State Trend in Following the Uniform Guardianship, Conservatorship and Other Protective Arrangements Act
In alignment with the ULC, there is a trend among the states to encourage self-determination and independence rather than impose guardianships or conservatorships on adults. Twenty-four jurisdictions have enacted supported decision-making legislation. Supported decision-making allows adults with disabilities to make their own decisions with the help of some assistance (e.g., from individuals acting as supports).
Steps for Analyzing Client Capacity
The American Bar Association’s Assessment of Older Adults with Diminished Capacities provides a useful approach for assessing client capacity. A lawyer’s assessment of capacity should consist of an examination of factors affecting a client’s decision-making ability and a determination of what supports and services could strengthen a client’s decision-making ability.
Building Client Trust and Confidence
During client meetings, lawyers should aim to make clients as comfortable as possible to increase their decision-making ability. Clients who are not comfortable may not communicate clearly, making it difficult to accurately assess their decision-making ability. Consider conducting client meetings in clients’ homes, so they feel more at ease. When introducing yourself, take time to “break the ice.” Interviewing clients alone is important to build trust and help eliminate the chance of undue influence. But also consider if clients are more comfortable with a support person during the meeting (e.g., a family member or friend). If this is the case, ensure that you speak directly to the clients rather than past them to others. Additionally, letting clients know of the confidentiality of the attorney-client relationship and that anything said during the meeting will not be shared with others is a good idea to build trust and confidence.
Implicit Bias
When assessing client capacity, it is important to be aware of implicit biases that can arise when dealing with older clients. Some may assume that aging and cognitive impairment go hand-in-hand. But clients may lack decision-making ability for a multitude of other reasons besides cognitive impairment, including hearing or vision loss or even grief from the loss of a loved one.
Addressing Hearing Loss, Vision Loss, and Cognitive Impairment
For clients who are hearing impaired, consider using a handheld hearing amplifier (e.g., Williams Sound’s Pocketalker, Bellman and Symfon’s Mino) to amplify your voice when speaking, and try to minimize background noise. Also, consider providing a follow-up letter to clients summarizing what was discussed during the client meeting to compensate for issues with the client’s hearing.
For clients with vision loss issues, face clients away from bright windows and avoid glossy print materials to accommodate clients with sensitivity to glare. Format printed materials in large-sized font (i.e., 14- or 16-point font) and double-spaced. Also, consider having reading glasses and magnifying glasses available on conference tables for clients.
For clients who may be cognitively impaired, conduct the client meeting during a time of the day when clients are at their peak performance (e.g., mid-morning). Discuss one issue at a time with clients, and let clients know when you are switching the discussion to another topic or issue. Repeat or summarize clients’ answers to questions to ensure correctness of communication.
Conclusion
Some jurisdictions demonstrate that evidence of impaired cognitive function does not preclude testamentary capacity if the impairment did not continue during the time of the will execution. Additionally, a client’s lack of decision-making ability in the realm of conservatorships is not static. Individuals can have increased decision-making ability when provided with the right supports, whether they be personal, technological, or social service support. Following the ULC, almost half of the states have enacted supported decision-making legislation.