Who is typically the highest authority in the hierarchy of substitute decision-makers?

The highest authority in the hierarchy of substitute decision-makers is typically the guardian of the person appointed by the courts. This designation often comes with legal recognition and responsibility, granting the guardian the authority to make decisions that are in the best interest of the individual who is unable to do so themselves due to capacity issues.

A guardian appointed by the court has undergone a formal process that involves a legal determination of the individual's incapacity and the necessity for a substitute decision-maker. This process ensures that the guardian is appropriately equipped to manage the personal and health-related decisions for the individual based on legal standards and protections.

While a spouse or partner, child, or parent may be significant figures in an individual's life, they do not necessarily carry the same legal authority without a court designation. The public guardian or trustee serves in a similar capacity but typically acts when no suitable private decision-maker is available or appointed. Thus, the role and authority of a court-appointed guardian holds precedence as it is supported by legal frameworks designed to protect vulnerable individuals.