Public Policy Institute

Choosing Home for Someone Else: Guardian Decisions on Long-Term Services and Supports


Guardians are responsible for society’s most vulnerable at-risk adults.  One of their most important decisions is where the incapacitated person will live: in a personal residence, the community or a nursing facility.  Their choices are limited by the options available particularly as budget cutbacks have impacted home and community based services. At the same time, guardians’ consent may be necessary to make long-term services and supports function as they should. 

This report presents findings from an in-depth study of how professional guardians make this decision which goes to the core of the individual’s quality of life.

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