The maintenance in residence of handicapped or old people is an alternative to the hospitalization which answers the current tendency of reduction of the number of hospital beds. It poses two major problems: the safety of the people and their autonomy. To answer it, the AMaDom project combines two approaches: Remote monitoring, for safety and functional substitution for autonomy. A system of remote monitoring of patient in residence makes it possible to the people to remain at home while profiting from a medical supervision remotely and thus of a good reactivity in the event of urgency. In this project functional substitution is ensured by a robotized assistant of handling of objects. The assistant contributes to the integration of a person with reduced mobility in a usual environment. The originality of the project lies in the combination of an integrated system of remote monitoring with robotics. The capacities of mobility of the robot ensure, according to the phases or user's needs': a more robust detection of the alarming situations, a more robust transmission of alarms and ambulatory data of the patient towards the domestic station, a decision-making help after alarm and above all, a visual and auditive contact in the event of alarming situation between patient and a distant medical operator. The paper presents the state of works of the project for remote monitoring and functional substitution and develops the interest of making co-operate both services.