Before the Fire™ — Helping families recognize the signs of change before a crisis forces difficult decisions.

Heather Harvey, OTR/L, has spent nearly 30 years helping older adults and their families navigate the challenges of aging, independence, and change.

Through Before the Fire™, she helps families recognize concerns early, understand what they are seeing, and create a plan before a crisis forces difficult decisions.

Independent. Objective. Family-Focused.

Heather does not work for a hospital, home care agency, hospice, or placement service. Her role is to help families make informed decisions with clarity and confidence.


OT-Informed guidance rooted in real-life experience

About Heather

For nearly 30 years, I have worked alongside older adults and their families in home health, hospice, and senior care.

Over the years, I’ve learned something important:

Most families don’t miss the crisis.

They miss the subtle changes that appear months—or even years—before it.

  • The unopened mail.

  • The missed medications.

  • The forgotten appointments.

  • The parent who slowly stops doing the things they once loved.

By the time a crisis occurs, families are often forced to make difficult decisions under pressure, with limited information and strong emotions.

That’s why I created Before the Fire™—a framework designed to help families recognize the early signs of change, understand what they are seeing, and create a plan before an emergency forces the conversation.

As an independent consultant, I do not work for a hospital, home care agency, hospice, or placement service. My recommendations are based solely on what is best for you and your family.

Whether you are an adult child worried about a parent, a long-distance caregiver, or someone who simply wants to plan ahead, I provide practical guidance, objective insight, and trusted community resources to help you move forward with clarity and confidence.

My role is simple: to help you understand your options, protect independence whenever possible, and create a plan for what comes next.

Heather Harvey, OTR/L

Occupational Therapist • Aging Independence Consultant

Before The Fire™

Includes:

• Discussion of concerns and questions

• Functional and safety observations

• Aging preparedness discussion

• Personalized recommendations

• Trusted resource referrals

• Written summary and roadmap

Clients receive options and recommendations, but implementation remains the family's responsibility. No financial relationships or referral agreements influence recommendations.

Aging Preparedness Consultation — $150

A proactive consultation for families who want guidance before a crisis occurs. This is not a formal occupational therapy evaluation. It is an educational, planning-focused visit designed to help families understand what they are seeing, which resources may be helpful, and what steps to consider next.

Ready to Talk?

Schedule a consultation or reach out with questions.

Boutique Occupational Therapy

Services & Pricing

  • OT Evaluation — $200

  • Follow-Up Visit — $150

  • Recovery Package — $600

  • Comprehensive Package — $1,150

Ready to Talk?

Schedule a consultation or reach out with questions.

Clinical scope of service includes:

  • Home safety assessments

  • Fall prevention

  • Caregiver training

  • Activities of daily living support

  • Energy conservation

  • Aging-in-place recommendations

EDUCATION & SPEAKING

Educational programs designed to help families, caregivers, communities, and organizations recognize signs of change before a crisis occurs.

Featured Presentation

The Smoke Before the Fire™

Most families don’t miss the crisis.

They miss the warning signs that appear months—or even years—before it.

This presentation helps families, caregivers, professionals, and communities recognize those signs early and understand what steps can be taken before a crisis occurs.

    • The Smoke Before the Fire™

    • Aging in Place

    • Caregiver Education

    • Fall Prevention

    • Understanding Dementia

    • Planning Before Crisis

    • Navigating Community Resources

    • Churches

    • 55+ Communities

    • Senior Living Communities

    • Caregiver Support Groups

    • Networking Organizations

    • Non-Medical Home Care Agencies

    • Employers and Workplace Wellness Programs

    • Families

    • Caregivers

    • Faith Communities

    • Employers

    • Senior Living Communities

    • Healthcare Professionals

    • Community Organizations

    • When Caregiving Comes to Work™

    • Supporting Employees Caring for Aging Parents

    • The Hidden Workplace Impact of Aging Parents

Contact Heather

Celebrations Across the Miles: Senior Safety & Family Guidance

East Valley In-Home Visits

$25 travel fee may apply

Remote Sessions Nationwide