Elder Care Mediation

Aging is a complicated and often difficult process. Invariably it leads to stressful decision points in a person’s life.

Howell Larsen Associates provides fiduciary, mediation and consultation services for individuals and families dealing with major elder care transitions. We help clients find appropriate solutions in partnership with a client’s family and professional advisors, such as doctors, social workers, lawyers, financial managers and accountants.

Howell Larsen Associates professionals are available to provide a broad range of sensitive, confidential services.

We can convene a family meeting when the key issue is simply how to “get over the hump” of a tough decision.

We can provide more formal mediation services when unresolved disputes surrounding an elder care transition are severely impacting the family.

We can help clients and their families make decisions in the following areas:

  • Creating a medical power of attorney or handling medical care issues
  • Domicile transitions
  • Finances and Financial control issues
  • Guardianships
  • Trusts
  • Selling, and/or distributing estate assets like real estate and personal property
  • Business continuation or business sale issues
For more information on aging issues, The Center for Social Gerontology (TCSG) is a wonderful resource. TCSG is a non-profit research, training and social policy organization dedicated to promoting the individual autonomy of older persons and advancing their well-being in society. Their mission is to help society adapt to the dramatic increase in the numbers of old and very old, and to insure that older persons at all socio-economic and health levels are able to meet their needs and use their talents and abilities in a changing society.


One of my partner’s tax clients, an eighty-four year old woman in reasonably good health, came in with her son to discuss a transition to an assisted living facility in the area. She liked everything about the place but just couldn’t make up her mind. Some months went by and she began to have some health issues. Still she couldn’t “pull the trigger on the decision.” The son was frustrated that despite his best efforts, she kept pushing the decision away. She just really liked living at home even as she realized she had to make up her mind before her health became a barrier. Finally, she agreed to a family meeting with all her children present. The issues were gently discussed and with every one’s support she finally agreed to a plan to move. She is now happy and secure in her new home and laughs about how hard the decision had been for her.



175 Bedford Street, Suite 5
Lexington, MA 02420
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