The experience of the British and Irish coordination of social and health care suggests a categorical rather than comprehensive approach. Personnel training, resource development and planning should be undertaken on a slow, step-by-step schedule. (JAC)

Characteristics of the target population, services, and potential source of helpers are determining factors in the cost effectiveness of home health services. Welfare of patients in the experimental group was improved, and lower probability of residential care helped keep costs down. (JAC)