This study of integrated day care in the province of Alberta, Canada, involved observations and interviews at preschool sites in Calgary and Edmonton. The discussion resulting from the Calgary visits considers: combining funding from a provincial agency with the availability of hospital-sponsored mobile clinical services to support integration in day care centers, homes, and other community-based services; qualifications and roles of special needs workers; additional funding to individual families; and financial incentives and other support for home-based providers. The discussion resulting from the Edmonton visits examines: brokering of two provincial agencies through a private nonprofit agency to support integration in day homes, day care centers, and nurseries; integrated early childhood services at a day care center; supervision of special needs workers; and a pilot integration project for out-of-school care for school-age children with disabilities. Five key lessons learned from the study include: (1) the key role of hospitals and medical practitioners; (2) the value of integrated services; (3) the importance of a well-trained staff; (4) the need for extra staffing for full integration; and (5) the need to shift resources (not allocate new resources) from segregated settings to integrated settings. (DB)