Supported decision-making has emerged as an alternative to traditional models of guardianship as a means to support people with intellectual disability to be maximally included in the totality of their lives. Based on social-ecological models of disability that emphasize personal strengths and abilities and supports that enable people to fully participate in normative environments and contexts, supported decision-making has promise to enhance self-determination and quality of life. Research on factors related to decision making, on supports to enable people to fully engage in the decision-making process, and on efforts to design interventions that promote knowledge and skills pertaining to decision making are among the needed next steps to begin to realize the goal that people with intellectual disability are supported to make decisions. This article proposes a three-pronged framework for considering the design of assessments and interventions to promote supported decision-making; decision-making abilities, environmental demands for decision making, and support needs for decision making.

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