The goal of this project was to address the economic and social costs of a quickly aging and increasingly frail population by promoting wellness and improving the quality of health care and life for older Canadians. This research sought to improve understanding of the causes and trajectory of frailty in older Canadians. In this project, frail older people were identified as approximately 20% of the elderly population. Typically they were 75 years of age or older and suffered from significant disabilities in the basic and instrumental activities of daily living. In 2002, it was estimated that 30% of the budget for all health and social services was directed to the care of frail older persons, who made up only 3% of the total population at that time. This research resulted in a report with several policy recommendation including encouraging prevention, treatment, rehabilitation, environmental adaptation, and developing cost-effective systems for the delivery of care.