A study of 115 mentally normal persons with severe physical handicaps indicated that existing service and living arrangement programs were inadequate. Results suggested the following: establishment of a coordinating state agency and local supervisory teams of nurses and social workers; arrangement of a variety of living accommodations, including temporary care for persons ordinarily living at home; and provision of funds for equipment and home modification. Further recommendations called for a health oriented community agency stressing preventive care, attendant care programs, and protectorship services. Also needed were flexible interpretation of regulations governing existing programs and case management developing and utilizing the abilities and talents of the handicapped. (JD)