Apparatus including a combined monitor and display assembly installable in an area occupied by an individual, and at the location occupied by the individual's caregiver. There is a microphone and video camera to provide sounds generated by the individual or an image of the individual and an audio or video transmitter connected to the microphone and camera to transmit a signal from the microphone and video camera that is intercepted by a mobile telephone so that the signal can be heard or seen by an observer at a site remote from the enclosure. The distress sounds are pre-programmed into the device so that only pre-selected distress sounds cause the mobile telephone to be contacted.