In an implementation project in The Netherlands a small investigation was made of the most urgent needs of older home care clients. Two potential user groups for the development of specific care-arrangements were indicated: “older persons becoming lonely and inactive”, and “partners/caregivers of patients with dementia.” The care-arrangement “Attention Care” is aimed at supporting lonely persons and the care-arrangement “Monitoring of Behavior” is aimed at providing surveillance at a distance to support the care giving relative of a person with dementia. Both care arrangements use video telephony to communicate with professional caregivers. In February 2005, field trials started, which will continue until the end of November 2005. Evaluation of data gathered during this trial is discussed.