Homologation of Protection Mandates, Tutorships, Temporary Representation Measures and Expert Testimony
Clinique Vivago, Montréal, Québec
Clinique Vivago provides specialized psychosocial assessments and expert clinical-legal services in Québec required for the homologation of protection mandates, the establishment of tutorships (protective regimes), and temporary representation measures for legally incapacitated adults, as well as within the context of civil court proceedings.
We are committed to delivering comprehensive, rigorous, and evidence-based psychosocial assessments, along with recognized expert testimony and specialized consultation services, tailored to the specific requirements of each case. All interventions are conducted in accordance with the Civil Code of Québec, court expectations, and best practices in psychosocial and interdisciplinary assessment.
Supported by a qualified interdisciplinary team of professionals, Clinique Vivago offers a credible, structured, and medico-legal–ready approach, designed to address the complex situations involved in adult protective measures and legal decision-making.
Visit our blog post about Protection Mandates to learn more.
Psychosocial Assessments and Expert Evaluations Required for Protective Measures and Legal Proceedings
We conduct comprehensive psychosocial assessments to document an adult’s functional and decision-making capacity when protective measures are being considered.
These assessments support:
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Protection mandate homologation
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Opening of a tutorship
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Temporary representation measures
Assessment focuses include:
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Decision-making capacity
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Functional autonomy
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Psychosocial vulnerability
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Living environment and support systems
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Safety and property management considerations
When the situation requires it, we offer interdisciplinary assessments that combine the expertise of multiple healthcare and social services professionals.
These assessments are particularly appropriate in complex situations involving:
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Cognitive, psychological, and functional concerns
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Family or legal conflicts
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Increased or evolving vulnerability
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Major decisions affecting the individual or the management of their assets
An interdisciplinary approach allows for:
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A comprehensive and nuanced analysis of overall functioning
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Improved objectification of strengths, capacities, and limitations
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Clear, consistent, and well-supported recommendations
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Enhanced documentation suitable for court and medico-legal contexts
A rigorous, credible, and well-recognized approach in medico-legal settings.
Our professionals act as independent experts and may be called upon to testify before the courts in cases involving protective measures for adult individuals.
We provide:
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Expert testimony regarding psychosocial and functional functioning
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Presentation and clarification of assessment reports
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Clear, rigorous, and impartial responses to questions from the Court
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Support in contested or complex cases
Psychosocial Assessment
Homologation of a Protection Mandate, Institution of Tutorship or Temporary Representation
Package 1 - Social Worker
Hourly Rate: $180
Invoicing will be done for the work done every two weeks
The psychosocial assessment examines the individual’s:
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Mental health and cognitive function;
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Functional and financial capacities;
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Social network and available support systems;
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Decision-making abilities and understanding of legal matters;
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Vulnerabilities and potential risk factors.
The social worker’s evaluation offers a holistic understanding of the individual’s cognitive, emotional, and social well-being and is a necessary component of the assessment package.
Medical Doctor – Triangulated Assessment
To further strengthen the accuracy of our evaluation, we triangulate our findings with the individual’s treating physician. This ensures that our assessment aligns with the person’s medical history, cognitive health, and any relevant diagnoses.
1) The client or their legal representative must provide us with their physician’s contact information and, at the minimum, confirmation of an appointment scheduled with their physician for their portion of the evaluation before we can proceed with our assessments.
2) Once a formal legal request is received, we require written consent from the client (or their legal representative) to send reports to the notary handling their case. It is important that the individual subject to the evaluation is made aware of the reason for our assessments, including in circumstances where their ability to provide clear and informed consent is unclear.
The final report(s) will be sent to the notary only after full payment is received and with explicit client consent.
Example durations:
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For the Institution of Tutorship, ten billable hours are often required.
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For the Homologation of a Protection Mandate and Temporary Representation, five to ten billable hours are usually required
These durations are provided for reference purposes only and may vary depending on the complexity of the case.
*Please note that this service is not covered by RAMQ at our clinic. Consult with your insurance company as it may be covered by your private insurance.
**Given the complexity of these assessments, the total time required may vary. If additional time is required, it will be billed at $180 per hour for any professional involved (social worker, occupational therapist, or any additional consultation needed) with clear justification provided for the extra time.
Interdisciplinary Psychosocial Assessment
Homologation of a Protection Mandate, Institution of Tutorship or Temporary Representation
Interdisciplinary Package
Hourly Rate: $180
Invoicing will be done for the work done every two weeks
Social Work Assessment:
The psychosocial assessment examines the individual’s:
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Mental health and cognitive function;
-
Functional and financial capacities;
-
Social network and available support systems;
-
Decision-making abilities and understanding of legal matters;
-
Vulnerabilities and potential risk factors.
The social worker’s evaluation offers a holistic understanding of the individual’s cognitive, emotional, and social well-being and is a necessary component of the assessment package.
Occupational Therapy Assessment
The OT conducts a detailed functional assessment that evaluates the individual’s ability to:
1) Care for themselves and maintain personal safety, including:
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Self-feeding, washing, bathing, dressing;
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Managing medications;
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Identifying and responding to risks (e.g., fires, household dangers).
2) Protect themselves from harm, including:
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Evaluating vulnerability to financial abuse, fraud, or undue influence;
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Assessing their ability to recognize and mitigate risks related to self-neglect or unsafe living conditions.
3) Care for their environment, including:
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Housekeeping, meal preparation, and maintaining a safe living space.
4) Manage their finances, including:
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Understanding banking, budgeting, and financial transactions;
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Recognizing financial risks or exploitation
It is important to note that a person may be deemed capable of managing their self-care but not their finances, or vice versa. It is also possible for an individual to be fully capable in both areas or to require varying levels of assistance. Our evaluation will provide a clear, evidence-based distinction between these capacities to guide decision-making.
Medical Doctor – Triangulated Assessment
To further strengthen the accuracy of our evaluation, we triangulate our findings with the individual’s treating physician. This ensures that our assessment aligns with the person’s medical history, cognitive health, and any relevant diagnoses.
1) The client or their legal representative must provide us with their physician’s contact information and, at the minimum, confirmation of an appointment scheduled with their physician for their portion of the evaluation before we can proceed with our assessments.
2) Once a formal legal request is received, we require written consent from the client (or their legal representative) to send reports to the notary handling their case. It is important that the individual subject to the evaluation is made aware of the reason for our assessments, including in circumstances where their ability to provide clear and informed consent is unclear.
The final report(s) will be sent to the notary only after full payment is received and with explicit client consent.
Example durations:
-
For the Institution of Tutorship, fifteen (15) billable hours are often required.
-
For the Homologation of a Protection Mandate and Temporary Representation, ten (10) to fifteen (15) hours are usually required.
These durations are provided for reference purposes only and may vary depending on the complexity of the case.
*Please note that this service is not covered by RAMQ at our clinic. Consult with your insurance company as it may be covered by your private insurance.
**Given the complexity of these assessments, the total time required may vary. If additional time is required, it will be billed at $180 per hour for any professional involved (social worker, occupational therapist, or any additional consultation needed) with clear justification provided for the extra time.
Expert Testimony
Clinique Vivago offers expert testimony to support individuals and families in important life situations. Whether it’s for school accommodations, workplace adjustments, insurance matters, or legal proceedings, our mental health professionals provide clear, evidence-based insights that highlight real-world functioning. Our role is to help decision-makers understand your unique circumstances, always with respect, professionalism, and a focus on your well-being.
$500/
hour
*Please note that this service is not covered by RAMQ at our clinic. Consult with your insurance company as it may be covered by your private insurance.
