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Related Experiment Videos

Rethinking alternatives to guardianship

K H Wilber1, S L Reynolds

  • 1Andrus Gerontology Center, University of Southern California, Los Angeles 90089-0191, USA.

The Gerontologist
|April 1, 1995
PubMed
Summary

Guardianship alternatives are analyzed using a framework assessing capacity, risk, complexity, and support. This helps determine interventions

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Area of Science:

  • Gerontology
  • Legal Studies
  • Public Health

Background:

  • Guardianship is a legal mechanism for adults unable to make decisions.
  • Alternatives to guardianship are increasingly explored for older adults.
  • Existing decision-making interventions require systematic evaluation.

Purpose of the Study:

  • To compare guardianship with decision-making interventions.
  • To analyze the roles and functions of guardianship alternatives.
  • To develop a framework for assessing intervention effectiveness.

Main Methods:

  • Development of an analytical framework (capacity, risk, complexity, support).
  • Comparative analysis of guardianship and four decision-making interventions.
  • Illustration of framework application using case examples.

Main Results:

  • The framework assesses performance expectations and limitations of interventions.
  • Interventions' capacity to address needs and substitute/divert from guardianship is examined.
  • Case examples demonstrate practical application of the analytical framework.

Conclusions:

  • Propositions are introduced to guide future research on guardianship alternatives.
  • The study provides a basis for understanding intervention effectiveness.
  • Further research is needed to refine and validate these interventions.

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