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For Family Offices, Counsel and Fiduciaries

Dedicated behavioral health perspective and continuing coordination within the trusted advisory circle of an UHNW family.

Family office professionals and private client advisors are often asked to solve problems that cross several parts of family life. A behavioral health concern can affect practical decisions about care, spending, education, relationships and succession. Family Wellness Office offers a dedicated continuing relationship to help organize that work.

A dedicated place for behavioral health concerns

An advisor should know where to bring a concern and which responsibilities a wellness engagement covers. We work toward a clear operating arrangement: one current plan, identified contacts, agreed communication and a review rhythm. The family’s counsel and fiduciaries retain their own responsibilities, while wellness coordination has a defined home.

Work together on the actual decisions

A care decision may require several kinds of input. A clinician assesses treatment needs. A fiduciary considers a funding request within their responsibilities. Counsel addresses legal questions. A coordinator confirms the provider, schedule and handoff. The advisory process makes those contributions visible so that the family can move from a recommendation to a practical arrangement.

Respect individual information and participation

Agree the purpose and recipients of updates. An appointment confirmation, a service invoice and a clinical record serve different purposes. HHS’s mental and behavioral health information-sharing guidance explains relevant distinctions for family participation and personal representatives. Actual permissions are established with the person and responsible provider.

Prepare an advisory conversation

  • What priority is the family asking us to address?
  • Who is already involved and what role does each person carry?
  • Which practical decisions need coordination?
  • What is the individual’s own goal?
  • Which communication and permissions need to be agreed?
  • What would a useful ongoing review cover?

These questions are an original discussion aid. A first conversation can establish scope without distributing private records through a public website.

Discuss the family’s advisory needs.

For deeper reading on family-office governance, visit Fiduciary Health Guide’s family-office operations library. For explanations of care-navigation roles, explore Behavioral Health Wiki’s advisors and fiduciaries collection. These resources provide background for a conversation about who carries each continuing responsibility.

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Sources and further reading

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Ongoing family wellness counsel • Private engagement inquiries