Minnesota Minnesota

Community-Based Services Manual (CBSM)

Community-Based Services Manual (CBSM)


Public guardianship

Page posted: 10/1/03

Page reviewed: 2/16/22

Page updated: 2/16/22

Legal authority

Minn. Stat. §252A.01 to §252A. 21, Uniform Guardianship and Protective Proceedings Act (Minn. Stat. §524.5-101 to §524.5-502), Minn. Stat. §626.557, subd. 10(c), 2-3, Minn. R. 9525.3010 to 9525.3100

Definitions

Public guardianship: Court appointment of the DHS commissioner as the legal guardian of an adult with a developmental disability.

Legal guardian: A person with the legal authority and duty to act on behalf of another person. The legal guardian can make decisions for the person about where to live, medical treatment, training and education, etc. Decision-making is limited to the specific powers the court assigns to the legal guardian.

Person subject to public guardianship: A person placed under the protection of the DHS commissioner.

Background

Public guardianship began in the early 1900s, when most people with developmental disabilities received care in public institutions. Children born with significant disabilities often were assigned to state schools or hospitals operated by what is now known as the Minnesota Department of Human Services (DHS). People who lived in such facilities were under the direction of the DHS commissioner.

In the middle of the 20th century, many people who lived in institutions began to move to community settings. If the person’s family moved, died or was unable to be the person’s legal representative, the person received a public or private guardian. In most cases, a court appointed the DHS commissioner as the person’s guardian, and the commissioner delegated daily responsibilities to the county in which the person lived.

Today, the number of people who need a guardian is declining. However, some people still receive public guardianship because no other alternatives exist for them.

Public guardianship law encourages the person’s independence, community inclusion and family involvement in ways that are important to and for them.

Eligibility

A person may only receive public guardianship if all of the following are true:

1. The person:

  • · Is age 18 or older.
  • · Has been diagnosed with a developmental disability.
  • · Demonstrates an inability to meet their own health and safety needs.
  • · Does not have an appropriate, less restrictive alternative to public guardianship.
  • · Lacks the capacity to make or communicate responsible, personal decisions.
  • · Needs the supervision and protection of a guardian.
  • 2. No other party is willing or able to serve as the person’s guardian.

    How to establish public guardianship

    For information about how to establish public guardianship for a person, refer to CBSM – How to establish public guardianship.

    County responsibilities

    Although the DHS commissioner is the person’s appointed public guardian, the commissioner delegates most day-to-day responsibilities to the county that serves the area where the person’s public guardianship was established. This county is called the county of guardianship responsibility.

    The county designates staff members as public guardians. A county-designated public guardian is responsible to:

  • · Permit and encourage input from the person’s family in the planning and decision-making process.
  • · Make personal contact or visit with the person no fewer than two times per year.
  • · Maintain close contact with the person at all times.
  • · Complete periodic reviews of the person’s progress and needs.
  • · Take appropriate action on behalf of the person and in accordance with applicable state and federal law if the person’s legal rights are violated or appear to have been violated.
  • · Make decisions and act on behalf of and in the best interest of the person (refer to section below for more information).
  • · Exercise their delegated powers and duties (refer to section below for more information).
  • · Seek approval from DHS to exercise non-delegated powers (refer to section below for more information).
  • · Participate in the person’s support planning on their behalf (refer to section below for more information).
  • · Complete the annual review by the person’s birthday each year (refer to section below for more information).
  • · Notify the DHS Public Guardianship Office when the person’s status changes refer to section below for more information).
  • Limitations

    The same person cannot provide both guardianship and case management. This means:

  • · The county-designated public guardian cannot also provide case management to the person.
  • · One of the person’s service providers cannot be assigned guardianship responsibilities.
  • Decisions and actions on behalf of the person

    The decisions the county-designated public guardian makes and actions the guardian takes on behalf of the person must:

  • · Be in the person’s best interest.
  • · Be the least restrictive option.
  • · Not violate the person’s religious, moral or cultural beliefs.
  • · Permit and encourage the person’s independence, freedom and self-reliance to the greatest extent possible, consistent with the person’s need for supervision and protection.
  • Delegated powers and duties

    The DHS commissioner delegates the following powers and duties to the person’s county-designated public guardian:

    1. Authority to consent to release information.

    2. Duty to determine if all of the person’s needs are provided for, including, but not limited to:

  • · Comfort.
  • · Food.
  • · Health care.
  • · Shelter.
  • · Socializing and recreation.
  • · Training, education, habilitation or rehabilitation.
  • 3. Duty to take reasonable care of the person's clothing, furniture, vehicles and other personal items and, if other property requires protection, the power to appoint a guardian of the person’s estate.

    4. Power to approve or not approve any contract the person makes.
    Note: This power does not apply to a contract the person makes for necessities, such as an apartment lease.

    5. Power to determine where the person lives. The person’s residence must be:

  • · Consistent with state and federal law.
  • · In the least restrictive environment possible.
  • · In the person’s best interest.
  • 6. Power to give consent for the person to receive necessary medical or other professional care, including consent to aversive and deprivation procedures (defined under Minn. R. 9525.3045) and psychotropic medications (defined under Minn. R. 9525.3050).

    Non-delegated powers

    The county-designated public guardian must receive the DHS commissioner’s written approval to give consent for:

  • · Do not resuscitate/do not intubate (DNR/DNI).
  • · Limited medical treatment (LMT).
  • · Participation in research.
  • · Temporary care at a regional treatment center.
  • · Electroconvulsive therapy.
  • · Experimental treatment.
  • · Psychosurgery.
  • · Sterilization.
  • For instructions on how to request DHS approval for these powers, refer to CBSM – Approval process for non-delegated powers.

    Other actions that require DHS approval

    The county-designated public guardian also must receive the DHS commissioner’s written approval to:

  • · Begin or defend against a legal action in the name of the person.
  • · Consent to the person’s adoption.
  • · Give or withhold permission for the person to marry.
  • To request approval for these powers, the county-designated public guardian must contact the DHS Public Guardianship Office.

    The county-designated public guardian also should refer to DHS any disputed or contentious matters the guardian cannot resolve in the person’s best interests.

    Support planning

    Support planning requires the county-designated public guardian to know:

  • · The person.
  • · Benefits, entitlements and services the person is eligible to receive.
  • Knowing this information ensures the person receives a support plan that is the least restrictive option and in their best interest.

    Annual review

    The county-designated public guardian must complete Annual Review of Ward Under Public Guardianship, DHS-5836 and submit it to the DHS Public Guardianship Office by the person’s birthday each year. The county-designated public guardian can save DHS-5836 to a computer and come back to it, as needed.

    During the annual review, the county-designated public guardian must:

  • · Evaluate the appropriateness of public guardianship based on the person’s progress.
  • · Determine whether the person still needs public guardianship, or if modification, termination or discharge is appropriate.
  • · Evaluate services the person receives to ensure they meet the person’s physical, mental and social needs.
  • The annual review must address the person’s:

  • · Mental adjustment and progress.
  • · Physical adjustment and progress if a DNR/DNI or LMT order is in place
  • · Social adjustment and progress.
  • · Legal status (i.e., need for continued guardianship) based on the previous three items.
  • Notification when the person’s status changes

    The county-designated public guardian must notify the DHS Public Guardianship Office when the person’s status changes. Status changes include when:

  • · A court order discharges the person from public guardianship to a private party as a successor guardian or conservator.
  • · The county of guardianship responsibility changes.
  • · The person dies.
  • · The person recovers to full capacity by action of the court.
  • · The person’s whereabouts are unknown, and the county has conducted a due diligent search.
  • In the notification, the county-designated public guardian must include relevant court documents or death notices.

    The person’s public guardianship is terminated in all of these scenarios except for when the county of guardianship responsibility changes.

    Transfer public guardianship responsibility

    The county can transfer guardianship responsibility for a person to another county by either:

  • · Written agreement.
  • · Transfer of venue.
  • Written agreement

    When counties transfer guardianship responsibility for a person by a written agreement, the original court files remain with the court located in the area where public guardianship was initially established (i.e., the court and county of venue). Future court actions related to the person’s public guardianship happen in the court and county of venue.

    Counties may choose to do this:

  • · Because the person moved.
  • · To ease administrative guardianship responsibilities.
  • Transfer of venue

    Counties may petition the court of venue to transfer guardianship responsibility for a person through a transfer of venue. A transfer of venue moves the original court files to a court in the new county of guardianship responsibility’s jurisdiction. Future court actions related to the person’s public guardianship happen in the new court and county of venue.

    Both counties must agree the transfer of venue:

  • · Is in the person’s best interest.
  • · Helps the county of guardianship responsibility better serve the person.
  • Right to due process

    People under public guardianship keep their right to due process. They may exercise this right to due process in response to public guardianship decisions or actions taken by the county or DHS. Any interested party may:

  • · Appeal a court order of public guardianship.
  • · Petition the court of venue to perform a de novo review on any guardianship matter.
  • · Request an informal review by the DHS Public Guardianship Office.
  • None of these options prevent people from exercising their right to due process in other ways (e.g., obtaining a lawyer, filing a formal complaint or charge with an enforcement authority, conciliation conferences, administrative hearings, depositions, mediations, arbitration, court trials, appeals, etc.).

    Contact information

    The DHS Public Guardianship Office acts on behalf of the DHS commissioner. The county may contact and submit relevant materials to the DHS Public Guardianship Office via:

  • · Email: DHS.PublicGuardianship@state.mn.us
  • · Fax: 651-431-7527
  • · Phone: 844-205-4189
  • Additional resources

    CBSM – Approval process for non-delegated powers
    CBSM – How to establish public guardianship
    DHS – Frequently asked questions about public guardianship
    Guardianship Decision Tree, DHS-5836A (PDF)
    The Minnesota Association for Guardianship & Conservatorship (MAGiC)
    Minn. Stat. §563.01 – In forma pauperis proceedings, authorization (state statute about court expenses)
    Minnesota Judicial Branch – Guardianship/conservatorship court forms
    National Guardianship Association (NGA)

    Training

    The following online courses are available in TrainLink:

  • · Substitute Decision-Making (course code: DS620)
  • · Supported Decision-Making: Protecting Rights, Ensuring Choices (course code: SDM).
  • Select “find a course” and enter the course code in the “search by class name” field.

    Introduction and Guide to Supported Decision-Making (video playlist) is available on DHS’ YouTube channel.

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