Sometimes an adult is not able to make important decisions about their health, personal care or spending. We say that they do not have capacity to make important decisions. This can be because of a brain injury, a disability, or mental health problems, or for other reasons.
People who cannot make important decisions on their own might need another adult to make those decisions for them. In those cases a family member or other caring person can apply to court to ask to be the adult's representative decision-maker or representative.
A representative may have legal responsibilities and duties related to part or all of the adult's finances, personal and health care. A representative may make only the decisions the adult is not able to make on their own.
The Adult Capacity and Decision-making Act gives the court the power to appoint a representative for an adult who cannot make their own important decisions. This law replaces Nova Scotia’s Incompetent Persons Act, which allowed the court to appoint a guardian for an adult. A guardian made all decisions for the adult whether the adult had the ability to decide a matter or not.
Download this pdf Adult Capacity and Decision-making information (pdf) (657 KB)
Get more information about the Adult Capacity and Decision-making Act, and about being a representative decision-maker for an adult at novascotia.ca/just/pto/adult-capacity-decision.asp
Important terms defined
Adult Capacity and Decision-Making Act – the Nova Scotia law that allows a judge to appoint a representative for an adult who is not able to make their own decisions.
Adult – In Nova Scotia, the age of majority (adulthood) is 19.
Assessor – An assessor is a doctor or psychologist, and with training, an occupational therapist, nurse, social worker, or other qualified health care professional.
Capacity assessment - testing by a health care professional (assessor) to find out if a person has the ability to make their own decisions
Capacity assessment report - A report prepared by a health professional (assessor) to explain whether an adult is able to make their own decisions. The report may also include information from other sources, like family and friends.
Representative - A person with legal authority to act for and make substitute decisions on behalf of another adult
Representation order - A Court order appointing a representative
Representation plan - A plan to manage the well-being and financial matters of an adult who cannot manage those matters for themselves.
What is adult representation?
Representation allows someone to be responsible for the personal and financial interests of an adult who is not able to make their own decisions. The person who applies for representation is called a representative. If an adult is unable to make significant health, personal care or financial decisions on their own, a family member or other caring person will sometimes apply to the court to be appointed as the adult's representative. Some people may refer to a representative as an adult guardian, delegate, or substitute decision maker, although these terms do not always have the same legal meaning.
The person for whom a representative is appointed is called an adult in need of representation. Only a judge can appoint a representative.
The law relating to adults who need a representative to help in decision-making used to be called the Incompetent Persons Act. The Incompetent Persons Act allowed the court to appoint an adult guardian. The Incompetent Persons Act has been replaced by the Adult Capacity and Decision-making Act, which took effect on December 28, 2017. The new law allows the court to make a representation order appointing a representative for an adult.
Guardianship orders made under the Incompetent Persons Act continue as representation orders. Guardians become representatives, and have the same duties and responsibilities as new representatives under the Adult Capacity and Decision-making Act.
Representation used to be called “guardianship”. This term has changed to encourage greater respect for adults who need help to manage their personal and financial interests.
A representative must use the least intrusive and least restrictive steps possible to help an adult in need of representation manage their affairs. This means that the representative must not interfere with the privacy and freedom of the adult in need of representation unless absolutely necessary.
Who is an adult in need of representation?
An adult in need of representation is any adult who does not have the capacity to make their own decisions. Examples of when this might happen are when a person:
- is in a coma following an accident
- has an illness such as Alzheimer’s disease or a psychiatric condition that affects their mental ability
- has a mental disability that prevents them from managing their affairs
- has a mental disability as the result of accident or injury.
This section only deals with the representative decision-making for adults. It does not talk about child guardianship. In Nova Scotia, an adult is anyone over the age of 19 (the age of majority). All adults in Nova Scotia are presumed to have capacity unless there is clear evidence to prove this is not the case.
What is capacity?
Capacity is the ability to understand information that is needed to make a decision and to understand the possible results of a decision. For example, for an adult to consent to medical treatment, they must understand the risks of either accepting or refusing treatment.
All adults are presumed to have capacity unless there is clear evidence to prove this is not the case. Adults have a right to make their own decisions. This includes the right to make decisions that friends or family might think are risky or unwise. Just because someone made a bad decision, or a decisions others might not have made, does not mean they do not have capacity to make their own decisions.
A person may have different degrees of capacity at different times. For example, an adult may have capacity to understand and agree to a simple medical procedure such as getting a flu shot, but may lack the ability to understand and make a decision about a more complex medical procedure such as a surgery. Another example is someone who has the capacity to make medical decisions, but not decisions related to managing their finances.
The way that an adult communicates does not determine whether they have capacity. An adult may need help from a translator, interpreter, family member, friend, or technology to communicate their wishes. This does not mean that they are unable to understand information or make a decision.
Who appoints a representative?
A representative for an adult is appointed by a Supreme Court of Nova Scotia judge. Before appointing a representative, a judge will hold a hearing to decide if an adult has the capacity to manage their own affairs.
Who can be a representative?
Any adult can apply to be the representative decision maker for an adult who does not have capacity to make important decisions on their own. A court will only appoint a representative when a judge is sure that the adult needs one, and that the proposed representative:
- agrees to be appointed
- will fulfill their duties under the Adult Capacity and Decision-making Act, including acting in the best interest of the adult who needs a representative, and
- is suitable to act as the adult's representative.
To decide whether a person is suitable to be the adult's representative the judge will also consider:
- the adult's views and wishes
- the relationship between the adult and the proposed representative where relevant to a representative's duties
- things that might make it harder for a judge to oversee a representation order, such as if a proposed representative lives outside Nova Scotia.
The court can appoint a trust company or the Public Trustee as a representative. A trust company can only deal with a person’s finances.
For more information, contact the Office of the Public Trustee.
A court can appoint more than one representative to act together (jointly) or separately. If two or more representatives are appointed to act together, the representation order must include a way to resolve any disputes that might come up between the representatives when carrying out their duties.
Can the Court appoint more than one representative?
A Court may appoint more than one representative to act together (jointly) or separately.
If two or more representatives are appointed to act together, then the representation order must include a way to resolve any disputes that might come up between the representatives when carrying out their duties.
Factors the court will consider to decide if a representative should be appointed
When deciding if a representative should be appointed, the court will consider:
- the wishes of the adult
- capacity assessment report
- any other evidence about the adult's capacity
- representation plan
- any Power of Attorney made by the adult
- any Personal Directive made by the adult
- the matters with which the adult may need help
- the value and type of property the adult owns
- any other evidence the Court considers relevant.
How do I apply to be a representative?
The Nova Scotia government has a Guide to Adult Representation that gives step-by-step information about the application process. It is on the Nova Scotia Public Trustee website.
The legal process for appointing a representative is set out in the Adult Capacity and Decision-Making Act. A representation application takes time and is complicated and technical. If you want to apply to be a representative, it is a good idea to talk with a lawyer, even for a short time.
It is important to know whether the adult has an enduring Power of Attorney and/or Personal Directive in place. If those documents are in place a representation order may not be needed.
To be appointed as a representative, you must file an application with the Supreme Court of Nova Scotia. The forms you need are at the links below. The forms come from the Nova Scotia Civil Procedure Rules, which are the rules about forms and processes used at the Supreme Court of Nova Scotia.
You must file:
- A Notice of Application in Chambers – Civil Procedure Form 5.03 , under Rule 5.03 (“Chambers” is where judges have shorter hearings)
- A Supporting Affidavit (a sworn or affirmed statement explaining why you believe the adult needs a representative) – Civil Procedure Form 39.08, under Rule 39.08. See the Guide to Adult Representation for information about what to include in the affidavit.
- A draft order for the judge to sign if they agree to appoint you as representative – Civil Procedure Form 78.05, under Rule 78.05
Instruction Sheets are on the Nova Scotia Courts website at courts.ns.ca/supreme_court/nssc_forms.htm.
You must also give the court these documents:
- A Brief (a letter to the court explaining why you believe the adult is in need of representation)
- A capacity assessment report from a health professional (medical doctor, psychologist, other trained capacity assessor)
- A representation plan
- A vulnerable sector check (a background check completed by police)
You can find the forms for a capacity assessment report and representation plan on the Public Trustee’s website novascotia.ca/just/pto/forms.asp under Adult Capacity and Decision-making.
When you have filled out all of these documents, take them to the court to be issued. This means that the court stamps them to show that they have been added to court records. The court will return an issued copy of the application documents to you. The documents must then be personally served (delivered in person) to the adult and anyone else who is a respondent on the Notice of Application. Once the application documents have been served, you, or the person who served the documents, must fill out an Affidavit of Service – Civil Procedure Form 31.05 under Rule 31.05, and file it with the court as proof of service.
You also need to make sure a copy of the Notice of Application is sent to other interested persons, including:
- the adult’s spouse, parents, children over 19, and siblings over 19
- a guardian for the adult appointed under the old Incompetent Persons Act
- an attorney for the adult appointed by a Power of Attorney
- a delegate for the adult appointed by a Personal Directive
- if the adult lives in a care facility such as a nursing home, the director of the facility.
You must deliver the application documents to these people at least 25 business days before the date of the hearing. Remember to allow for the day when the documents are delivered or sent, the day of the hearing, weekends, or holidays.
If you are concerned that someone on the above list should not be given notice of the application ahead of time, you may ask the court for permission not to notify them. You should ask the court about it when you file the application.
The adult or any other person who might be affected by the application may not agree with your application. If they do not agree they may file a Notice of Contest (Chambers Application) with the court (Form 5.04 for Contesting an Application on Notice in Chambers, under Rule 5.04).
Who can do a capacity assessment report?
A Capacity Assessment Report can be prepared by a medical doctor or registered psychologist. They can also be prepared by nurse practitioners or registered nurses, occupational therapists, and social workers, after completing specific training. This training will be developed in 2018 by the Public Trustee’s office.
What can a representative do?
A representative may only do the things described in the representation order and in the court-approved representation plan. For example, a representation order may give a representative authority to make only a single decision on behalf of the adult, or the order might cover a number of decisions. The representative can only make decisions for the adult that the adult cannot make for themselves. A representative may have authority to manage finances, make health and personal care decisions for the adult in need of representation. An example of personal care decisions is which social activities an adult in need of representation will attend, or if the adult works, where and what type of work the adult will do.
A representative must:
- act in good faith
- not make secret profits
- not delegate authority to another person
- not act for their own benefit or the benefit of anyone other than the adult.
A representative must not:
- sell or give away real estate belonging to an adult in need of representation without a court order
- make or change the adult's will
- start a divorce or change parenting arrangements
- give away anything that belongs to the adult in need of representation. One exception is that representatives may give gifts to the adult’s loved ones out of the adult’s property if the court agrees
- make a decision which the representative knows or has good reason to believe the adult could make on their own.
What does a representation application cost?
Going to court nearly always involves costs. These are listed below.
Legal fees
A lawyer will charge a fee to prepare a representation application and appear in court. This work will likely cost $5,000 to $6,000. Some lawyers may charge more or less. You can also contact Nova Scotia Legal Aid to see if you qualify for free legal help.
Court filing fee
It will cost $246.80 (December 2017) to file an Application with the Supreme Court of Nova Scotia. This includes tax and the cost of having the document issued (stamped) by the court.
Bond
If you are appointed as a representative, you must pay a bond (collateral) to the Supreme Court, to be held in trust. This is done so that the adult in need of representation is protected financially if you manage the adult’s money or property badly The bond will be equal to 1.25 times the value of any property the representative has control over.
If you cannot afford to pay the bond, you can get a guarantor or co-signer to help you pay the bond. This could be another friend or family member, or a surety company. You might not have to pay the bond if you are not granted authority over the adult’s financial matters, if there are other safety measures in place to protect the adult, or if the value of the adult’s property is worth less than $3,000.
Vulnerable sector check
It costs $50 to apply for a criminal record check/vulnerable sector check from the Halifax Regional Police. Contact your local police or RCMP detachment for information.
Capacity assessment
Most health professionals will charge a fee to do a capacity assessment report.
You may apply to the Public Trustee’s office for help paying some or all of the costs of a capacity assessment. You will have to show that it would be a financial hardship for the adult or you to pay for it. The government may pay up to $500 for an assessment for personal care or financial matters, or $700 for an assessment of both personal care and financial matters.
What are some of the representative's key responsibilities?
A representative must:
- always act in the adult's best interests
- make decisions in the least restrictive and least intrusive way
- tell the adult about any decision they need to make or have made on the adult’s behalf
- encourage the adult to make decisions whenever possible
- follow the wishes of the adult whenever possible, and
- respect the adult’s beliefs and values.
A representative must keep good records of all financial matters. If the representation ends for any reason, the representative must provide those records to the court. The court may also order the representative to produce those records or report to the court at any time.
Representatives must always protect the adult's privacy and personal information.
If a representative believes the adult’s ability to make decisions has changed the representative must have the adult’s capacity reassessed. A representative must apply to court to have the representation order reviewed if the adult's ability to make decisions changes.
The Nova Scotia government has a Guide to Applying for a Review of a Guardianship Order or a Representation Order. It is on the NS Public Trustee website.
What rights does an adult have?
The Nova Scotia government has information for Adults who may Need Representation. It is on the NS Public Trustee website.
The law says all adults have the capacity to make their own decisions, unless there is clear evidence to prove they cannot.
Adults have the right to:
- make their own decisions
- make decisions others might see as risky or unwise
- communicate in whatever way that makes them understood.
An adult has the right to the least restrictive and least intrusive options. For example, adults should be offered support so they can make their own decisions whenever possible. An adult has the right to use whatever support they need to communicate or make decisions. This might include using an interpreter or having help from a friend, family member, or other support person.
An adult who is the subject of a representation application has the right to have a lawyer. If they cannot afford to hire a lawyer, they can apply to Nova Scotia Legal Aid, or call Legal Aid at 1-877-420-6578. In court, the adult has the right to speak to the court, to be at the court hearing, and to give information to the court. If the adult does not agree with the judge’s decision, they can appeal the decision at the Nova Scotia Court of Appeal.
An adult who needs a representative has the right to apply to the court to review the representation order if their ability to make decisions changes. For example, if an adult can again make their own decisions, they can apply to the court to have the representation order reviewed, and to remove their representative decision-maker.
Do I have to cooperate with an assessment?
You do not have to take part in a capacity assessment.
If you refuse to be assessed or decide to end an assessment in progress, the health professional must stop the assessment and notify the person applying for representation that you have decided not to be assessed. Only a court can order a person to participate in an assessment if they refuse to cooperate. Family members and friends cannot make an adult cooperate with an assessment.
However, if a health professional who has been trained as an assessor believes you may need a representive, the health professional can assess your ability to make decisions even without your cooperation. The assessor can use information from other sources like family and friends. The assessor can also ask for your personal health information. The assessor might need your financial information to write the assessment report. If so, the person who is applying to be a representative must ask the court for permission to get that information.
When a capacity assessment is done, the assessor must tell you the results and give you a copy of the report.
How does representation end?
Representation ends when something important changes for the adult who has a representative, or for the representative.
Representation ends when the adult who has a representative decision-maker dies or regains capacity to make their own decisions.
Representation can also end if the representative is not able to do their job because they:
- stop acting as a good representative
- have a mental or physical disability
- move out of the province permanently
- resign as representative; or
- die.
If a representative dies, becomes incapable, refuses to act, or is unable to act for any reason, a judge will appoint a new representative if the adult still needs one. If there is no alternate representative able and willing to act, the Public Trustee may act as representative until another can be appointed.
If a representative wants to resign, they must apply to court to ask to be removed from the representation order.
What if an adult does not need a representative anymore?
If an adult regains the ability to make decisions, they can apply to the court to have the representative removed. If an adult regains capacity, the representative has the responsibility to apply to court to ask the court to review the representation order and to tell the court of the change in the adult’s capacity. If the review is successful, the representative must provide financial records to the Court and return all possessions to the person who has regained capacity.
When should I ask the court to review a representation order or an older guardianship order?
Anyone who has concerns about a guardian, representative, or adult who has a representative decision-maker can apply to the Supreme Court of Nova Scotia for a review hearing. You can do this if you are an appointed guardian or representative, or an adult who has a representative decision-maker, or a family member or friend.
Some examples of reasons to ask the court for a review are:
- you have a guardian or representative appointed to make decisions for you, but you can make some or all important decisions for yourself
- you were appointed as a guardian or representative for an adult and you feel the adult can make some or all of their own decisions
- the court ordered you to return for a review after a certain length of time.
For more information, see the Guide to Applying for a Review of a Guardianship Order or a Representation Order on the Nova Scotia Public Trustee website.
You can complain to the Public Trustee if you think that a representative is not doing their job right. Anyone can also complain to the Public Trustee if they are concerned about the decisions of a guardian under the Incompetent Persons Act. The Public Trustee will look into the complaint and may refer the matter to other agencies, such as police or the Department of Community Services.
Complaints or concerns about a representative
You can complain to the Public Trustee if you think that a representative is not doing their job right. Anyone can also complain to the Public Trustee if they are concerned about the decisions of a guardian under the Incompetent Persons Act. The Public Trustee will look into the complaint and may refer the matter to other agencies, such as police or the Department of Community Services.
You can use an online form to make a Complaint Respecting a Representative on the Public Trustee's website, or call the Nova Scotia Public Trustee at 902-424-7760.
Anyone who has concerns about a representative may also apply to court to have a representation order reviewed. See the Nova Scotia government's Applying for a Review guide for more information.
Do representatives get paid?
As a representative, you may be paid for out-of-pocket costs related to carrying out your duties. This money comes from the money or property of the adult you represent.
You may also ask the court to approve taking a fee from the adult’s money or property. You should know that no pay may come from government benefits or support paid to the adult.
You must ask the court to include this compensation when you apply to become the adult’s representative. The court may order up to $15 per hour for managing health care or personal care matters. If you are managing financial matters, the court may allow you to receive up to 2.5 percent of money the adult gets (for example interest earned) while you are their representative.
Can I manage an adult’s finances without being a representative?
Sometimes when a person can no longer make their own decisions, someone else will be able to help them. This person is usually a spouse, adult child, or other close family member, or even a close friend.
Informal arrangements work for many people. If the adult has real estate has real estate or financial assets that need to be managed, though, there can be problems. For example, in an informal arrangement, you will not be able to deal with investments unless the person has appointed you as attorney in an enduring power of attorney. For more information, see the section on Powers of Attorney.
Can I make decisions about my finances and personal care before I need a representative?
Yes. While you have capacity to make decisions, you can arrange for someone to manage your financial affairs. This legal document is called an Enduring Power of Attorney.
You can also arrange for someone to manage your health and personal care if you lose capacity and are unable to make your own decisions. This legal document is called a Personal Directive.
More Information
- Public Trustee
- Nova Scotia Legal Aid
- Legal Information Line, Lawyer and Mediator Referral Service - For legal information or a referral to a lawyer in private practice.
