These videos explain supported decision-making.

Living My Life project

Supported Decision-Making in Residential Aged Care Project

A partnership between OPA and the Office for Ageing Well.

Learn more about the project

Culturally Safe Supported Decision-Making project

This video was developed as part of the Culturally Safe Supported Decision-Making project to help people understand cultural considerations when supporting First Nations people with decision-making.

Video transcripts

Living my Life project

Acknowledgement of Country

We acknowledge and respect Aboriginal peoples as the state’s first peoples and nations, and recognise them as traditional owners and occupants of land and waters in South Australia. Further, we acknowledge that the spiritual, social, cultural and economic practices of Aboriginal peoples come from their traditional lands and waters, that they maintain their cultural and heritage belief, languages and laws which are of ongoing importance, and that they have made and continue to make a unique and irreplaceable contribution to the state.

We acknowledge that Aboriginal peoples have endured past injustice and dispossession of their traditional lands and waters.

Decision support as a fundamental human right

Five part series on supported decision-making. Part one, decision support as a fundamental human right.

Over the course of our lives, we will all need support to make important decisions.

When we experience disability through illness, injury, stress, trauma and the influence of major medications we may need significant support to be able to make decisions.

We can think about our decision making on a continuum.

Sometimes we make decisions independently, sometimes we make decisions with support and there may be situations where we need people to make decisions for us. This is called substituted decision-making.

Over the last ten years, in response to human rights developments, there is increased focus on alternatives to formal substituted decision-making in Australia. We are adopting practices and laws that support people to be able to make their own decisions.

The right to receive decision-making support was established in the Convention on the Rights of Persons with Disabilities. Article 12 of the Convention says people with disability must be provided with the support they need to be able to make legal decisions. For example, people have a right to support to be able to decide if they want medical treatment and to give their informed consent.

As decision support is a fundamental human right, if we can’t provide someone with the assistance they need, they may be unable to make important legal decisions. What we do or don’t do as professionals can have a big impact.

Supported decision-making challenges the idea that decision making is something we do on our own, in our heads. Our ability to make decisions is shaped by our context and the quality of support available to us. We can think about decision support as building scaffolding around people to increase their decision-making ability.

In your work

In your work, it is possible to make small changes that will create more positive decision-making environments for the people you support.  For example:

  • by tailoring how you communicate information to each person
  • giving the information at the right time
  • allowing enough time to process it, and involving others who know the person well.

These actions can significantly change the person’s decision-making ability.

As a professional, you have an important role to play in furthering the aims of supported decision-making. You can build more positive decision-making environments by:

  • Always assuming the people you support are able to make decisions.
  • By asking people what is important to them and really getting to know their wishes.  If they can’t tell you their preferences ask someone who knows them well.By getting to know what the person has said they want in advanced care directives and by informal means it will allow you to better support their decision making,
  • And lastly you can build more positive decision-making environments by slowing down.  Give communication the time it needs.  This might mean breaking down information into smaller chunks, repeating ideas or giving people more time to think things through.

For more information about supported decision-making please visit the South Australian Office of the Public Advocate website - opa.sa.gov.au

SAHMRI, South Australian Health and Medical Research Institute

Funded by the Australian Government Department of Social Services. Go to dss.gov.au for more information

We would like to thank the following people and organisations for their contributions to the making of this series of videos.

  • Ruby Nankivell
  • Carolyn Smith
  • Emily Thwaites
  • Michelle Browning
  • FrankieFilms

Acknowledgement of Country

We acknowledge and respect Aboriginal peoples as the state’s first peoples and nations, and recognise them as traditional owners and occupants of land and waters in South Australia.

Further, we acknowledge that the spiritual, social, cultural and economic practices of Aboriginal peoples come from their traditional lands and waters, that they maintain their cultural and heritage belief, languages and laws which are of ongoing importance, and that they have made and continue to make a unique and irreplaceable contribution to the state.

We acknowledge that Aboriginal peoples have endured past injustice and dispossession of their traditional lands and waters.

Supporting guardianship to become the last resort

Five part series on supported decision-making. Part two, supporting guardianship to become the last resort.

In 2014, the Australian Law Reform Commission recommended changes to Australian laws so that they comply with the United Nations Convention on the Rights of Persons with Disabilities. This includes recognising all adults, including those with a cognitive disability, have an equal right to make decisions, and, adding supported decision-making as an alternative to substitute decision-making.

The South Australian Office of the Public Advocate welcomes legislative change that would align its work and the work of others more closely with the Convention on the Rights of Persons with Disabilities. Wherever possible we want people with disability to be supported to make their own decisions and remain in control of their lives.

We encourage the development of supported decision-making practices and policy in a broad range of sectors that will reduce the need for substitute decision-making, including the option of Guardianship, which should only be explored as an absolute last resort.

Efforts towards prioritising Supported-Decision Making is emerging across Australia’s health and disability sectors. For example, the National Safety and Quality Health Service Standards prioritising supporting a patient’s involvement in their health care in order that substitute-decision making is used as a last resort.

Currently, the Public Advocate is appointed by the South Australian Civil and Administrative Tribunal when a person who needs to make an important decision for themselves is found to have a mental incapacity.

However, the Office of the Public Advocate recognises that good decision support can change a person’s capacity in relation to their decision-making.

As such, we want organisations, services, and professionals to have access to resources that will help them build the decision-making capacity of the people who use their services.

For example, information about support for decision-making, shared decision-making tools, and documents that record people’s wishes whether formally in an Advanced Care Directive or informally.

The Office of the Public Advocate promotes exploring methods of documenting the will and preferences of people with disability who are unable to make a formal Advanced Care Directive.

The need for support should not prevent a person from documenting their wishes, or from them being followed, when decisions are needed in future.

The Office of the Public Advocate wants to encourage the recognition of informal documents in the future treatment of people with disability, in same the way all other people are able to have their Advanced Care Directive completed and taken into account when decisions are needed in future.

For more information about supported decision-making please visit the South Australian Office of the Public Advocate website - opa.sa.gov.au

SAHMRI, South Australian Health and Medical Research Institute

Funded by the Australian Government Department of Social Services. Go to dss.gov.au for more information

We would like to thank the following people and organisations for their contributions to the making of this series of videos.

  • Ruby Nankivell
  • Carolyn Smith
  • Emily Thwaites
  • Michelle Browning
  • FrankieFilms

Acknowledgement of Country

We acknowledge and respect Aboriginal peoples as the state’s first peoples and nations, and recognise them as traditional owners and occupants of land and waters in South Australia.
Further, we acknowledge that the spiritual, social, cultural and economic practices of Aboriginal peoples come from their traditional lands and waters, that they maintain their cultural and heritage belief, languages and laws which are of ongoing importance, and that they have made and continue to make a unique and irreplaceable contribution to the state.
We acknowledge that Aboriginal peoples have endured past injustice and dispossession of their traditional lands and waters.

Supporting good decision-making processes

Five part series on supported decision-making.  Part three, supporting good decision-making processes.

As professionals, you are in a position to empower people with their decision-making. At times you may only be involved in one part of the decision-making process such as providing information about the person’s options.

Sometimes you may need to advocate for others who know the person well to become involved and provide support too. It is important you know all the elements of good decision-making processes so that you can advocate for and make sure people receive the support they need.

Good support for decision-making starts with helping the decision maker identify there is a decision to be made. People need to understand what the decision is about, and be made aware of constraints affecting the process such as limited time.

Next, the decision maker is supported to express their will and preferences about the decision.

That is, they need help to understand and communicate their preferences in the context of their values, priorities and experiences. The person’s will and preferences guide the options that are explored in relation to the decision.

For example, a decision about where someone will live after they leave rehabilitation in hospital would be guided by their preference to return home. As such, the options explored would focus on making the existing home accessible rather than finding new accommodation.

How options are discussed or presented must be understandable to the decision maker. Some people may need information provided in special formats. Others may need experiences of the options to be able to work out and express their preferences.

After finding and exploring options, the decision maker is supported to understand the risks and possible consequences of the options. If there are barriers to the options the decision maker is supported to think about how they might be overcome.

Continuing with our previous example, once the options for making the home accessible have been costed it may become clear that money is a barrier. The decision maker needs to be supported to work out whether they can live with only some of the changes that they can afford in their own home or whether moving elsewhere might be better.

Lastly, the decision maker is supported to weigh it all up and make their decision. Weighing up the options can involve listing the pros and cons and seeing which aspects have more weight for the decision maker than others. For example, remaining physically close to family and friends may be more important to the decision maker than being unable to use a section of the existing home that they can’t afford to make accessible.

After the decision maker has made their decision, they may need help to communicate it to others and make it happen.

In summary, supporting a good decision-making process, involves helping the decision maker to:

  • identify the decision to be made
  • explore their will and preferences about the decision
  • find and explore options
  • understand the risks and possible consequences of options
  • think through barriers and how they can be overcome
  • weigh up options
  • and make the decision.

For more information about supported decision-making please visit the South Australian Office of the Public Advocate website - opa.sa.gov.au

SAHMRI, South Australian Health and Medical Research Institute

Funded by the Australian Government Department of Social Services. Go to dss.gov.au for more information

We would like to thank the following people and organisations for their contributions to the making of this series of videos.

  • Ruby Nankivell
  • Carolyn Smith
  • Emily Thwaites
  • Michelle Browning
  • FrankieFilms

Acknowledgement of Country

We acknowledge and respect Aboriginal peoples as the state’s first peoples and nations, and recognise them as traditional owners and occupants of land and waters in South Australia.
Further, we acknowledge that the spiritual, social, cultural and economic practices of Aboriginal peoples come from their traditional lands and waters, that they maintain their cultural and heritage belief, languages and laws which are of ongoing importance, and that they have made and continue to make a unique and irreplaceable contribution to the state.
We acknowledge that Aboriginal peoples have endured past injustice and dispossession of their traditional lands and waters.

The experiences of a decision maker

Five part series on supported decision-making. Part four, the experiences of a decision maker.

Hi my name is Ruby. I live with an intellectual disability. I work at SACID as an inclusion worker. I work at Purple Orange. I love my William Syndrome group and doing event with them. And I’m here to share my story today.

Health decisions I’ve needed to make is to decide to go to hospital or not and to have my knee surgery. And I needed help with women’s health as well.

The GP helped me by explaining what kind of surgery I would need if I went to see the knee surgeon and to get a referral to go and see the knee surgeon. The knee surgeon explained to me what I was going to have but in easy words that I understand, than big words and that helped me to feel better and less stressed, cause I didn’t know how I was going to react and cope with surgery and recovering. He also changed my life for the better he made my knees good again.

The nurses helped me when I was stressed or nervous about the surgery, reassuring, like everything’s gonna be good, and we’ll see you after and we’ll help you. So they helped me to feel more calm and relaxed and less stressed and worried.

One time I was in hospital they didn’t treat me like an adult, and they way I wanted to be treated. I want to be able to make my own choices, but also be added into the decision when it came to it. And then one time they wanted to move me to another room, and they didn’t really explain what was happening very well. So then I called my mum, and she asked could you ask them to wait just till I get there so I understand as well? And they said no. So I called her again and told her to come in.

My mum asked where I was going. They explained it to me. In the end I said to them I was happy to go home instead of staying and I wanted to make my own choice, as well as having my mum who spoke up for me and helped me advocate.

The advice I would give the SA Health professionals is treat us the way that we wanna be treated. Treat us like adults, with respect, kindness, support, understanding and help us when we need it the most, and understand what our experience is like and why we are in the hospital.

Supportive decision making is important because we make decisions every day, and our choices can be the better thing of our life and what decision we make, and we can live our life happy and enjoy them. I’m so honoured and I hope this helps people. Have a good day and thankyou for looking after all of us. Love you lots. [kisses with hands]. Bye.

For more information about supported decision-making please visit the South Australian Office of the Public Advocate website - opa.sa.gov.au

SAHMRI, South Australian Health and Medical Research Institute

Funded by the Australian Government Department of Social Services. Go to dss.gov.au for more information

We would like to thank the following people and organisations for their contributions to the making of this series of videos.

  • Ruby Nankivell
  • Carolyn Smith
  • Emily Thwaites
  • Michelle Browning
  • FrankieFilms

Acknowledgement of Country

We acknowledge and respect Aboriginal peoples as the state’s first peoples and nations, and recognise them as traditional owners and occupants of land and waters in South Australia.

Further, we acknowledge that the spiritual, social, cultural and economic practices of Aboriginal peoples come from their traditional lands and waters, that they maintain their cultural and heritage belief, languages and laws which are of ongoing importance, and that they have made and continue to make a unique and irreplaceable contribution to the state.

We acknowledge that Aboriginal peoples have endured past injustice and dispossession of their traditional lands and waters.

The experiences of a decision supporter

Five part series on supported decision-making.  Part five, the experiences of a decision supporter.

So supported decision-making for me is all about giving the control and the power to the person. It’s all about respecting who they are, no matter where they are on their journey. At the heart of wherever you are on the decision-making spectrum is, knowing who that person is, knowing what’s important to them, slowing everything down, and giving them the time that they need to express themselves and for us to find out what’s important to them so they can drive the decision-making process.

As you say, Mark and I were together as best friends for 25 years and have a couple of kids together. And he was a fiercely intelligent, strong, fiery, smart, funny man, really funny man. And about a year ago, his behaviour started to change, and we thought it was mental health, but unfortunately it ended up being a Glioblastoma multiforme brain tumor, and that was causing significant behaviour change and health issues and our world changed from that point on.

It is a really tough thing to do, to sit down and ask someone what does it look like for you at the end of your life? What I came to realise over the next ten months it’s really about talking to someone about what they value, what’s important to them. What does a good quality of life look like to you? We had lots of conversations, and so I was very, very clear on what Mark wanted which was autonomy, dignity, purpose and meaningful life. That’s what was important to him.

Mark was running three or four times a week, working full time in a senior role. He was doing really well. And then there was just a couple of little things that started to happen. Drop of the lip, getting tired. We did an MRI and it was suggested that there was some regrowth and that we should do a proactive early intervention operation.

So Mark went in and had the operation and the operation went really well. But unfortunately, after about three or four days, Mark just started to deteriorate. And Mark got to hospital and unfortunately, the cancer had rapidly spread. Inviting the palliative care team in for me was really important because I wanted them to see who Mark was before he was lost to us.

So they got to see his wicked humour. They got to see his sharp mind. They got to see his love for me and our children and what they heard first hand from him what was really important to him. So then they could take that into consideration when they were thinking about treatment.

The palliative care team did an amazing job to make sure that he was comfortable, but I noticed one day he had a little, there’s a little bit of stiffness. He wasn’t communicating anymore. I called the doctor in and I said, I’m just wondering what am I seeing here? And it did turn out that Mark was on a couple of antipsychotic medications that were actually being used for nausea.

As the advocate, knowing Mark really well, knowing that autonomy and dignity were really important to him, this was not dignified. This was not Mark anymore. So they were very quick, so responsive to me as his supporter, acknowledging that I know him best and heard me, respected that and said right let’s change it. What can we put him on that will still fend off nausea, but so that he’s still with us. They took him off it straight away.

The next day, Mark was back. He was back. He was talking again. He was making jokes, and we got to have this beautiful extra two days, which doesn’t sound like a lot but it was instrumental not just in our processing of our grief but there were some things there that happened for Mark that I don’t think would have happened had he been on major medications that was taking him away from us and himself.

He had some moments that I believe helped him have a good death. So I’m so grateful to all those health workers who did an extraordinary job to see Mark, to hear me, to respect us, and got it so right. So for me, the philosophy of supported decision-making, even though a lot of people don’t realise that’s what they’re doing, they are doing it when they hear the person, when they are driven by what the person wants, their will and preference.

When they are listening to the supporter and recognise good support, and see their advocacy as something that’s really meaningful in the interaction.

For more information about supported decision-making please visit the South Australian Office of the Public Advocate website - opa.sa.gov.au

SAHMRI, South Australian Health and Medical Research Institute

Funded by the Australian Government Department of Social Services. Go to dss.gov.au for more information

We would like to thank the following people and organisations for their contributions to the making of this series of videos.

  • Ruby Nankivell
  • Carolyn Smith
  • Emily Thwaites
  • Michelle Browning
  • FrankieFilms

Supported Decision-Making in Residential Aged Care project

Acknowledgement of Country

We acknowledge that this video was produced on the traditional lands for the Kaurna people and we respect their spiritual relationship with their country. We also acknowledge the Kaurna people as the custodians of the Adelaide region and that their cultural and heritage beliefs are still as important to living Kaurna people today.

Supported Decision-Making Principles at the Office of the Public Advocate SA

Welcome to the office of the public advocate.

The role of South Australia's public advocate is to promote the rights and interests of people who need support with decision-making to help people with impaired decision-making capacity, their families, carers, and friends, and to provide information to the community and all people of South Australia.

The public advocate can be appointed as the guardian for adults with impaired decision-making capacity.

This appointment is made by the South Australian Civil and Administrative Tribunal, also known as SACAT. SACAT appoints the public advocate when there is no other appropriate person, able or willing to assist the person with certain decisions.

Embedding supported decision-making principles into guardianship practice is one way to ensure that a person with impaired decision-making capacity has a say about the decisions that impact their lives. Supported decision-making empowers a person with impaired decision-making capacity to make their own decisions but with guidance and support.

At the Office of the Public Advocate, we use a tool called "My Life, My Wishes", to understand and to document the wishes and will and preferences of the people we support.

"My Life, My Wishes" is also available for members of the community to use, when supporting a person with impaired decision-making capacity. It can assist them to document their circumstances and their wishes because they are not able to make a legal advanced care directive.

Where adults do have decision-making capacity, I encourage all South Australians to make an advanced care directive to record their future wishes and appoint a substitute decision maker while they can. This ensures that their wishes and preferences are documented, and they can nominate a trusted person which is important who knows them to make decisions for them in accordance with their wishes when they cannot make them for themselves.

This video is about supported decision making and how we apply supported decision-making principles when working and supporting guardianship clients at the Office of the Public Advocate. By the end of this video, you should understand what supported decision-making is, the responsibilities of public advocate staff when making substitute decisions for a public advocate client, supported decision-making principles, and where to find out more about supported and substitute decision-making.

So, what is supported decision-making?

All of us need help making decisions from time to time. We make them frequently. This may be discussing or weighing up a decision with a partner, a friend, or consulting a subject matter expert such as a doctor, a tax agent, or other professional to help us arrive at a decision.

Some people with disabilities or impaired decision-making capacity may need additional support with decision-making such as facilitating their involvement to participate in the discussions and decisions about their life. This may include presenting information in a different format or making other adjustments to ensure they understand the information to assist them to make a decision for themselves.

In recent years, there has been a shift to recognizing that everyone, including people with impaired decision-making capacity, has the right to participate in making decisions about their lives.

There's also been strong support and recommendations about supported decision-making in the Royal Commission into abuse, neglect, and exploitation of people with disabilities and the age care royal commission. This also aligns with the United Nations Convention on the Rights of Persons with Disabilities, Article 12, which is about equal recognition before the law for people living with disability.

The public advocate can be appointed as guardian for a person by SACAT. In order for SACAT to consider the appointment of a guardian for a person over the age of 18, it must have medical evidence that a person does not have decision-making capacity. Once SACAT is satisfied with the medical evidence and the need to appoint a guardian, it will first consider the appointment of a private guardian. If there is no one appropriate to act in the role and no other appropriate order can be made, the public advocate can be appointed.

Whether it's a private guardian or the public advocate, they are appointed as substitute decision makers and are responsible for the decisions for the person. While the SACAT order deems that the person does not have capacity, it is recognized that decision-making capacity can be dependent on a range of factors including the type of the decision being made, how complex it is, how the information about the decision is presented, and the support provided to the person during the decision-making process.

Even though the public advocate has decision-making responsibility, staff try and seek out the wishes and will and preferences of the person and support them to understand the decisions being made wherever possible.

The principles to be observed under section 5 of the guardianship administration act 1993 detail the considerations for public advocate staff when making substitute decisions along with the national supported decision-making principles that provide guidance.

The principles to be observed under the guardianship and administration act require the substitute decision maker to consider what would in their opinion be the wishes of the person if that person was able to make their own decision. To seek the wishes of the person about this decision wherever possible and practical to do so. to also consider whether existing informal arrangements for the care and decision- making for the person are working well and if so not to disturb those arrangements and to make decisions that are the least restrictive of the person's rights while ensuring they are not placed at risk.

The national supported decision-making principles are all adults have an equal right to make decisions that affect their lives and to have those decisions respected. Persons who require support in decision making must be provided with access to the support necessary for them to make, communicate and participate in decisions that affect their lives. The will, preferences, and rights of persons who may require decision-making support must direct decisions that affect their lives. Laws and legal frameworks must contain appropriate and effective safeguards in relation to interventions for people who may require decision-making support, including to prevent abuse and undue influence. For more information and videos about supported and substitute decision making, including a community version of my life, my wishes, visit the OPA website at www.opsa.gov.au (external site) and search supported decision making.

Thank you.

Supported decision-making at the Office of the Public Advocate. This video provides specific training on how to complete the My Life My Wishes tool.

For a broad overview of supported decision-making, I encourage you to view the supported decision-making introduction video available at the OPA website and SharePoint.

By way of background, the Office of the Public Advocate has undertaken several projects focused on supported decision-making. The My Life My Wishes tool is a result of one of these projects.

The My Life My Wishes tool is used to record people's wishes and is updated at client visits.

The completed My Life My Wishes tool does not negate the need to involve and consult the client on an ongoing basis about specific decisions where substitute decisions are required as a last resort.

The Office of the Public Advocate has trialled My Life My Wishes tool with different client groups across the office, including Aboriginal and Torres Strait Islander people who represent around 11% of clients and people living in residential age care,
who make up around 23% of clients.

These trials have provided learnings about how to best use My Life My Wishes to meet
the needs of different groups. The Office of the Public Advocate started using My Life My Wishes tool in 2023 to replace two internal documents. First, the client contact record and secondly, the client summary.

When completing My Life My Wishes, a file review should be undertaken before the client visit to gather information and prepopulate some sections of the form.

This provides background when visiting the client to speak with them directly about their wishes.

The purpose of My Life My Wishes is to:

  • identify the past and present wishes of the client. And this is paramount to understand and get to know the client.
  • to understand the support and communication needs of the client.
  • to identify support people in the client's life and if they can be present when meeting with a client
  • to understand the scope of the guardianship order and understand what decision making is actually required and
  • to have all the relevant information about the client in one document.

The form has three components.
Firstly, file information. Secondly, decision making profile and thirdly, wishes and client context - information about the client.

Best practice when using the My Life My Wishes tool are to:

  • adapt to the  individual
  • to be culturally sensitive
  • to be accommodating with communication needs and encourage the client's involvement
  • to engage and use supporters wherever possible and
  • to review and update the form on a regular basis.

Let's describe these in more detail adapting to the individual. How the My Life My Wishes tool is completed will vary depending on the client's capacity, engagement, and needs.

Some clients will be very involved while others will need a different approach. Secondly, cultural sensitivity.

The Office of the Public Advocate has developed guidelines and a video to assist staff in their role in supporting First Nations clients. This covers cultural safety, involving a cultural broker and implementing culturally safe supported decision-making practices.

These are important considerations when meeting with First Nations clients to ensure sensitivity around certain topics such as end of life wishes.

Staff should also inquire about where they are from and if they have a wish to return to country.

Thirdly, communication needs.

Client communication abilities vary. Communication can be verbal or non-verbal and can be obtained through observations or information provided.

Seek to understand the client's communication needs and methods prior to conducting the visit, to ensure that they can be supported accordingly.

For example, consider whether an interpreter, translator, or cultural broker is required. Some clients may use augmented communication devices such as communication boards, hearing aids, or other assistive technologies.

A comprehensive list of communication strategies and considerations is covered later.

Fourthly, encourage the involvement of the client. The client should be encouraged to express their wishes and preferences as much as possible. Some clients may not be able or willing to participate, while others will happily engage in the process.

Ideally, the client should be involved and if they wish, have a supportive present, to help ease the conversation and facilitate the discussion.

My Life My Wishes does not have to be completed in one visit. It is designed to be a dynamic document intended to change as we get to know the person better, know more about them, and if their wishes change.

It is okay to start and upload My Life My Wishes with a note that some information could not be obtained. For example, if the client was asleep when you visited, was unable to communicate given a particular health issue on that day.

Fifthly, use supporters. Ask the client or the staff who work with them, if they would like to have a support person present and who that might be. This may be a family member, a friend, staff member, a treating doctor or care provider.

Sixthly, review and update the form.
My Life, My Wishes is dynamic and should be updated on a regular basis. It is not expected that we will have all the information or be obtained at once. It can be updated with new information as it becomes available from the client, service providers, families, carers, and health practitioners.

Turning to how to complete the form. Complete the My Life, My Wishes form with what you know from the file review. Useful sources of information include, screening summaries, SACAT applications, behaviour support plans, hospital discharge summaries, as well as functional capacity assessments and section 57 reviews of SACAT orders.

Secondly, if available, review the most recent My Life My Wishes form.

Then thirdly, arrange the visit, considering those individual needs, cultural sensitivity, communication needs and involvement of supporters.

Then complete the My Life My Wishes with the client and their supporters present, if possible. Update new information as it becomes available.

Fifthly, upload the My Life My Wishes form to Felix, our computer system. Remember, every time the My Life My Wishes form is updated, it needs to be saved as a new document.

The old one should remain on the system.
When saving the My Life My Wishes in Felix, select the following categories:
Firstly, activity, My Life, My Wishes.
Then the event type, which is client information.
Event performed is My Life, My Wishes.
The naming convention description is use My Life My Wishes template.

For more information and videos about supported and substitute decision making, visit the OPA website at www.opa.goav.au and search supported decision-making.
Thank you.

Culturally Safe Supported Decision Making