The Conversation Nobody Has in the Social Worker's Office
Susan Harmon drove to the hospital in Frisco on a Tuesday afternoon in March to meet with the discharge planner who had cared for her father during his three-day hospitalization after a Parkinson's fall. Robert Harmon was 67 years old. He had been diagnosed with Parkinson's disease fourteen months earlier. He was still driving — short distances — still attending his neighborhood book club, still managing his own email and investment accounts. He had spent thirty-one years as an aerospace engineer at Raytheon in McKinney and had the kind of mind that still lit up talking about orbital mechanics and project timelines.
The discharge planner was warm and efficient. She handed Susan a folder of resources and said something Susan had been half-expecting: "At some point soon, you may want to think about getting guardianship over your father. It will make things a lot easier when hospitals and financial institutions need to work with you."
Susan went home and Googled "how to get guardianship in Texas."
What she found was not simpler. A contested guardianship in Texas can cost $25,000 or more in legal fees. Even an uncontested proceeding typically runs $8,000 to $15,000, takes six to twelve months, and requires annual court reporting thereafter. More unsettling than the cost was what guardianship actually does: it removes the person's legal rights — permanently, unless restored by a separate court order. Robert would no longer be able to vote. He could not sign contracts. He could not make his own medical decisions. The court would give that authority to Susan, but it would first take it away from him.
Susan called WG Law the next morning. The first question the elder law attorney asked was not about her father's assets.
"Can your father tell you what he wants?" the attorney asked. "Not perfectly — but can he understand a question, think it through, and communicate a preference?"
Susan paused. "Yes," she said. "Absolutely."
"Then guardianship probably isn't the right tool," the attorney said. "Let me tell you about something Texas created in 2015."
What Most Families — and Many Social Workers — Don't Know
In 2015, Texas became one of the first states in the nation to codify a formal legal alternative to guardianship in statute. The Supported Decision-Making Agreement Act, now found at Texas Estates Code Chapter 1357, created a new legal framework built around a different question than the one guardianship asks.
Guardianship asks: Can this person make decisions on their own? If the answer is no, the court appoints someone to make decisions for them — a complete transfer of legal authority.
The supported decision-making model asks: Can this person make decisions with the right kind of help? If the answer is yes, the law gives them a formal tool to structure that support without a court proceeding — and without surrendering their rights.
The distinction sounds subtle. The practical difference is enormous.
A Supported Decision-Making Agreement (SDMA) under Chapter 1357 is a written document — signed by the adult, signed by one or more designated supporters, and witnessed or notarized — that formally authorizes the supporters to assist the adult with decision-making. Specifically, supporters may:
- Help the adult collect and understand information relevant to a decision
- Assist the adult in understanding the consequences of different options
- Help the adult communicate their decision to third parties — hospitals, banks, government agencies
- Accompany the adult to appointments and meetings as a decision-support resource
What supporters may not do is make decisions for the adult. The adult retains full legal authority. The supporter is, in the language of the statute, a helper — not a substitute. Health care providers and financial institutions presented with a valid SDMA are required to honor it under Texas law. That means Susan can accompany her father to his neurology appointments, help him understand his options, and help him communicate his preferences — all with formal legal backing — without Robert ever surrendering his right to make the final call.
Why This Exists, and Why Most People Have Never Heard of It
The disability rights movement had been pushing for supported decision-making frameworks for decades before Texas acted. The principle is rooted in the understanding that capacity is rarely binary. A person with early-stage Alzheimer's, Parkinson's, Down syndrome, or significant anxiety may find it very difficult to navigate complex financial or medical decisions alone — without losing the ability to understand a clear explanation and communicate a genuine preference with appropriate support.
Traditional guardianship was designed for a different era, one in which incapacity was treated as absolute. A diagnosis triggered a legal process that stripped every right at once. Texas changed that with Chapter 1357 — and courts now have a statutory obligation to consider whether less restrictive alternatives exist before appointing a guardian at all. The Texas Estates Code requires a guardianship court to find that the proposed ward's needs cannot be met through a less restrictive alternative, including a supported decision-making agreement, before granting full guardianship.
The reason most families — and many social workers — have never heard of SDMAs is partly institutional inertia. Discharge planners, nursing home staff, and even some attorneys default to recommending guardianship because it is familiar. The SDMA is newer and less widely understood outside elder law practices. And there is no comparable institutional ecosystem of courts, attorneys, and annual reporting requirements to sustain its public profile the way guardianship does.
But it exists. And in many situations, it is the right answer.
How Texas Courts Are Now Required to Think About This
The 2015 reform did not just create the SDMA — it also changed what Texas courts must do before appointing a guardian. A court considering a guardianship petition must find that no feasible, less restrictive alternative — including a supported decision-making agreement — adequately addresses the proposed ward's needs. If a less restrictive alternative does exist, full guardianship is not available.
In practice, this means that an elder law attorney can appear in a guardianship proceeding and argue that the person has sufficient capacity for an SDMA to work. Courts are required to take that argument seriously. In appropriate cases, it can stop a guardianship entirely — or limit it to a narrow, specific area where capacity is genuinely absent while preserving the person's rights in all other areas.
But this protection only functions if someone raises it. If the family applies for guardianship without an elder law attorney's input, if the proposed ward is unrepresented, or if the attorney handling the case is unfamiliar with Chapter 1357, the alternative never gets presented. The court can only act on what is put in front of it.
This is why the first question at WG Law, in every elder law consultation that touches on capacity, is about communication — not assets. The law has built in a protection for people who still have capacity, but it only works if the family knows to invoke it.
When an SDMA Works — and When Guardianship Is Necessary
Supported decision-making is a tool, not a universal answer. There are situations where guardianship is genuinely necessary, and no amount of support can substitute for a formal transfer of legal authority.
An SDMA typically works well when:
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- The person has capacity but struggles with complexity. Early-stage cognitive decline, intellectual or developmental disabilities, significant anxiety or depression, or language barriers can make navigating complex decisions very difficult — without eliminating the person's ability to understand and communicate preferences with help.
- The person trusts their supporters. An SDMA is a voluntary agreement that the adult can terminate at any time. It requires genuinely trustworthy supporters — not a given in every family, and something an elder law attorney will probe carefully before advising this path.
- Third parties are willing to cooperate. Texas law requires health care providers and financial institutions to honor valid SDMAs. In practice, some institutions are less familiar with the framework than others. An attorney can help navigate that resistance and ensure the agreement is drafted clearly enough to be honored without dispute.
- The risks are manageable without court oversight. For someone in the early stages of cognitive decline at moderate risk of financial exploitation, an SDMA combined with appropriate safeguards — a limited power of attorney for financial matters, a designated trusted contact at the brokerage — may adequately protect them without a court appointment.
Guardianship is typically necessary when:
- The person genuinely cannot understand any decision, even with substantial support — not complex ones, but basic ones.
- There is an immediate, serious risk of financial exploitation or physical harm that the SDMA model cannot address quickly enough.
- The person's trusted relationships have been captured by someone who is exploiting them, with no alternative supporters available.
- The person is making decisions that will cause irreversible damage — dissipating large assets, refusing critical medical care — and truly cannot understand that risk even with help.
The Texas legal definition of incapacity — the threshold for appointing a guardian — requires that the person is unable to make personal decisions regarding their health, safety, or financial affairs, even with assistance. See Tex. Est. Code § 1002.017. The standard is not that decisions are poor, unusual, or unpopular with the family. A person can make financially unsound decisions and still have legal capacity under Texas law. Capacity is about the ability to understand and communicate — not the wisdom of the outcomes.
The Cost Comparison Most Families Never Get to See
When families understand the cost difference, it often reframes the entire decision.
A properly drafted SDMA — executed by a Texas elder law attorney who confirms it meets Chapter 1357's requirements, coordinates it with existing estate planning documents, and ensures supporters understand their role and its limits — typically costs $500 to $1,500 in legal fees. No court filing is required. No annual reporting. No bond. The document is private.
A Texas guardianship, even an uncontested one, typically involves attorney fees of $3,000 to $8,000 or more, court filing fees, a guardian ad litem (an independent attorney appointed to represent the proposed ward), and — once guardianship is established — ongoing annual accounting and reporting to the court, plus a surety bond in most cases. Contested proceedings involving family disputes or allegations of prior exploitation routinely cost $25,000 to $50,000 or more.
Beyond money, there is the question of relationship and dignity. An SDMA says: "I trust you to help me navigate this, and I am still in charge." Guardianship says: "A court has determined this person cannot manage their affairs, and authority over their life has been legally transferred to someone else." For many adults with cognitive or developmental differences, the difference between those two messages matters — not just legally, but personally.
What Happened with Robert
Robert Harmon executed a Supported Decision-Making Agreement naming his daughter Susan and his son Michael as supporters. The agreement was witnessed and notarized in compliance with Chapter 1357, and it specified — consistent with what Robert wanted — that the supporters could help him with medical appointments, financial paperwork, and legal correspondence, while all final decisions remained his.
He remained eligible to vote. He continued serving on the HOA advisory board in his Frisco neighborhood. He kept his investment accounts, with his supporters available to help him review statements and understand options. When his neurologist asked whether he needed to speak with a family member about his care plan, Robert said: "Susan can help me understand what you're telling me. But I make my own decisions." The neurologist noted the SDMA in his chart and honored it at every subsequent visit.
Susan found that the agreement resolved nearly every practical concern the discharge planner had flagged — without the cost, the court process, or the permanent alteration of her father's legal standing. If Robert's condition progresses to the point where he truly cannot communicate his own decisions, the family and their attorneys will evaluate whether guardianship has become appropriate at that point. But that point had not arrived. And they didn't need to act as though it had.
The Right Starting Point: Before Any Court Filing
If your family is facing a situation where a parent, spouse, or adult child may need more support with legal, financial, or medical decisions, the right starting point is a conversation with a Texas elder law attorney — not a court filing.
The questions worth asking first are: Does this person still have meaningful capacity? Can they understand and communicate their preferences, even with support? If yes, could an SDMA provide what the family needs? If an SDMA isn't sufficient, would a limited guardianship — covering only the specific area where capacity is genuinely absent — be more appropriate than a full one? And has the existing estate plan — powers of attorney, healthcare directives — been reviewed to see whether the family's concerns are already addressed?
Many families who believe they need guardianship find, after a careful evaluation, that a combination of a well-drafted durable power of attorney, a medical power of attorney, and an SDMA covers everything — without a court. Others find that guardianship is genuinely necessary and pursue it with realistic expectations about cost and process. The point is not that guardianship is always wrong. The point is that it should be the answer to the right question — not the default answer to every question about an aging parent.
At WG Law, Taylor Willingham and the firm's elder law team work with families across McKinney, Frisco, Plano, Southlake, and the greater DFW area to evaluate which legal tools fit each situation. You can learn more about WG Law's elder law practice, read about when guardianship is truly necessary in Texas, or review the legal steps to take after a dementia diagnosis. When you're ready to talk through your family's situation, call us at 214-250-4407 or use our contact form to speak with our team.
This article provides general information about Texas elder law and is not legal advice. Every family's situation is different. Consult a qualified Texas elder law attorney to evaluate your specific circumstances.