The purpose of this project was to demonstrate that comprehensive rehabilitation services can more effectively meet the needs of severely and chronically disabled persons living in an isolated, mountainous, and depressed area: the Appalachian region. Specific subsidiary purposes were (1) to demonstrate that utilization of various disciplines--including medical, vocational, psychological, and social--coordinated with assistance from other professional and nonprofessional groups, can more effectively provide rehabilitation services and (2) to demonstrate that development and utilization of community resources for rehabilitation will return a greater number of disabled persons to self-sufficiency, self-support, and self-esteem. Two organizations had major roles in administration of the program: Appalachian Regional Hospitals, Inc. and the Kentucky Bureau of Rehabilitation Services. The procedures used involved a referral system in which the disabled person, after comprehensive evaluation, was recommended for a particular type of service. Results indicated that all major objectives were realized. Some of the recommendations made were that a cooperative project with the Employment Service be established to serve as a liaison between job specialists in large cities and rehabilitation workers in Appalachia; that programs be developed to concentrate on whole family units rather than on the most obvious disability; and that psychological screening be used to uncover mental retardation or emotional illness in the family. (JB)