The purpose of the conference summarized here was to provide a multidisciplinary examination of the critical service needs of youth who are profoundly/multiply handicapped with deaf-blindness and who are old enough to be leaving the education system, and to recommend strategies for providing high quality comprehensive transition services for the youth and their families. Four conference working groups focused on: residential services and options, independent living and employment options, recreation and leisure options, and health and psychosocial services. The groups considered the conference presentations and discussions, identified the issues, and formulated recommendations for programs and policy. A synthesis of the four working group reports is presented, covering: definition of the population; philosophical premises; characteristics of high-quality programs and services; and issues and recommendations in the areas of attitudes and advocacy, personnel training, program accessibility, parent/family involvement, policy- and agency-related issues, and the problem of working from a limited knowledge base. Conclusions are drawn concerning transition and the quality of life, the individual in the context of family and environment, the state of the art of services, staff and training, and dissemination and advocacy. (JDD)