A Comprehensive Guide to Understanding Guardianships in Massachusetts
- Attorney Gonsalves

- Mar 19
- 4 min read
Updated: Mar 23

A Guardianship is a legal arrangement that affects many families in Massachusetts. When someone cannot manage their own health, a guardian may be appointed to help protect their interests. Understanding how guardianships work in Massachusetts can help families navigate this complex process with confidence and clarity.
This guide explains the key aspects of guardianships in Massachusetts, including who needs a guardian, how to establish guardianship, and important legal considerations. There are different types of guardianships in Massachusetts. For purposes of this excerpt, I will focus on a general guardianship.
If you require information related to a Rogers guardianship - check out our Legal Insights page on our website.
What Is a Guardianship?
Guardianship is a court-appointed role where an individual, called the guardian, is given the legal authority to make personal, medical, and daily-life decisions for another person, known as the ward. This usually happens when the ward cannot make decisions independently due to age (such as minors) or incapacity (such as adults with disabilities).
Under Massachusetts law, any person that is interested in the ward's welfare can petition the court for a determination of incapacity and request the appointment of a guardian.
Acquiring an appointment of a guardian requires the petitioner to supply the court with evidence such as a medical certificate dated within thirty (30) days of the court hearing. The petitioner must also comply with notice requirements, ensure proper venue, demonstrate the subject of the proceedings is an incapacitated person, show that the appointment of the proposed guardian is necessary or desirable as a means to providing continuing care and supervision of the incapacitated person, and that such an appointment is the least restrictive means. M.G.L. c. 190B, § 5-306(b)(1)-(8). Furthermore, the petitioner is responsible of supplying the court with a general statement of the incapacitated person's property (and estimated value), including any insurance, pension, and other sources and amount of any other anticipated income or receipts. M.G.L. c. 190B, § 5-303(12).
If approved, the Court will appoint a guardian on a permanent or temporary basis and define the scope of power conferred.
How to Establish a Guardianship in Massachusetts
The process to establish guardianship involves several steps:
Filing a Petition
A petition must be filed with the Probate and Family Court in the county where the ward lives. The petitioner can be a family member, friend, or any other person interested in the ward's welfare - such as a nursing home or hospital.
Notice to Interested Parties
The court requires notice to the ward and other interested parties, such as close relatives. All interested parties must be located and supplied with notice of both the citation and notice of hearing.
Evaluation
An independent medical evaluation of the incapacitated person must be conducted within thirty (30) days of the hearing and accompanied by a medical certificate signed by the evaluating physician. M.G.L. c. 190B, § 5-303(11)(A).
Hearing
A judge holds a hearing to review evidence and hear testimony. The ward has the right to attend and be represented by an attorney.
Appointment
If the court finds guardianship necessary, it appoints a guardian and defines their powers and duties.
This process can take several months depending on numerous factors such as the complexity of the case, objections to the petition, or other circumstances.
Alternatives to a Guardianship
Guardianship is a serious step that limits a person’s rights. Massachusetts encourages exploring alternatives first:
Durable Power of Attorney
Allows a trusted person to make financial or health decisions without court involvement.
Health Care Proxy
Designates someone to make medical decisions if the person becomes unable.
Supported Decision-Making
Helps individuals make their own decisions with assistance rather than replacing their authority.
These options can be less restrictive and preserve autonomy.
Ending a Guardianship
Guardianship does not always last forever. It can end when:
The ward regains capacity.
The ward turns 18 (for minors).
The guardian resigns or is removed by the court.
The ward passes away.
The court must approve ending guardianship to ensure the ward’s protection.
Practical Example
Consider a family where an adult son develops a serious cognitive impairment after an accident. His parents petition the court for guardianship to manage his personal, medical, and daily-life decisions. The court orders an evaluation confirming his incapacity and appoints the mother as guardian with authority to make decisions on behalf of her son. The mother files annual reports with the court and makes decisions based on her son’s best interests.
This example shows how guardianship provides a legal framework to protect vulnerable individuals while involving the court’s oversight.
Important Legal Considerations
Court Supervision
Guardianships are supervised by the Probate and Family Court to prevent abuse or neglect.
Legal Representation
The ward has the right to an attorney during the guardianship process.
Costs
Filing fees and legal costs can vary. Some may qualify for fee waivers.
Choosing a Guardian
The court prefers family members but may appoint a professional guardian if needed.
Final Thoughts
Understanding guardianships in Massachusetts helps families make informed decisions during difficult times. Guardianship provides a legal way to protect those who cannot care for themselves, but it also involves serious responsibilities and court oversight. Exploring alternatives and working with legal professionals can ensure the best outcome for everyone involved.
You should contact an attorney experienced with guardianship proceedings if you or a loved require the appointment of a guardian and prefer that an immediate relative or close friend be appointed rather than an unknown qualified individual.




