The purpose of this project was to improve health care policy related to home care services. The Canadian Occupational Therapy Foundation (COTF) argued that home care could significantly reduce costs compared to prolonged acute care placements in hospital facilities or children’s institutions. They suggested, however, that for these cost benefits to be properly assessed, best practices for homecare and service utilization patterns had to first be assessed and integrated into standard practice. COTF undertook a study of home care services provided by occupational therapists for children, adults and seniors with functional disabilities. By 1994/1995 the National Population Health Survey showed that over half a million people in Canada received publicly funded home care.