These guidelines relate to the recruitment, selection, training, and utilization of homemaker/home health aides. Some of the major tenets which the document develops are: (1) adequate leadership and financial support, (2) broad definition of the role based on an ongoing assessment of family health and social needs, (3) identification of a sufficiently large pool of potential trainees and workers, (4) elimination of barriers of age, income, and education, (5) effective medical evaluation and selection interviewing, (6) selection of faculty representing a comprehensive health team, (7) utilization of classroom and field experience in the training program, (8) provision for remedial education, (9) on-going training, (10) continuous availability of professional supervision, (11) involvement of the aide as a full staff member, (12) curriculum standardization, and (13) exploration of the health career potential of the aide. (JK)