This capstone project intends to demonstrate that OT is ideally suited to be on the primary health care team. Addressing the complex needs of the elderly in the primary care setting requires an integrated approach that includes OT. This Capstone proposes an occupational therapy pilot program for community dwelling elderly to increase the wellness and health management skills of this population as evidenced by their engagement in occupations and a decreased utilization of health care resources. The pilot program will be embedded in an interdisciplinary geriatric consult team addressing the needs of the at risk frail elderly in a primary care setting.