The clinical complexities inherent in determining if an older adult with impaired capacity has the ability to grant informed consent to sexual activity is discussed in a handbook produced jointly by the American Bar Association and the American Psychological Association. Page sixtytwo of this handbook points out the difficulty, as follows: “There are no universally accepted criterion for capacity to consent to sexual relations.” But there have been some attempts to address and provide guidance regarding the rights of residents of long-termcare facilities to engage in intimate relationships if they wish to do so.