Practitioners, researchers, and policy makers have attempted to improve the delivery of in-home service to the frail elderly through the expansion or merger of existing care providers or through the creation of coordinating units. To investigate the feasibility and effectiveness of a third approach to in-home services, 68 older adults (mean age,78 years) with maintenance health care or social needs participated over a 3-month period in the Integrated Continuing Care Program (ICCP), in Worcester, Massachusetts. The ICCP provided coordinated assessment, care plan, case management, homemaker-home health aide, and senior companion services to an experimental group of adults (N=33) through interagency cooperation, while a control group of adults (N=35) received services through a traditional, non-integrated approach. An analysis of the results showed no significant differences between the two groups in sociodemographic characteristics, number of impairments, problems in activities of daily living, amount of medication, emotional status, or length of stay in the program. The ICCP proved to be a viable model, both in units and costs of services provided. Those clients who were provided with integrated services used 13.0 hours of homemaker assistance and 13.9 hours of home health care per month, while the control group used 27.2 hours of homemaker help and 5.7 hours of home health care. The experimental clients averaged $291.37 per month for all indirect and direct services, a 12 percent saving; the control group clients averaged $325.89 per month. (BL)