This literature review found promising indications that some models of integrated health and social care for the elderly can result in improved outcomes, client satisfaction and/or cost savings or cost-effectiveness. A substantial and growing body of knowledge is developing about the features of projects that are successful in achieving at least one or more outcome measures. Four frameworks were located; some are more detailed than others and some, more comprehensive in their scope. Notwithstanding their differences, there is congruence across the frameworks in most of their key elements. Among the key elements of these frameworks and in the literature in general are four types of interventions that must be structured in ways that are supportive of each other (Kodner, 2006).