A key strategy in rehabilitation with the elderly is the selection and training in the use of adaptive devices to improve the ability to perform self-care and other activities of daily living. Two descriptive pilot studies were conducted to determine home use of equipment from the perspective of older adults with mixed disabilities and home care therapists. The first study examined home equipment use over a three-month period by 13 elderly patients discharged from a hospital rehabilitation unit. The second study surveyed 31 home therapists to evaluate their perceptions of device use by their elderly clients. The findings indicate that older adults and home care therapists share similar perspectives as to why devices are not frequently used. Home care therapists perceived that additional training in a person's home may increase safety, maximize functional performance, and reduce some caregiver responsibilities. The implications of these findings for service delivery are discussed.