This final report describes activities and accomplishments of a federally supported program to provide services for children with deaf-blindness in Missouri. The project focused on the development of partnerships to coordinate service networking and to provide systematic training to build local capacity for early intervention, educational, transitional, vocational, early identification, and related services. The project provided technical assistance to 204 identified infants, toddlers, children, youth, and adults and their families. Specific outcomes of the project include: (1) increased student identification and tracking; (2) home-based early intervention and parent training to 51 families by 41 trained Parent Advisors; (3) inservice and technical assistance to 204 students who are deaf-blind, their families, and their providers; (4) direct consumer impact and change to 33 students in communication, person-centered planning, treatment, educational goals and strategies, inclusion, orientation and mobility, and employment; (5) increased local capacity-building; (6) development and implementation of a two-year distance learning program leading to orientation and mobility certification; and (7) development of a statewide public vision screening program for students with deafness. Individual sections of this report describe the project's purpose, goals and objectives, accomplishments, outcomes, problems, impact, and budget. An appendix includes evaluation results. (CR)