Supported decision making is a rights-based approach that helps people who may need assistance to make decisions about their lives. It is founded on the principle that every adult has the right to make their own choices, regardless of their age or ability. In the context of Aged Care, this approach is extremely important, as it respects the autonomy and dignity of older Australians receiving care services.

What Supported Decision Making Means

At its core, supported decision making is about providing the necessary assistance for a person to understand information, consider options, and communicate their decision. It is distinctly different from substitute decision making, where a person is legally empowered to make decisions for someone else (like guardianship or enduring power of attorney). Supported decision making keeps the power firmly in the hands of the individual receiving support.

This type of support can take many forms. It might involve simply explaining complex service agreements in plain language, organizing meetings with trusted family members or friends, or presenting choices visually. The goal is always to reduce barriers and allow the person to participate actively in decisions concerning their well-being, finances, and care plan.

Supported Decision Making in the Aged Care Setting

Australia's Aged Care system recognizes the importance of independence and consumer control. Supported decision making is a fundamental aspect of this commitment. Care providers and support networks are encouraged to adopt practices that promote the individual’s capacity to decide, rather than assuming incapacity.

Personalizing Care Choices

When an older person moves into residential care or begins receiving home care packages, many decisions need to be made about the specifics of their services. These decisions range from daily routines and meal choices to complex medical treatments and financial arrangements.

With supported decision making, the individual is central to these discussions. For instance, if a person is choosing a new home care provider, a supporter might help them compare service costs, review contracts, and ask questions of the provider. The supporter does not pick the provider; they merely facilitate the decision process for the individual.

Respecting Preferences and Rights

This mechanism is crucial for respecting the person’s Charter of Rights in Aged Care. It confirms that the individual has the right to be listened to, to have their identity, culture, and diversity respected, and to exercise choice and control over their own care.

A good supported decision making framework recognizes that capacity to make decisions can fluctuate. A person might be fully capable of making certain decisions (e.g., what to eat for lunch) but require help with others (e.g., major financial transactions). Care staff are trained to recognize these variations and offer appropriate levels of support without being overly controlling or dismissive of the person’s wishes.

Who Provides the Support?

Support can come from many places. Often, it is provided by family members, close friends, or informal carers who know the person well and understand their communication style and preferences. However, formalized support networks can also include independent advocates, professional service providers, or trained support workers within the Aged Care facility.

The supporter's job is to act as a bridge, ensuring the individual has access to the right information and can express their views clearly. They must remain neutral and focused on assisting the person to achieve their preferred outcome, not the outcome the supporter believes is best. This distinction is vital for newtaining the person’s autonomy.

Benefits of the Supported Approach

Adopting supported decision making leads to several positive results for older people receiving care.

Firstly, it improves the quality of care. When decisions reflect the individual’s true preferences, they are more likely to be satisfied with their services and adhere to their care plans. This reduces resistance and distress.

Secondly, it maintains self-esteem and independence. The ability to make choices is fundamental to adult life. By supporting this ability, the person feels respected, valued, and in control of their future, even as they face changes associated with aging.

Finally, it acts as a safeguard against abuse or neglect. When individuals are active participants in decisions, they are better protected from undue influence or financial exploitation, as their choices are documented and understood by their support network.

Frequently Asked Questions

What is the difference between Supported Decision Making and Power of Attorney?

Supported decision making helps a person make their own choices, retaining their legal rights. A Power of Attorney is a form of substitute decision making where one person legally gives another the authority to make decisions on their behalf if they lose capacity.

Does a person lose their rights if they use Supported Decision Making?

No. The core principle is that the person retains all their rights and decision-making capacity. The support structure is there to assist them in exercising those rights, not to take them away.

Can Aged Care providers refuse to recognize a supporter?

Aged Care providers must respect the individual's right to nominate supporters. They should work collaboratively with the nominated supporter, provided the supporter is acting in a way that assists the person and respects their wishes.