Societies from Central Europe through Asia are struggling to develop home-and community-based care programs prompted by the poor quality and limited quantities of institutional care for older adults. A three-year home-and community-based care training and program development project has provided education and training to 130 professionals from the disciplines of social work, medicine, nursing, and rehabilitation who reside in 20 countries. The project has resulted in the initiation of approximately 90 pilot projects focusing on geriatric home-and community based care.