The authors discuss the use of Telehomecare technologies by Selfhelp Community Services, Inc., a comprehensive care organization located in New York City and Nassau County to achieve their organization's mission of helping individuals to live independently in their homes and communities. Five Telehomecare applications are selected as examples of how such technologies can be used within a specific care delivery context. The authors consider the benefits brought about by the use of the technologies, as well the barriers which they have encountered over the last several years, placing emphasis on the need for a sustainable financial model to ensure success.