Supported Decision Making and Guardianship
Learn more about Supported Decision Making and Guardianship for a person with a disability.
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What is Supported Decision Making?
Supported decision making means a person with a disability gets help from people they trust, like family, friends, or helpers, to make their own choices.
- The person asks for help when they need it.
- It is not guardianship or power of attorney.
- It does not take away any rights.
- The person still makes all their own decisions.
What is Guardianship?
Guardianship is a legal process for people who cannot make important decisions about their health or money by themselves.
- Parents are usually a child's guardians until the child turns 18 years old. When someone turns 18, they are legally considered an adult.
- As your child gets older, it is important to think about whether guardianship may be needed. Families should start learning about the process about 6 months before their child turns 18.
- You can ask a provider, teacher, social worker, or county worker for help.
- To apply for guardianship, your child will need a competency evaluation from a doctor or psychologist. This evaluation is only valid for 6 months. The court uses it to understand how well your child can make decisions on their own.
Your family may qualify if:
- Your child gets care at Children’s Wisconsin.
- You live in Milwaukee or Waukesha County.
- Your child is 17 years and 9 months old and cannot make medical decisions.
- You have financial needs.
For help, call Children’s Wisconsin Family Services at (414) 266 3465.

Draft Number: 2803Revision Date: September 10, 2026
This content was created to help you care for your child and/or family member. It does not take the place of medical care. Talk with your healthcare provider for diagnosis, treatment and follow-up.