The contemporary demographic indexes impose more dynamic approach with regard to people with disabilities and elderly people who live alone. Institutions as Ministry of labour and social policy, Ministry of Health and others started changes of attitude to those target groups through drastic modifications of legislation, trying to impose new, integrated approach in terms of attitude and concern as well to the motivation and qualification of specialists, working with vulnerable groups.The long term care for social media commenced to replace the institutional one and the process of deinstitutionalization is a fact. In order the undertaken actions from now on to be successful there should be a discussion for equal partnership on part of healthcare and social institutions in order to implement the priorities, related to the process of integration and support for disability people and elderly people living alone.The successful performance of the policy for the rights of disability people and implementation of the Convention for disability people requires not only changes of the legislation of the country but also creating of possibility for implementation of envisaged measures.National long term care strategy (2018 – 2021) Plan was approved in 2018, the government counting on 100 new social services, targeted to disability people and elderly people who cannot take care of themselves.. The Plan is intended to improve the quality of life of those people through providing a service network and support in community. Another main objective of the pan is to secure possibilities for social inclusion of those persons.The exact number of disability people in the country is not known. The various institutions give various data from 250 000 to 1 million. The problem is not only the uncertainty of their number but also the distribution to settlements, because most of negative social consequences are due to the distance of the persons from big cities. The population of Pleven is about 3,5% of the country. In recent years the trend is decrease of the population. The relative share of elderly people (over 60 years of age ) at the beginning of January 2015 is 32,1%, that exceeds the previous years. That shows the trend is negative regarding aging as a result of natural processes to mortality and birth rate, also influenced by emigration process. The persons of legal age with disabilities as of reference3d date are over 14 000 for the region.