointment of a guardian;

7

     * The hearing procedure, including, but not limited to, the right to contest the petition, to

8

request limits on the guardian's powers, to object to a particular person being appointed guardian,

9

to be present at the hearing, and to be represented by legal counsel;

10

     * The name of the person known to be seeking appointment as guardian:

11

     Based on such visit and the respondent's reaction thereto, I make the following

12

determination regarding the respondent's desire to be present at the hearing, to contest the

13

petition, to have limits placed on the guardian's powers and respondent's objection, if any, to a

14

particular person being appointed as guardian.

15

     

16

     

17

     

18

     

19

     Based on my review of the petition, the decision making assessment tool, my interview

20

with the prospective guardian, my visit with the respondent, and interviews and discussions with

21

other parties, I made the following additional determinations:

22

     Regarding whether the respondent is in need of a guardian of the type prayed for in the

23

petition:

24

     

25

     

26

     

27

     

28

     Regarding whether the guardian ad litem has, in the course of fulfilling his or her duties,

29

discovered information concerning the suitability of the individual or entity to serve as such

30

guardian:

31

     

32

     

33

     

34

     

 

LC002231 - Page 20 of 22

1

Respectfully submitted,

2

Date:________________________ _________________________

3

(Name of Guardian Ad Litem)

4

     SECTION 3. This act shall take effect upon passage.

========

LC002231

========

 

LC002231 - Page 21 of 22

EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N   A C T

RELATING TO PROBATE PRACTICE AND PROCEDURE -- SUPPORTED DECISION-

MAKING ACT

***

1

     This act would establish the supported decision-making act which is a less restrictive

2

alternative to guardianship for utilization of the probate courts.

3

     This act would take effect upon passage.

========

LC002231

========

 

LC002231 - Page 22 of 22