The manual for rehabilitation counselors of multiply disabled deaf persons has been developed from a workshop in which vocational counselors discussed stages of the rehabilitation process. Guidelines for the procedures of identification, differential diagnosis, vocational evaluation, placement, and follow-up are given for deaf persons also handicapped by mental retardation, emotional disturbance, learning disabilities, or other severe handicaps. A brief description of the rehabilitation process is directed to readers not familiar with the field. Guidelines include such suggestions as using the TOWER system for evaluating work skills, particularly of mentally retarded persons, and being alert for emotional disturbance when school and other records so indicate or when the client's verbal behavior betrays inconsistencies. Also provided are such aids as a flow chart for the identification, assessment, and referral of deaf children having difficulty in school, and a checklist for the identification of the atypical deaf adult. Appendixes include a listing of service centers for deaf people, a bibliography on deafness and other disabilities, a listing of psychological tests, and directory of workshop participants. (GW)