All states have guardianship (sometimes known as conservator) laws to protect adults who are unable to make decisions for themselves such as medical treatment and financial decisions. Through a legal proceeding, a court can appoint a guardian to assist individuals found to be incapacitated with aspects of life that the individual can no longer manage.

 In New York State, the guardianship law for all adults who become incapacitated is Article 81 of the Mental Hygiene Law, which requires that a person needing a guardian either agree to the appointment or be determined incapacitated by a court. A determination of incapacity requires strong proof that the person will suffer harm because of their inability to manage financial or personal affairs and are unable to understand the nature and consequences of such inability.  Guardians have very high standards of responsibility and accountability and must make decisions in light of the incapacitated person’s functional level, understanding, personal wishes, preferences and desires. After a hearing takes place, the court will determine if a guardian should be appointed and if so, identify the powers held by the guardian.  Powers may include property or authority relating to the personal needs of the incapacitated person. Visit the NYS Court website for more information on guardian and fiduciary services.

 Consider this case example:

 About two years ago, Mrs. A, an 84-year-old retired nurse, became re-acquainted with her nephew after years of no contact with him. At first it appeared to family members that Robert was helping Mrs. A around the house while serving as good companion to her. However, recently Mrs. A’s daughter noticed that she had difficulty getting in touch with her mother who seemed secretive and vague about how she was spending her time.

 Mrs. A’s daughter also noticed that Mrs. A’s home was increasingly in poor condition. Yet, Mrs. A resisted any attempts to bring in hired help, saying that Robert would help her. Additionally, Mrs. A stopped going to her local senior center and stopped socializing with longtime friends.

 Finally, after not hearing from Mrs. A for over a week, her daughter became concerned and went to Mrs. A’s house. The house was in disarray, and there was little food in the kitchen. Her daughter also looked at Mrs. A’s most recent bank statements and saw numerous large withdrawals from the account, totaling over $13,000. When Mrs. A’s daughter asked what the withdrawals were for, Mrs. A said, “Robert handles that now….” Mrs. A’s daughter does not have a power of attorney and she is not her mother’s health proxy. Out of concern for her mother’s physical well-being and  finances, she petitions the court to become her mother’s guardian.

As this case illustrates, a family member (or a professional or institution) wanting to protect older adults might pursue guardianship. Yet this legal mechanism can be confusing to those unfamiliar with it.

 How is a Guardian Appointed?

 An individual, a family member, friend, agency or institution, can petition for a guardianship if they are concerned that some harm will come to the older adult without one. In New York it is almost impossible to bring a guardianship proceeding without an attorney. In other states, a large percentage of guardianship petitioners are “pro se” (meaning self-represented). An attorney familiar with guardianship will be needed to start this process in Supreme Court and will represent the petitioner through the court proceeding. To find a certified elder law attorney in your area, visit the National Academy of Elder Law Attorneys (NAELA) website.

 Unfortunately, some individuals have no one to bring a guardianship proceeding for them and do not live in an area where a community agency is located. (If no family or friends are available or willing to act as petitioner, the law allows a community agency to be petitioner.) In this situation, the individual may be eligible for Adult Protective Services (APS). In New York, this agency is authorized by law to intervene for adults who are in the community, at risk and have no one available to assist them. APS is able to act as petitioner and guardian for clients. See the APS website for eligibility requirements, how to make a referral and contact numbers.

 Additional resources

 Click here to view an online manual posted by the Guardian Assistance Network, which provides a detailed discussion of the role and responsibilities of the guardian, including annual reporting requirements.

 Click here for a schedule of certified trainings, which are required for Article 81 guardians once appointed.

 *This blog post is excerpted from NYCEAC’s July/August 2011 eNewsletter on guardianships, written in collaboration with our colleagues from Brookdale Center for Healthy Aging & Longevity of Hunter College.