This compilation brings together various conference papers and a working group report on health and psychosocial aspects of transition for people with deaf-blindness and other profound disabilities. The title paper by Sharon Hostler focuses on health service needs of the individual, including health planning, a transition health assessment, and an adult care plan. Psychosocial service needs of the family and needs of the health care system are also discussed. A response by Mary O'Donnell, titled "A Medical Service Delivery System for Clients in New Jersey," describes the health service program of a state-funded community residence for deaf-blind young adults. A response by Hank Bersani, titled "Principles and Practices of Community Integration for Persons with Severe and Profound Disabilities," addresses the issue of social change toward community integration, which occurs in three spheres (ideology, practice, and legal initiative). A report of the Working Group on Health/Psychosocial Issues and Services outlines issues and recommendations for five levels of care provision: individuals, families, groups, health care providers, and agencies. (JDD)