The final report describes the development of a program to train neighborhood mothers as home visitors to families with a handicapped child under age 3. The following program aspects are detailed (sample subtopics in parentheses): population (referral sources, family and child characteristics); staff (changes in staffing pattern, hiring core mothers); staff training (planned inservice training, staff attitudes toward learning); and program services (initial assessment and individual program plan, home visits, respite care). Two concluding sections focus on evaluative information, including an analysis of service utilization data. Extensive appendixes include a case study, descriptions of staff training, and a discussion of selected interventions. (CL)