The manual focuses on the special needs of hearing impaired students who also have developmental disabilities. State of the art orientation and training materials for professionals are presented via 89 author contributed papers on nine topic areas (sample subtopics in parentheses): demographics (problems in identifying and defining multihandicapped hearing impaired students); assessment (integrating assessment and management, testing the difficult to test child, behavioral audiometry); communication (audiology, language and speech); instructional management (hearing impaired learning disabled students, curriculum development, behavior management, parent education); mental health issues (behavior and emotional problems of deaf children, family support programs); programmatic options (interagency services, residential programs, model programs for young deaf/emotionally disturbed children); personal preparation (computer assisted telecommunications); advocacy (vocational education and vocational rehabilitation, interagency coordination); and future needs (proceedings from a workshop on hearing impaired developmentally disabled children and adolescents). (CL)