Arden begins with a focus on the family office and notes that where the family office is used to take care of the needs of the family, when it involves physical or mental health, they may find themselves "in situations requiring expertise beyond their training. They may also encounter tense family dynamics, resistance to accepting help, and ongoing crises that may complicate their roles". Arden describes the role of several new professionals: professional care coordinators, case managers, and health advocates. She argues that not only should a care manager be retained - it is best to do so before one is needed. "By hiring care managers, family office professionals do not have to navigate an unfamiliar field and risk making a poor referral. They can also remove themselves and other family members from serving as 'default case managers'. Most importantly, care managers can provide options for clients to age in a way that honours their preferences." Arden gives practical advice about the selection of a care provider, and the questions to ask a candidate. She also gives suggestions for how to raise the subject with family members. In summary, she notes that care managers, who offer a wide array of expertise, "can serve as trusted partners to family office professionals, helping solve some of the most challenging health and well-being issues".