Voluntary Assisted Dying in Australia: What Families Need to Know

Intro

When a loved one faces a terminal illness, the decision to seek voluntary assisted dying (VAD) can be overwhelming. This guide explains what families should know about the process, where to find official support, and how to prepare for what lies ahead.

Key Points

VAD is available in all six Australian states (not yet in the territories).
Families cannot apply on behalf of someone else — the request must always come from the patient.
The process involves multiple steps: requests, medical assessments, written declarations, and waiting periods.
Emotional and logistical support for families is available through palliative care teams, counsellors, and official state resources.

What Families Can Expect

1. The Patient Must Initiate

Only the person seeking VAD can start the process.
Families can support conversations, but cannot submit requests.

2. Medical Assessments

Two doctors independently confirm eligibility.
If there are concerns about capacity, mental health assessments may be required.

3. Written and Final Requests

A formal written declaration is witnessed.
A final request is made after a cooling-off period.

4. Administration

Most patients self-administer the medication.
If unable, a doctor may administer with explicit consent.

Practical Considerations for Families

Residency: Loved one must live in the state for at least 12 months.
Timing: Waiting periods (usually 9 days) apply unless the illness is rapidly progressing.
Support: Families may be present during administration if the patient wishes.
Withdrawal: Consent can be withdrawn at any stage, even at the final moment.
Alternatives: Palliative care and hospice remain available alongside VAD.

Where to Find Official Information

Victoria — Voluntary Assisted Dying Review Board
Western Australia — WA Department of Health: Voluntary Assisted Dying
Tasmania — Voluntary Assisted Dying Commission
South Australia — SA Health: Voluntary Assisted Dying
Queensland — Queensland Health: Voluntary Assisted Dying
New South Wales — NSW Health: Voluntary Assisted Dying

FAQ

Q: Can families be excluded if the patient doesn’t want them involved?
A: Yes. The patient decides who is present and who is informed.

Q: What if the patient loses capacity before the process is complete?
A: VAD cannot proceed without decision-making capacity. Advance care directives do not apply.

Q: Are families given counselling or support?
A: Yes. Palliative care teams and specialist services can provide counselling before, during, and after.