SDM Resources

Alternatives to Guardianship, in addition to Supported Decision-Making

Power of Attorney: An adult can give someone else the power to make some or all decisions. 

Durable Power of Attorney for Healthcare: An adult can give someone else authority to make decisions about healthcare the adult is unable to make – the RI Department of Health provides this form.

Representative Payee: A representative payee (rep payee) receives and manages SSI or other Social Security funds on behalf of and belonging to the individual. 

Special Needs Trust: An account in which others can save money for benefit of the individual, and the individual will not lose Medicaid or SSI benefits. A trustee makes decisions for the expenditure of funds.

ABLE Account (Achieving a Better Life Experience Act of 2014): A special bank account over which the individual has control. Families can save for many disability-related expenses tax-free. The individual can save money in an ABLE Account and still get Medicaid and SSI benefits. Rhode Island is a member of the National ABLE Alliance (partnership of states supporting ABLE accounts). For information on opening an ABLE account in RI, consult with an attorney or financial advisor

For a comprehensive guide on alternatives to guardianship, please see DRRI’s publication, Guardianship and Its Alternatives.

For more information on alternatives to guardianship, please contact DRRI or submit this online intake form.

DRRI Webinar Series

The DRRI SDM Webinar Series, presented by Jonathan Martinis, provides practical strategies for using SDM to enhance self-determination, education, employment, health care, and life planning. Each session includes presentations, transcripts, and audio recordings.

Session 1: Supported Decision-Making

Introduces the theory and practice of SDM, showing how friends, family, and professionals can help people understand choices and make informed decisions.

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Session 2: SDM in Special Education

Focuses on strategies for maximizing supports in Special Education programs, including Student-Led IEPs, “I Statement” goals, and transition planning.

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Session 3: SDM in Vocational Rehabilitation

Covers strategies for maximizing supports in Vocational Rehabilitation programs, including Pre-Employment Transition Services, IPEs, and benefits planning.

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Session 4: SDM in Health Care and Life Planning

Focuses on strategies to maximize independent living supports, including informed consent, EPSDT, person-centered planning, and ABLE accounts.

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Session 5: Culture of Coordinated Support Model

Demonstrates how to create coordinated support plans that improve communication and collaboration among providers, ensuring more effective services.

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