TBJ DECEMBER 2021 [Opinion]
In Their Best Interests
Are guardianships toxic to constitutional rights?
Written by Julie Balovich
When Britney Spears was able to speak directly to the judge who
oversees her conservatorship and her speech went viral, it was the first
time that many people heard the firsthand experience of a person living
under guardianship.1 What Spears described was disturbing.
She said she was forced to take psychoactive medication that made her
feel “drunk.” She was compelled to obtain therapy with someone she did
not trust. She was not allowed to remove a contraceptive device when she
wanted a child. Spears summarized her complaints with devastating
simplicity: “I just want my life back.”2
Spears’ story is extraordinary because of who she is (an international
pop star, for those who eschew pop culture/live under a rock), but the
essence of her story is not unusual. On a routine basis in our country
and in our state, persons with varied mental conditions become subject
to court orders that strip their control over their own lives. As
described by the Texas Supreme Court, guardianships are a
“court-sanctioned infringement of an incapacitated person’s right to
control her own property, liberty, and life in order to promote and
protect [her] well-being.”3 A form of “civil death” as that
term has been used in jurisprudence,4 guardianships can
terminate an adult’s constitutional rights, including the right to
vote,5 marry,6 and possess guns.7
Adults under guardianship lose the right to make the ordinary everyday
choices that are core to our concept of personal
liberty.8
The legal justification for guardianships is the ancient doctrine of
parens patriae—that the state has an obligation to be a protector for
its citizens who cannot take care of themselves.8 This
concept makes sense intuitively. If a person cannot access food,
clothing, shelter, medical care, or manage his or her property because
he or she lacks capacity to do so, society should step in. The
rights-based justification for a guardianship is that a guardianship
ensures equal protection for these individuals under the law. The
guardian is the person with authority to ensure the ability to access
essentials for the incapacitated adult, and the court has oversight to
ensure that the dependent adult is not harmed.
But rights extend beyond access to tangible essentials—to agency,
autonomy, and self-expression. In the American conception of civil
rights, liberty is fundamental. This includes the liberty to make
mistakes. Viewed in this context, guardianships should be a measure of
last resort and should be narrowly tailored. In practice, the human
impulse to protect the most vulnerable in our society tilts the scales
in favor of full guardianships that provide maximum protection against
the harm of potential bad choices.
For years, Texas courts have acknowledged that the liberty interests
implicated in guardianship proceedings necessitate ‘“uniform, strict
procedural safeguards to protect a person’s liberty and property
interests before a court may take the drastic action of removing’ a
person’s ability to make his or her own legal decisions.”10
Those safeguards include a heightened burden of proof as to the person’s
incapacity and the necessity for a guardianship.11 Further,
Texas law expressly requires a finding that the appointment of a
guardianship will protect the rights or property of a
person.12 The Legislature has adopted a policy statement of
guardianships restraint by providing that authority should be granted
“as indicated by the incapacitated person’s actual mental or
physical limitations and only as necessary to promote and
protect the well-being of the incapacitated person.”13
At the national level, a movement spurred by disability rights and
elder law advocates has resulted in legislative reform in many states
and the development of practical resources for practitioners who
represent persons with diminished capacity.14 In 2015, the
work of a committee of stakeholders in Texas resulted in omnibus
legislation including the requirement that alternatives to guardianship
be considered.15 Texas became the first state to codify
supported decision-making, a process that supports and affirms the
rights of persons with disabilities to make their own choices with the
help of persons they trust.16 The legislation intended to
reduce unnecessary and overly restrictive guardianships and provide
better oversight of guardians.17
Has it worked? It is hard to know how many guardianships have not been
filed or have not been granted as a result of the new pleading and proof
requirements.18 But even with heightened procedural due
process protections, the law still permits a guardianship proceeding to
do more than what is actually necessary to protect a person’s rights at
the time the guardianship is sought. As one example, a researcher found
that 90% of guardianships in Texas terminate the right of the person to
vote.19 What evidence do courts rely upon to make that
determination? Is termination of all fundamental rights a necessary
outcome of a guardianship?
These questions were presented recently in In the Guardianship of
N.P., a case from the 2nd Court of Appeals in Fort
Worth.20 In N.P., a statutory probate court granted
a limited guardianship to the parents of an 18-year-old woman who had a
mild intellectual disability and autism after findings that the young
woman lacked capacity to make personal decisions regarding medical care,
employment, and her residence based upon an uncontroverted doctor’s
affidavit, a court investigator report, and her parents’
testimony.21 N.P. participated in the hearing.22
She testified that she attended school and took part in activities with
people her own age and without other adult supervision.23 She
worked in a grocery store and wanted to attend community college, and
she expressed her appreciation for her parents’ help and
guidance.24 She was not asked about marriage, voting, or
driving.25 In denying a full guardianship, the trial court
found insufficient evidence that N.P. lacked capacity to make decisions
regarding marriage, voting, and operating a motor vehicle and also found
there were alternatives to removing the right to operate a motor vehicle
because she would have to fulfill requirements of Texas law to obtain a
driver license.26
The parents appealed the order granting a limited guardianship, and
the court of appeals reversed, holding that there was no countervailing
evidence that N.P. was “capable of making significant decisions about
voting, driving, and marriage” and therefore it was an abuse of
discretion for the court to fail to find she was totally
incapacitated.27 The court did not discuss how the record
conclusively negated that N.P. would ever be able to express a choice in
a presidential or local election, nor what factors a court should
consider in deciding whether a person has capacity to make such a
choice.28
The fact that a person has rights under the law does not mean he or
she is ready to exercise them. People are often still in high school
when they become adults; most will continue to rely upon their parents
for a place to live, financial support, and guidance on significant
decisions. But many families seek guardianships over children with
disabilities when they reach the age of majority simply so they can
continue to make medical and educational decisions—decisions they are
otherwise barred from making because of federal and state law which
confer these rights to adults. If families seek guardianship for these
limited reasons, under the reasoning of N.P., it may be an
all-or-nothing proposition.
The guardianship structure allows violations of ordinary civil
liberties. A person under guardianship has rights, including the right
to be treated with respect for their personal preferences; how a person
who is dependent upon a guardian enforces those rights is
murky.29 For instance, a person under guardianship may visit
persons of his or her choice, unless a guardian determines it would
cause substantial harm.30 No procedure is required to deny
access. If the guardian makes that determination, the person under
guardianship must figure out how to request a hearing to remove those
restrictions.31 There is no review process that a person
under guardianship is automatically entitled to participate in where he
or she could express dissatisfaction directly to the court regarding how
he or she is being treated.32 And if he or she did, the
court’s prior finding that he or she is incapacitated and in need of
protection may prejudice his or her ask. Decisions made under the guise
of best interest are difficult to overcome, even when they violate a
person’s dignity of choice.
Guardianships are necessary in many cases to protect the rights of
persons who cannot protect themselves. But if questions remain whether
guardianships must be scrutinized for overreach, Spears’ case shows that
even a person with exceptional resources and an outsized media platform
can be disempowered under a court-monitored situation designed to
protect her.TBJ
The author would like to thank her colleagues Gabriel Sanchez,
Hannah Samson, Erin Shahinfar, and Hannah Cramer for their valuable
contributions to this article.
JULIE BALOVICH
manages the guardianship practice at Texas RioGrande Legal Aid.