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Guardianship of Incapacitated Adults: A Summary of North Carolina ...

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Fundamentals <strong>of</strong> Social Services Law<br />

November, 2004<br />

John L. Saxon<br />

Institute <strong>of</strong> Government, UNC-CH<br />

a) This inquiry is generally conducted as part <strong>of</strong>, or immediately following, the<br />

hearing with respect to the respondent’s incapacity.<br />

b) If a current MDE is not available and the CSC determines that one is<br />

necessary, the CSC may order that an MDE be prepared. The CSC also<br />

may require a designated local human resources agency (including a<br />

county social services department or an area mental health authority) to<br />

prepare a report evaluating the suitability <strong>of</strong> a prospective guardian and a<br />

recommendation with respect to who should serve as the ward’s guardian.<br />

B. Three Types <strong>of</strong> Guardians<br />

1. Depending on the nature and extent <strong>of</strong> the ward’s income, assets, liabilities,<br />

needs, and incapacity, the CSC may appoint a guardian <strong>of</strong> the ward’s person,<br />

a guardian <strong>of</strong> the ward’s estate, a guardian <strong>of</strong> the ward’s person and a<br />

guardian <strong>of</strong> the ward’s estate, or a general guardian <strong>of</strong> the ward’s person and<br />

estate.<br />

2. A guardian <strong>of</strong> the person is a guardian who is appointed solely for the<br />

purpose <strong>of</strong> performing duties relating to the care, custody, and control <strong>of</strong> a<br />

ward.<br />

3. A guardian <strong>of</strong> the estate is a guardian who is appointed solely for the purpose<br />

<strong>of</strong> managing the property, estate, and business affairs <strong>of</strong> the ward.<br />

4. A general guardian is a guardian who is appointed as the guardian <strong>of</strong> the<br />

person and guardian <strong>of</strong> the estate <strong>of</strong> a ward.<br />

C. Who May Be Appointed as the Guardian <strong>of</strong> an <strong>Incapacitated</strong> Adult?<br />

1. The CSC may appoint as a guardian an adult individual, a corporation, or the<br />

director or assistant director <strong>of</strong> a local human resources agency or the <strong>of</strong>ficer,<br />

agent, or employee <strong>of</strong> a state human resources agency (other than an<br />

employee <strong>of</strong> a treatment facility in which the ward resides).<br />

2. The CSC may not appoint a corporation or a state or local human resources<br />

<strong>of</strong>ficial or employee as the guardian for a ward unless there is no adult<br />

individual who is qualified and willing to serve as the ward’s guardian.<br />

3. The CSC may not appoint a state or local human resources <strong>of</strong>ficial or<br />

employee as the guardian for a ward unless there is no adult individual or<br />

corporation that is qualified and willing to serve as the ward’s guardian.<br />

4. If the ward has executed a durable power <strong>of</strong> attorney or a health care power<br />

<strong>of</strong> attorney that nominates a person to serve as the ward’s personal guardian,<br />

guardian <strong>of</strong> the estate, or general guardian, the CSC must appoint that<br />

person as the ward’s guardian unless the person is disqualified or there is<br />

good cause not to appoint that person.<br />

5. If there is more than one individual who is qualified and willing to serve as<br />

guardian, the CSC should appoint the individual who, in the clerk’s discretion,<br />

is best suited to serve as the ward’s guardian. In many cases, this may be the<br />

ward’s spouse, adult child, or other close relative, but there is no statutorily-<br />

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