As relatives age in place, often times alternative environments or resources are required. Maximizing one’s own environment if safe, and promoting autonomy is the goal. An office consultation is offered to assess and direct an older client or family by recommending strategies to remain safely in their independent home. If this is not a safe plan, alternative living situations may be recommended and explored. This service may be helpful for adult relatives who are overwhelmed by their loved one’s changing health status. Proactive planning can reduce stress associated with planning in crisis.