F04 - [IN-PERSON/RECORDED] Supported Decision‐Making: From the Law to the Bedside

This session will be offered in-person and recorded for on-demand access by in-person PRIMR23 attendees registered for this day, and PRIMR23/SBER23 Virtual Meeting registrants.

In the US, disability rights laws (e.g., Americans with Disabilities Act and Rehabilitation Act) require federally funded medical centers to ensure people with disabilities are not discriminated against with respect to access to their services, programs, and/or benefits. This non-discrimination requirement includes a right to reasonable accommodations, if requested. Yet people with disabilities, including those with impaired decision-making capacity, are routinely excluded from participation in clinical research. Supported decision-making is a process that enables individuals with impaired decision-making ability to choose designated supporters to help them make informed choices and represents an emerging accommodation that facilitates their participation in research. This session will introduce the concept, history, and legal status of supported decision-making and will share an example of how supported decision-making has been implemented at a large academic medical center, including investigator education, documentation templates, and considerations for IRB review.