For older Australians, having the ability to make their own decisions is central to dignity, independence, and wellbeing. As aged care reforms continue to strengthen rights and protections, supported decision-making has become a cornerstone of how the system empowers older people to stay in control of their care.
Supported decision-making recognises that while some individuals may need help understanding complex information, weighing options, or communicating their choices, the decision always remains their own. The role of a supporter is not to instruct, persuade, or substitute their judgment, but rather to enable the older person to make informed and confident decisions that reflect their own preferences and values.
This approach places autonomy at the forefront of aged care—ensuring that older Australians retain ownership of the choices that shape their lives.
What Supported Decision-Making Really Means
Supported decision-making is a personalised process that adapts to the unique needs of each older person. It may involve:
- Breaking down information in a clear, easy-to-understand way
- Discussing options, risks, and benefits
- Helping an older person express their views
- Supporting them to communicate their decision
- Assisting them in lodging complaints or resolving issues when needed
Rather than taking over, supporters act as partners, helping older people stay informed, confident, and in control.
This framework is especially important in aged care, where decisions may involve service selection, assessments, financial considerations, daily living supports, or responding to quality and safety concerns.
Who Can Be a Supporter?
Older Australians can choose supporters who they trust and feel comfortable with. These may include:
✔ Family members
Often the first source of support due to familiarity and close relationships.
✔ Carers
Those already involved in daily routines may help interpret needs or clarify decisions.
✔ Registered supporters
Authorised individuals appointed to assist with communication and information-sharing.
✔ Aged care advocates
Independent professionals who help older people understand rights, express concerns, and navigate complaint processes.
This flexibility ensures that older adults can select supporters who align with their personal preferences and cultural or communication needs.
Understanding the Role of Registered Supporters
Registered supporters have a defined role under Australia’s aged care framework. They may:
- Access certain information on behalf of the older person
- Help communicate with providers, assessors, or government agencies
- Assist in understanding assessments, fees, or service options
However, it is essential to note:
🔹 Registered supporters cannot make decisions on behalf of the older person.
The power to decide always remains with the individual receiving care.
To appoint a registered supporter, older Australians must follow a formal process—commonly done through My Aged Care. This helps ensure clarity, transparency, and accountability for everyone involved.
The Role of Aged Care Advocates
At times, an older person may prefer support from someone who is fully independent of family or service providers. In these situations, aged care advocates play an essential role.
Advocates can:
- Explain rights and options
- Assist with concerns about care quality
- Support older people in making or escalating complaints
- Ensure the person’s voice is heard clearly and without pressure
These services are free and confidential.
The Older Persons Advocacy Network (OPAN) can be contacted at:
📞 1800 700 600
Advocacy ensures every individual has a fair, safe, and supported pathway to meaningful participation in care decisions.
Why Supported Decision-Making Matters
Supported decision-making is more than a process—it is a rights-based approach designed to strengthen independence and dignity. It is especially important because:
✔ It upholds autonomy
Older people remain the primary decision-makers in all matters concerning their care.
✔ It respects individual preferences
Support is tailored, allowing for cultural, linguistic, or cognitive needs.
✔ It reduces misunderstanding and conflict
Clear communication leads to better outcomes and fewer breakdowns between families and providers.
✔ It improves the quality of care
When providers understand a person’s values and decisions, services can be better aligned with their goals.
✔ It builds confidence
Older adults feel more empowered when they know they have someone by their side, not someone acting in their place.
Supported decision-making is therefore essential to a compassionate and modern aged care system—one where every older Australian is seen, heard, and respected.
How Families Can Support Decision-Making
Families often wonder how to provide support without overstepping. Helpful strategies include:
- Listening without judgment
- Presenting information calmly and clearly
- Checking understanding rather than directing the decision
- Encouraging the older person to express their preferences
- Supporting them in seeking professional or advocacy help when needed
Small actions can make a significant difference in maintaining a loved one’s sense of agency and control.
⭐ How SSCA Helps Older Australians Make Informed Care Choices
Navigating aged care options can feel overwhelming—especially when comparing providers, fees, or service types. Supported decision-making becomes far easier when you have access to clear, accurate information from trusted professionals.
Support Services Connect Australia (SSCA) provides a free, independent care finding service that helps older Australians and their families:
- Understand aged care options with confidence
- Compare home care providers based on needs, preferences, and location
- Receive clear guidance in simple, accessible language
- Make informed decisions without pressure
- Navigate assessments, funding pathways, and next steps
With over 25 years of experience in the Australian aged care system, our team offers expert support throughout the journey.