For the Family Office
Avina sits beside the family office, never in front of it. We hold the principal where the family office cannot, with the discretion the office requires and the clinical rigour the case demands.
A note on positioning
Avina is engaged by the family office, not in place of the family office. The General Counsel, the Family Office Principal, the Trustee, the Senior Advisor: each calls us when a principal in their care presents a clinical or behavioural condition the family office is structurally unsuited to hold.
The work is delivered to the principal. The brief flows back through the office on the rhythm the office sets. The relationship is between Avina and the office; the care is between Avina and the principal.
A single accountable operator over the whole of a principal’s life. Medical, legal, recovery, household, relational, professional. One office. One voice.
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Hospital protocol delivered without the hospital. Physician-led. Twenty-four-hour licensed nursing. Five days minimum, in the principal’s residence.
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Who calls us, from inside the office
The first call to Avina is rarely placed by the principal. It is placed by the senior person in the office who has been asked to find a firm.
The office holds the financial, legal, and operational machinery of the family. It does not hold the medical, behavioural, or relational complexity of a single principal’s crisis. You need a peer firm that can hold what the office cannot, and report back through the office on the rhythm the family expects.
Discretion, HIPAA-eligible infrastructure, EKRA-clean referral architecture, NDAs that bind every clinician and vendor on the case, an engagement letter that names the boundary of confidentiality between principal and family. We are built to satisfy your standards before they are asked.
A beneficiary in clinical or behavioural difficulty creates exposure that ordinary advisors cannot mitigate. Avina is the firm trustees engage when the brief requires both rigour and discretion, with continuous reporting to the trust’s authorised contacts and full audit-trail discipline.
The family physician, the wealth advisor, the long-tenured attorney: at certain altitudes, the senior advisor is the person the principal calls first. We are the firm that advisors confidently introduce, knowing the work will be held with the same standards as their own.
The seam
The office does not always know what the principal needs. The principal does not always know what the office sees. Avina holds both, separately and at once, and translates between them with the care that arrangement demands.
The engagement letter names the boundary of confidentiality between principal and family. The default, in every clinical detail, is privacy.
A clarification
Avina is not a residential treatment facility. We do not run a clinic. We do not own a property the principal moves into. We do not advertise. We do not list our clients. We do not appear in features.
Avina is also not a referral service. We do not pass the case along and step out. The Chief of Staff stays. The contract holds.
Avina is not a competitor to the family office. We are a peer firm engaged by the office, and we operate to the standards the office expects of itself.
What you should expect of us
A response to your enquiry within forty-eight hours, by the principal of Avina or her senior operator.
A first conversation that listens before it sells. We do not enrol every case that calls. We do not enrol cases we cannot serve well.
A written engagement letter that names the Chief of Staff for the case, the practices commissioned, the engagement state, the rhythm of family briefing, and the boundary of confidentiality between principal and family.
A bench commissioned, not assembled in haste. We move only as quickly as the principal’s safety demands.
A permanent record kept under encryption that satisfies the most exacting jurisdiction in which the principal lives.
The conversation establishes whether Avina is the right firm for the case. If we proceed, a second call introduces the Chief of Staff candidate. If we do not proceed, we will tell you whom to call instead, and that referral is not transactional.