TY - JOUR
T1 - Substitute decision-making and personal control
T2 - Implications for self-determination
AU - Stancliffe, Roger J.
AU - Abery, Brian H.
AU - Springborg, Heidi
AU - Elkin, Sarah
PY - 2000/10/1
Y1 - 2000/10/1
N2 - Levels of personal control exercised by 76 adults with mental retardation were contrasted by substitute decision-making status. Individuals with no guardian or conservator exercised more personal control than did those with a conservator, who exerted more personal control than did participants with a guardian. Similar group differences in self-determination competencies were also observed. When self-determination competencies were controlled statistically, significant group differences in exercise of personal control remained. Restrictive substitute decision-making status, inappropriate to current competencies, may have constrained individuals' levels of personal control. Reviewing substitute decision-making status on a regular basis and limiting or removing guardianship/conservatorship when it is not appropriate, may enhance personal control.
AB - Levels of personal control exercised by 76 adults with mental retardation were contrasted by substitute decision-making status. Individuals with no guardian or conservator exercised more personal control than did those with a conservator, who exerted more personal control than did participants with a guardian. Similar group differences in self-determination competencies were also observed. When self-determination competencies were controlled statistically, significant group differences in exercise of personal control remained. Restrictive substitute decision-making status, inappropriate to current competencies, may have constrained individuals' levels of personal control. Reviewing substitute decision-making status on a regular basis and limiting or removing guardianship/conservatorship when it is not appropriate, may enhance personal control.
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U2 - 10.1352/0047-6765(2000)038<0407:SDAPCI>2.0.CO;2
DO - 10.1352/0047-6765(2000)038<0407:SDAPCI>2.0.CO;2
M3 - Article
C2 - 11060982
AN - SCOPUS:0034294555
SN - 0047-6765
VL - 38
SP - 407
EP - 421
JO - Mental Retardation
JF - Mental Retardation
IS - 5
ER -