Guardianship case coming to close

A case closely watched by disability advocates appears to be coming to a close. A judge has vacated a court-ordered […]

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A case closely watched by disability advocates appears to be coming to a close. A judge has vacated a court-ordered guardianship and conservatorship for Cindy Hagen. She has been living in Mayo Clinic’s Austin hospital since last summer. 

Hagen, 49, is quadriplegic as a result of injuries sustained as a child in a car crash. 
Earlier this year, a judge put Hagen under emergency guardianship and conservatorship after attempts to discharge her to an appropriate facility failed. 

Blue Earth County Human Services petitioned the courts for the guardianship. According to court documents, the county was unable to find in-home care for Hagen, which she had previously had at her apartment in Mankato in part due to widespread staffing shortages. Hagen was offered services in skilled nursing facilities or in an apartment in the Twin Cities but she did not agree to them, according to court documents. 

Hagen has said in court documents she instead wanted to go home to her apartment where she lived for years until 2020. Her  situation highlights challenges in some of the systems that surround people living with disabilities, said David Dively, executive director of the Minnesota Council on Disability. 

Recent legislative changes make it harder to put people living with disabilities under guardianship. But courts and families have been slow to embrace those changes, he said. 

“We want to move as far away from guardianship as realistically and practically possible because it is so restrictive. And in Minnesota, we do it pretty heavy-handedly,” he said. 
Instead, disability advocates say the state — and nation — should be moving toward a process of “supported decision-making.” 

A big challenge, however, are staffing shortages in assisted living facilities and in the profession of in-home care shortages made worse by the pandemic. 

More and more, patients who no longer need acute care end up stuck in the hospital as a result, said Mayo Clinic Dr. Tamara Buechler, who works in Rochester. 

“In these past couple of years with the pandemic, the challenges have only increased,” she said. “In any given quarter we have over 900 delays related to post-acute care. On any given day, in our hospital 10 percent or more of the population are patients who are delayed in the hospital setting because we need to establish a next level of safe care for them.” 

Court documents say Hagen’s guardianship and conservatorship will be reinstated if she doesn’t move home within 45 days. 

(Source: Minnesota Public Radio)

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