Guardianship of Mentally Ill Adults -- More Probate Court Stories

My recent week in probate court produced a lot of stories because my case was among the last to be called.  So I had the opportunity to observe a lot of the cases that were called before us.

At least two of those cases involved young adults with mental illness.  These are really hard cases all around because the court system often can't fully help these families.  I'm not talking about whether the families can find and fund treatment for their loved one.  Instead, the limitation of the probate court system is that it can't provide a mechanism to get the loved one treatment if he or she refuses.  

The probate court system can appoint a conservator for a mentally ill adult so that the conservator can apply for, receive and access governmental benefits and other resources that might be available.  The system can also appoint a guardian who can make most health care decisions for the mentally ill adult.  But Colorado statute prevents a guardian from having the ward committed to a mental institution against the patient's will.  The only way to do that is to initiate the standard mental health proceedings where the guardian has no additional rights or options than anyone else interested in the welfare of the mentally ill person. 

That's why in one case last week the mother of a young man sought guardianship only to the extent that she could review his medical records.  The mother's attorney made it clear that this was the best compromise they could reach, since if the son refused treatment for his mental illness the guardianship would be of limited value anyway. 

In another case a young woman in her late teens or early twenties was receiving treatment for substance abuse but there was a diagnosis of mental illness as well.  As is often the case, the young woman objected to the appointment of a guardian but even her efforts to dispute the need for the guardian merely reinforced her parents' argument that she could not make and carry out decisions for herself.  My heart broke for this young woman's family, especially her mother.  The daughter specifically objected to having the mother as a guardian, arguing that she and her mother didn't get along and her mother was too controlling. All of this in front of dozens of strangers who were waiting their turn to seek help for their own tragedy.

Sometimes there is no way to avoid these public airings of family struggles.  It may not always be possible to keep control of these situations in the hands of family and out of the hands of a judge.  That's because even the best estate planning document cannot wrest control away from a mentally incapacitated adult who won't acknowledge that incapacity.  Powers of attorney name an agent to act for you, but they don't keep you from acting on your own. 

That isn't to say that you shouldn't have powers of attorney and other planning in place to prepare for your possible disability.  They may well work to keep you out of probate court, the place some families find themselves when things have spiraled out of control.

 
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Comments

  • 3/17/2011 9:58 AM Katie Johnson wrote:
    my dad is no longer able to care for himself. we have someone in our family down there every day till to feed,clean,do chores and walks. He no longer can drive or handle anything by himself. My sister is power of Atty to write his checks (bills) out. But now we all agree that she should be quardianship due to the fact that he has property and he has no clue about his mortgage. How do we go about getting this forms (also medical cert.) as soon as possible as he is getting worse and I myself is over there 10hrs a day. He WILL NOT let an outsider come into his house, he is already hallucinating that there are guys eating things out of his fridge. It's murder trying to get him to take a shower, and when I give him clean clothes to put on he fights with me and tells me the old clothes are clean. He sleeps in the back bed room on a day bed because he thinks his bedroom is an apt. and he say's they will be home soon but he doesn't know who they are. He lights the top burners on the stove, When I get there I get upset and tell him how dangerous it is and he said no, it heats up the whole house. All he does is walk from the front side of the house to the back of the house all day long. He thows trash in clothes containers, his draws,bathroom cabinet,under his bed. Can you please help me with the form I'm looking for for my sister. they use to be called 10 years ago Comm. of Mass - The Trial Court - The Probate And Family Court Dept. with a Medical Certificate attached.
    Reply to this
    1. 5/16/2011 12:34 PM Karen Brady wrote:
      Katie,

      It's hard, I know.  However, I can't help you with Massachusetts law.  You would have to contact a Massachusetts attorney.
      Reply to this
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