We assume that all individuals are competent to make their own decisions related to treatment or services, if the individual has reached the age of majority (1q8 years or older), has the capacity to give consent, and a guardian has not been appointed. If the refusal of service or treatment may have a negative impact on the individual's health or well being, the team must work with the individual to ask and answer the question, "why"?

The intent is not to control or "strong arm" the person to comply with what the team feels is best, but to understand the reason for the refusal. Examples may include, but are not limited to, frequent refusal to take medication, follow a recommended diet, practice safe sex, or participate in training.