The Orthopedic Homebound Program was meant to prevent the institutionalization of orthopedically impaired, mentally retarded children and to involve parents in their training. The program was proposed and managed by the Shawnee Hills Community Mental Health/Mental Retardation Center in rural West Virginia. Each child's developmental needs were assessed by an interdisciplinary team of psychologists, social workers and therapists to determine an individualized plan of behavioral objectives to be carried out by home trainers and parents. Progress was measured in part by the TARC Assessment Inventory for Severely Handicapped Children. Interviews of parents assessed their interaction and expectations for progress, as well as their evaluation of the program. The parent/home environment was evaluated by home workers. Major program support components included: (1) quarterly inhouse reports, (2) a monthly newsletter and (3) a handbook for parents, (4) regional and national conferences, and (5) a concluding seminar for parents and program personnel to discuss process and product effectiveness. Data tables, references and 13 appendices of program material, publication samples and evaluation instruments are provided. (CM)