How to Protect our Nation's Most Vulnerable Adults through Effective Guardianship Practices

Similar documents
Elder Resolution Partners, LLC (626) and (310) Elder Resolution Partners, LLC

STATEMENT OF ESTIMATED REGULATORY COSTS JANUARY 2017 PROPOSED RULE 58M-2.009, FLORIDA ADMINISTRATIVE CODE

DISTRICT COURT. Judges (not County positions) Court Administration POS/FTE 3/3. Family Court POS/FTE 39/36.5 CASA POS/FTE 20/12.38

RULES OF THE TENNESSEE DEPARTMENT OF HUMAN SERVICES ADMINISTRATIVE PROCEDURES DIVISION CHAPTER CHILD CARE AGENCY BOARD OF REVIEW

Estate Planning and Legal Considerations

CHAPTER 411 DIVISION 20 ADULT PROTECTIVE SERVICES -- GENERAL

MINNESOTA. Downloaded January 2011

Chapter 55: Protective Services and Placement

Mandatory Reporting Requirements: The Elderly Oklahoma

Adult Protective Services and Public Guardian

Excerpted from. Guardian Accountability Then and Now: Tracing Tenets for an Active Court Role. Sally Balch Hurme and Erica Wood

Report of the Guardianship and Conservatorship Study Group

CHAPTER 411 DIVISION 020 ADULT PROTECTIVE SERVICES GENERAL

ADVOCATES CODE OF PRACTICE

ELDER LAW CERTIFICATION EXAMINATION SPECIFICATIONS

MARYLAND LONG-TERM CARE OMBUDSMAN PROGRAM POLICY AND PROCEDURES MANUAL

IC Chapter 2. State Grants to Counties for Community Corrections and Charges to Participating Counties for Confined Offenders

Surrogate Decision Making

79th OREGON LEGISLATIVE ASSEMBLY Regular Session. Enrolled. Senate Bill 58

Legal Rights and Decision-Making

LEGAL PLANNING OPTIONS FOR THE ELDERLY AND DISABLED By Stephanie L. Schneider, Esquire

CHAPTER 63D-9 ASSESSMENT

Buckinghamshire County Council and the Longcare Homes (First Term of Reference)

Consumer s Quick Guide to Problems with Nursing Home Contracts and Problems with Nursing Home Stays

OVERVIEW. Surrogate Medical Decision Making. PRESENTATION TO LeadingAge. I. Who can make decisions? II. End of life issues.

Supervising Investigator COPA JOB ANNOUNCEMENT

Macon County Mental Health Court. Participant Handbook & Participation Agreement

always legally required to follow the privacy practices described in this Notice.

Florida State Courts System Office of Inspector General. Annual Report Fiscal Year

Minnesota Patients Bill of Rights

GUARDIANSHIP, CONSERVATORSHIP, & LESS RESTRICTIVE ALTERNATIVES. 24th Annual NAPSA Conference October 2, Anita L. Raymond, LISW, CMC

Washoe County Department of Alternative Sentencing

PATIENT ADVOCATE DESIGNATION FOR MENTAL HEALTH TREATMENT NOTICE TO PATIENT

Minnesota Patients Bill of Rights

FLORIDA BAR JUDICIAL CANDIDATE VOLUNTARY SELF-DISCLOSURE STATEMENT

Traumatic Brain Injury Rights Project

KANSAS GUARDIANSHIP PROGRAM

Domestic and Sexual Violence Resources for Henrico County Residents

[ ] DEFINITIONS.

2 nd Circuit Court- District Division- Plymouth PARTICIPANT HANDBOOK 5/11/16

A Better You Counseling Services, LLC 1225 Johnson Ferry Road, Ste 170 Marietta GA

March 15, 2018 CFOP Chapter 12 IMPLEMENT REUNIFICATION AND POST-PLACEMENT SUPERVISION

THE SUPREME COURT OF SOUTH CAROLINA REPORT OF THE TASK FORCE ON STATE COURTS AND THE ELDERLY

INFORMED CONSENT FOR TREATMENT

CODE OF MARYLAND REGULATIONS (COMAR)

Charts* Chart 1: Alimony/Spousal Support Factors

DEPARTMENT OF SOCIAL SERVICES OFFICE OF CHILDREN AND YOUTH SERVICES CHILD CARE FUND

USE AND DISCLOSURE OF PROTECTED HEALTH INFORMATION WITHOUT AUTHORIZATION

VA Programs for Justice- Involved Veterans. William F. Russo VA Office of General Counsel

Guardianship. Honoring Choices Minnesota 2017 Conference 10/26/2017. Objectives. PRACTICAL Tool. Presume guardianship is not needed

12.6 Domestic Violence, Protective Orders, and Peace Orders

The Law Related to the Practice of Practical Nursing (Nurse Practice Act) and Administrative Code can be found on our website at

ALABAMA BOARD OF MEDICAL EXAMINERS ADMINISTRATIVE CODE

Florida Board of Clinical Social Work, Marriage & Family Therapy, and Mental Health Counseling. Information Packet.

EMPLOYMENT OPPORTUNITIES

CHAPTER 18 INFORMAL HEARINGS

MULTIDISCIPLINARY TEAMS AUTHORIZATIONS OR MANDATES: PROVISIONS AND CITATIONS IN ADULT PROTECTIVE SERVICES LAWS, BY STATE

2016 Implementation Sites Project Call for Applications

Chapter II OVERVIEW OF THE MEDICAL BOARD OF CALIFORNIA

WINDSOR COUNTY, VERMONT DUI TREATMENT DOCKET (WCDTD) FOR REPEAT OFFENSE IMPAIRED DRIVING CASES

Health & Financial Decisions

FY 2015 Court Administration Seventh Judicial Circuit

UNDER SECRETARY OF DEFENSE 4000 DEFENSE PENTAGON WASHINGTON, D.C

Summary of Legislation Relating to Sunset Commission Recommendations 84 th Legislature

Advance Directive for Mental Health Care

Adult Protective Services Division of Aging and Adult Services Manual

SOCIAL WORKER I SOCIAL WORKER II

WHO ARE THE REGULATORS?

Guardianship Support Center

HEALTH CARE DIRECTIVE OF

Amendments to MCLE Regulations Effective February 23, Amendments to MCLE Rules and Regulations Effective January 1, 2018

NOTICE OF PRIVACY PRACTICES Occupations, Inc. 15 Fortune Road West Middletown, NY 10941

ALABAMA DEPARTMENT OF MENTAL HEALTH BEHAVIOR ANALYST LICENSING BOARD DIVISION OF DEVELOPMENTAL DISABILITIES ADMINISTRATIVE CODE

350.1 PURPOSE AND SCOPE

U.S. Merit Systems Protection Board. MSPB History. MSPB Mission 10/21/2010

CODE OF MARYLAND REGULATIONS (COMAR)

State of Adult Protective Services Baseline Assessment

STATE OF FLORIDA DEPARTMENT OF. NO TALLAHASSEE, April 1, Safety INCIDENT REPORTING AND ANALYSIS SYSTEM (IRAS)

COURT INVESTIGATOR S REPORT ON PROPOSED GUARDIANSHIP [R.C ]

HANDBOOK FOR GUARDIANS AND CONSERVATORS

NO TALLAHASSEE, May 21, Mental Health/Substance Abuse

GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 1999 SESSION LAW SENATE BILL 10

Senior Citizens. Government Programs for Senior Citizens. Home and Community Care Block Grant. Medicaid. Senior Cares Prescription Drug Access Program

Reporting Educator Misconduct to SBEC

USABLE CORPORATION TRUE BLUE PPO NETWORK PRACTITIONER CREDENTIALING STANDARDS

Deputy Probation Officer I/II

Child Care Program (Licensed Daycare)

Chapter VIII EXPERT REVIEWER PROGRAM

POSITION DESCRIPTION

New Mexico Statutes Annotated _Chapter 24. Health and Safety _Article 1. Public Health Act (Refs & Annos) N. M. S. A. 1978,

SOCIAL WORKER SUPERVISOR I

To ensure proper disclosure and release of Protected Health Information (PHI) Division/Department: All HealthPoint Policy/Procedure #:

REGISTERED OFFENDERS IN HEALTH CARE FACILITIES

GENESEE COUNTY PUBLIC DEFENDER S OFFICE 2017 PROGRAM BUDGET

The Joint Legislative Audit Committee requested that we

NOVA SOUTHEASTERN UNIVERSITY

PROPOSAL FAMILY VIOLENCE COURT

Family Child Care Licensing Manual (November 2016)

BUREAU OF QUALITY IMPROVEMENT PROGRAM REPORT FOR

PATIENT INFORMATION Indiana Plastic Surgery Center, PC

Transcription:

National Association for Court Management How to Protect our Nation's Most Vulnerable Adults through Effective Guardianship Practices Committed to Excellence

Located at: nacmnet.org Located at: Center for Elders and the Courts

www.eldersandcourts.org

Objectives To provide a general overview of the complexity and importance of guardianship cases To share practices that enhance court efficiencies and oversight To provide action steps your court can take to improve guardianship practices

Guardianship is both an essential tool and a dangerous weapon. --Joanne Marlatt Otto National Adult Protective Services Association 6

General Terms Guardianship Guardians of the Person (possess some or all powers with regard to the personal affairs of the individual) Conservatorship Guardians of the Estate (possess some or all powers with regard to the real and personal property of the individual) Person under Guardianship/Conservatorship Protected Person Respondent 8

Processes Data Fundamentals Innovations

Data It all starts with.data CAN YOUR COURT PROVIDE DATA ON? How many new guardianships cases were filed in 2014? How many open/pending guardianship cases are under the court s jurisdiction? What is the total amount of assets under conservatorships/guardianships of the estate?

Data Data Goals 1. Documentation of caseloads and trends 2. Demonstrating the importance of guardianship cases in the court structure especially amount of assets under court s watch 3. Developing and using performance measures, such as the percentage of guardians who are filing annual reports on time Data is fundamental to ALL Court Management tasks, driving decisions on staffing, budget, technology, and training.

Data ACTION STEPS No Data Some Data Great Data Gather basics Review & code older case files Develop perf. Measures Add fields as needed Compile complete data Create reports & protocols Determine what data is missing and the types of data you would like to collect (e.g., delinquent reports, contested nature of case, bond levels)

Process General Guardianship Process Pre-Adjudication Post-Adjudication Pre-petition Monitoring Petition Termination Court Hearing 13

PLEASE RATE YOUR COURT S GUARDIANSHIP PRACTICES EXCELLENT GOOD AVERAGE FAIR POOR

ESTABLISHING THE GUARDIANSHIP

Process I D E A L P R O C E S S Initial screening to determine if there are less intrusive alternatives Attorney is appointed to represent the respondent Temporary guardian or conservator ex parte is appointed upon showing of emergency Written notice of the proceeding is provided to the respondent and interested parties Hearing is held promptly to determine capacity levels and the need for guardianship Court appoints a suitable and willing guardian or conservator

Fundamentals ACTION PLAN Review Petition Forms and Processes Give Timely Written Notice to Interested Parties Build Resources to Improve Availability and Qualifications of Guardians Provide Training and Assistance Improve Integrity of Process Expedite Handling of Incapacity and Guardianship Matters Promote Independent Representation of Alleged Incapacitated Person Assign Guardian ad litem or Court Visitor

Fundamentals REVIEW PETITION FORMS & PROCESSES COMPONENTS Reasons that a guardianship/conservatorship is being sought Description of nature/extent of limitations Representations that less intrusive alternatives to guardianship have been examined (e.g., advance health care directives, durable powers of attorney) Guardianship powers being requested and duration of powers Conservatorships: Nature and estimated value of assets, real and personal property included in the estate, estimated annual income PROCESS Petitions available on website Fillable plain language forms Petitions can be e-filed with Attachments Example: 17 th Judicial Circuit of Florida s Probate efiling Program

Fundamentals GIVE TIMELY WRITTEN NOTICE Plain language and readable type Notice to interested parties (family, individuals having care and custody of respondent, agents under financial and health care POAs, etc.) Time and place of hearings NOTICE Nature and possible consequences of proceedings Waived when there are allegations of abuse Procedure allowing interested persons to file a request for notice Respondent s rights Copy of the petition

Fundamentals PROVIDE TRAINING What training is available for proposed guardians and conservators? Written guides Online Videos Formal Classes Mentoring Legal clinics Guardianship Assistance Programs (GAP) Center for Guardianship Certification National Guardianship Association

Fundamentals TRAIN JUDICIARY & COURT STAFF NCSC s Justice Responses to Elder Abuse (Guardianship Scenario) National College of Probate Judges (semi-annual conferences) The National Judicial College Probate Course in Development State Judicial Educational Opportunities

Innovations INNOVATIONS Building a Pool of Qualified Guardians ISSUE Courts must find ways to address the ongoing needs for qualified guardians TOOLS Engage in outreach to social services agencies and community partners Develop and maintain a pro bono program keep a register and rotate through list Offer free training and encourage national certification

Innovations INNOVATIONS Mediation/Dispute Resolution ISSUE Contested guardianships are becoming more adversarial and may require additional court resources TOOLS Use a mediation/dispute resolution program for contested cases Provide additional oversight to cases and consider special conditions to ensure the estate is not eroded by attorney fees (adopt fee schedules)

Innovations INNOVATIONS Supporting Guardians ISSUE The personal, financial and emotional demands can lead to the resignation of a guardian. Few courts provide ongoing training, support, and resources to guardians. TOOLS Provide regular free training to lay guardians Designate a contact person who can provide additional resources Develop mentoring and community building opportunities Develop a Guardianship Assistance Program (GAP)

MONITORING GUARDIANSHIPS

Process The court s responsibilities do not end with the appointment of a guardian. Rather, courts have an ongoing responsibility to make certain that the respondent is receiving the services and care required, the estate is being managed appropriately, and the terms of the order remain consistent with the respondent s needs and condition. -National Probate Court Standard 3.3.17 26

Process STAFFING Court Specialists Investigative and auditing specialists Report directly to the court Centralized units/assigned positions can be economically feasible Volunteer Monitors Realistic option for low-resource courts Requires volunteer coordinator Level of expertise dependent on volunteer pool

Process GENERAL REQUIREMENTS Required at the Hearing or Within 60 days Notices Required by the Court GUARDIANSHIP FILINGS Guardianship plan Report on respondent s condition Advance notice of: Respondent s intended absence from the court s jurisdiction in excess of 30 days Any major anticipated change in the respondent s residence CONSERVATORSHIP FILINGS Inventory of the respondent s assets Plan on how resources will be allocated to meet respondent s needs Conservators should submit for court approval amended plans if there are any anticipated or real deviations from the approved plan Follow-up Reports Annual updates Annual accountings or updates

Fundamentals ACTION PLAN Improve filing processes standardized forms, e-filing, automated reminders Ensure all plans, reports, inventories and accountings are reviewed properly by staff and/or volunteer monitors Respond to problems by independently investigating the well-being of the respondent and the status of the estate, as needed Develop or refine the citizen complaint process

Fundamentals IMPROVE FILING PROCESS Use fillable forms and e-filing Document and ensure parties are aware of report due dates Send reminders prior to report due dates ( tickler systems) Have backup contacts on file should parties relocate without notifying court Provide examples of inventories, accountings, and health status reports Offer local or court training/seminars/workshops to improve reporting

Fundamentals FOLLOW UP ON PROBLEMS Reporting abuse or exploitation Know your reporting duties Draft and distribute reporting protocol Establish contacts with major agencies (e.g., law enforcement, adult protective services) Developing graduated sanctions Issue show cause hearing Grant emergency relief (freeze assets) Order an immediate accounting Impose sanctions suspension, contempt, removal, appointment of successor

Fundamentals GRADUATED SANCTIONS (NPCS 3.3.19) SANCTION ISSUED: Contempt citation Order freezing the assets and suspending the powers of the conservator Notice of a show cause hearing to probate court in new jurisdiction Disciplinary action for attorneys Suspension and appointment of a temporary guardian/conservator IN RESPONSE TO: Failure to file required reports on time after receiving notice and appropriate training and assistance Indications of theft or mismanagement of assets Guardian or conservator has left the court s jurisdiction Attorney guardians/conservators may have violated their fiduciary duties to the respondent Failure to perform duties: Welfare, care or estate of the respondent requires immediate attention

Fundamentals DEVELOP A COMPLAINT PROCESS Streamline complaint procedures for citizens Establish internal protocols to respond to complaints Review and evaluate

Innovations INNOVATIONS Protection of the Estate ISSUE In most jurisdictions, there is no regulation of attorney or guardian fees beyond a within reason standard TOOLS Establish fee schedules (e.g., pay scales based on experience and types of tasks performed, fees as percentage of assets) Require conservators to prepare a forward-looking report that will document how the principle of the estate will be sustained

Innovations INNOVATIONS Limited Resources ISSUE Many courts do not have sufficient staff or resources to actively monitor cases TOOLS Develop technologies and case management strategies to allocate scarce resources Create specialized position(s) and provide training to staff Develop volunteer monitoring programs Implement Differentiated Case Management (DCM) techniques

Innovations INNOVATIONS Distribution of Resources Minnesota Conservator Account Auditing Program (CAAP) with MyMNConservator software Uses a 4-level auditing system to denote issues with conservatorships Plays a critical role in asset recovery Nebraska Distribution of Workload Urban Rural Specialized Positions: Guardian/Conservator Extra Duty Specialists Resource: September 21 Workshop

Innovations INNOVATIONS DCM in Maricopa County, AZ Phase DCM Applied Types of Cases Uncontested Petitions Action Applied to Subset Appointment of Fiduciary Pre-Appointment Contested Petitions 1. Hearing 2. Alternative dispute resolution 3. Settlement conference 4. Trial 5. Appointment of Fiduciary Post-Appointment Minimum Monitoring Moderate Monitoring Maximum Monitoring Biennial telephone interview with respondent Annual in-person visit with respondent Combination of actions, including case compliance audit or forensic investigation

PLEASE RATE YOUR COURT S GUARDIANSHIP PRACTICES EXCELLENT GOOD AVERAGE FAIR POOR

TO WHAT EXTENT ARE IMPROVEMENTS NEEDED IN YOUR COURT S GUARDIANSHIP PRACTICES? Significant improvements are needed Some improvements are needed No improvements are needed

Adult guardianship cases offer court managers the opportunity to initiate substantial reforms and improvements in court processes and monitoring practices that strive to protect the wellbeing and assets of vulnerable adults. Historically, resources to address these cases have been limited, requiring courts to craft innovative financing solutions and sometimes rely on volunteers to staff programs. Despite challenges, the increasing application of technology and the circulation of model court practices may offer a guidepost to future reforms. -NACM s Adult Guardianship Guide, p. 31 40

National Association for Court Management How to Protect our Nation's Most Vulnerable Adults through Effective Guardianship Practices Webinar will be posted on NACM s website nacmnet.org Committed to Excellence