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Turning 18

Guardianship & alternatives — the least-restrictive choice

At 18, your child becomes a legal adult. NJ law and person-centered practice ask you to start with the least-restrictive option and only add authority you truly need.

This page is education, not legal advice. Guardianship is a court process that removes rights. Talk with a NJ disability attorney or Disability Rights NJ before deciding.
Supported Decision-Making
Best for
Best for adults who can make decisions with help from trusted people.
How to set up
A written agreement listing supporters. No court needed. Reversible.
Why choose it
Preserves rights. Low cost. Person-centered.
Power of Attorney (POA)
Best for
Best when the adult can appoint someone but needs help with finances or healthcare.
How to set up
Signed with a notary. Can be limited or durable.
Why choose it
No court. Revocable at any time by the individual.
Healthcare Proxy / Advance Directive
Best for
Anyone 18+. Names who makes medical decisions if the individual can't.
How to set up
Free form from the NJ Attorney General. Signed with two witnesses.
Why choose it
Essential regardless of other legal tools.
Limited Guardianship
Best for
Adult can make some decisions but needs a guardian for specific areas (finances, medical).
How to set up
Court petition in Superior Court. Requires two physician/psychologist certifications.
Why choose it
Preserves rights in every area not specifically limited.
Full (Plenary) Guardianship
Best for
Adult cannot make significant decisions in any area.
How to set up
Court petition. Physician + psychologist certification. Attorney typically required.
Why choose it
Broadest authority — but removes the individual's legal rights. Use only when necessary.

Where to get help in NJ

Sources & last verified
Last verified: July 2026

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