
Supported Decision Making (SDM) is a process designed to assist individuals, particularly those with cognitive disabilities, in making their own decisions by utilizing support networks rather than relying on traditional substitute decision-making models, such as guardianship. This approach is grounded in the principle of autonomy and emphasizes the right of individuals to make choices about their own lives with the help they need to do so.
SDM involves the individual, referred to as the 'decision-maker', selecting trusted supporters who can assist them in understanding the situations they are faced with, considering the options available, and communicating their decisions to others. These supporters can be family members, friends, or professionals who provide advice and information, but the ultimate decision-making power remains with the individual.
The concept of supported decision making recognizes that everyone needs support to make decisions at some point in their lives, whether due to complex situations or personal circumstances. However, it specifically seeks to empower those who have traditionally been marginalized in decision-making processes, such as people with intellectual or developmental disabilities.
Supported decision making is increasingly being recognized and implemented in various legal and policy frameworks around the world. It promotes inclusivity and self-determination, aligning with human rights principles, such as those outlined in the United Nations Convention on the Rights of Persons with Disabilities (CRPD).
Overall, supported decision making is a flexible, individualized process that respects the dignity and preferences of the decision-maker, ensuring that they have control over their own lives while receiving the necessary support to make informed decisions.







