Project UPSTART, during this fourth year of outreach, offered assistance in replicating its developed Sequenced Neuro-Sensorimotor Program (SNSP) for severely multihandicapped infants, pre-schoolers, young adults and their families. Future replication sites were identified. Programs received outreach assistance in the areas of staff training, follow-up consultation, child/parent programming, and evaluation. Opportunity to field-test the SNSP was provided by the three replication sites, two second generation sites, and the model classroom. University students, teachers, therapists, paraprofessionals and volunteers were trained. UPSTART disseminated its developed program for severely/profoundly handicapped and offered assistance through awareness, training and consultive activities on a nationwide basis. Outreach accomplishments are summarized by site and benefits accrued from stimulating program development are specified. Appended material includes sample site agreements, end-of-year questionnaires, and workshop materials. (Author/CL)