This final report describes accomplishments and activities of a four-year federally funded Rhode Island project for children who are deaf blind. Major accomplishments included: (1) parents (of 65 identified individuals) received greater access to an increased number and variety of support resources; (2) professionals linked to individuals with deaf blindness increased their competencies through technical assistance and consultation services provided to over 25 school districts and via more than 20 graduate and undergraduate courses; (3) children with deaf-blindness increased their access to general education (doubling from 10 percent to 20 percent) and demonstrated growth through alternative assessment measures; and (4) the Rhode Island system of services became better able to meet the needs of children with deaf-blindness and their families as demonstrated in such areas as increased capacity to provide functional assessments of hearing and vision. Individual sections address each of the project's seven goals, problems encountered and how they were solved, and implications for policy, practice, and research. (DB)