Home services has developed as an area of intense interest with recent emphasis on independent living for the elderly. The focus of this report is on one type of in-home service--homemaker-home health aide service. Analyzed are the agencies that provide these services, as well as the services they provide, the clients they serve, their organizational structure and staffing patterns. Their historical development and the sources of payment for their services are also discussed. The homemaker-home health aides are analyzed, including their characteristics, historical and current employment levels, and projected employment requirements and annual openings. Supply issues are also explored. Finally, the outlook for aides is analyzed, with suggestions for actions to assure a sufficient supply and an examination of related employment implications. (KA)