91,974
children are registered in the Ontario Autism Program
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Direct answer
A power of attorney lets your autistic adult child choose who makes property and personal-care decisions if they cannot. Under Ontario's Substitute Decisions Act, 1992 it is the less restrictive alternative to guardianship — but it must be created while your child has legal capacity. A property POA can be made from age 18; a personal-care POA can be made from age 16.
Substitute Decisions Act, 1992 · Verified 2026-08-10
In brief
Substitute Decisions Act, 1992 · Updated
A power of attorney (POA) is a legal document in which one adult authorizes another person — an "attorney" — to make decisions on their behalf. In Ontario, the framework for property and personal-care decision-making is the Substitute Decisions Act, 1992. Despite the title, an "attorney" under a POA does not have to be a lawyer: it is whoever your child chooses, such as a parent or sibling.
Ontario recognizes two main kinds relevant to autism families:
| Type | What it covers | Source |
|---|---|---|
| POA for property | Covers money, bank accounts, benefits, housing, and other property. It can take effect immediately or on a later trigger, depending on how it is drafted — a lawyer should draft and explain the difference. It can be made from age 18 under the Substitute Decisions Act, 1992. | Substitute Decisions Act, 1992 |
| POA for personal care | Covers health care, medical treatment, nutrition, shelter, clothing, hygiene, and safety if your adult child becomes incapable of making those decisions. It can include specific instructions about treatments and living arrangements so their preferences are respected. It can be made from age 16 under the Substitute Decisions Act, 1992. | Substitute Decisions Act, 1992 |
Fail-closed notice. Legal rights, deadlines, and program rules change. This page explains the general Ontario framework as this site has published it; confirm the current rule with the relevant Ontario authority or a qualified legal professional before acting.
At 18, a young person in Ontario is presumed capable of making their own decisions. A power of attorney names who can decide if they later cannot. Many autistic adults have the capacity to grant a POA: the test is whether they understand what a POA is and what it does, not whether they have a diagnosis.
A lawyer can assess capacity as part of the POA creation process. If capacity is unclear, ask about supported decision-making first: Ontario law favours the least restrictive option, and a person may be able to make decisions with support rather than having decisions taken over entirely.
The timing point matters most: create the POA while capacity is clear. If no POA exists and an adult is later found incapable, guardianship may require a court application to the Ontario Superior Court of Justice — with capacity assessments, a management plan, financial disclosure, and notice to the adult and others.
Families often arrive at this question holding three tools that sound alike. They solve different problems:
Read our Henson trust guide and guardianship guide for the other parts of the plan.
If your adult child has the legal capacity to understand what a POA is and what it does, they can create one. Many autistic adults have this capacity. A lawyer can assess capacity during the POA creation process, and creating a POA while your child has capacity prevents the need for court-appointed guardianship later.
At 18, a young person in Ontario is presumed capable of making their own decisions. A power of attorney names who can decide if they later cannot. A property power of attorney can be made from age 18; a personal-care power of attorney can be made from age 16. Get independent legal advice before choosing one.
No. A POA is granted by the person while they have capacity and lets them choose their own decision-maker. Guardianship of property in Ontario, governed by the Substitute Decisions Act, 1992, is imposed when an adult is found incapable — and if no POA exists, it can require a court application to the Ontario Superior Court of Justice. Ontario law favours the least restrictive option.
They do different jobs. A Henson trust protects an inheritance so it does not jeopardize ODSP eligibility; a power of attorney authorizes a chosen person to make property or personal-care decisions while your adult child is alive. Many families use both, plus an RDSP. Read our Henson trust guide for the estate side of the plan.
A POA for personal care is created while the person has capacity and names who will make personal-care decisions — medical treatment, living arrangements — if they become incapable. It can include specific instructions about treatments, housing, and care preferences. In a health emergency without one, Ontario’s Health Care Consent Act sets out a hierarchy of substitute decision-makers instead of the person you might have chosen.
Families navigating autism services in Ontario face a documented multi-year wait. Here is the Ontario data — and a two-minute way to push back, when you are ready.
Sources on this page
Key claims are paired with their source, evidence tier, and verification date so readers can inspect the public record directly.
91,974
children are registered in the Ontario Autism Program
US$2.4M
Lifetime support costs for autism with co-occurring intellectual disability can reach US$2.4 million per person (Buescher et al.)
1 in 50
According to the 2019 Canadian Health Survey on Children and Youth, about 1 in 50 children and youth aged 1 to 17 in Canada had an autism diagnosis
Check the author’s context, review method, and how to report an error.
Founder & Autism Advocate
Lived experience: Parent of autistic child navigating OAP system