The American Indian Rehabilitation Project aimed to provide older American Indians with vision problems useful skills for carrying out daily activities as independently as possible and for preventing unnecessary dependence on others and premature and unwarranted institutionalization. The project goals were to: (1) develop a 5-day, seven-module model curriculum for training community health representatives (CHRs); (2) train approximately 200 CHRs representing various tribes at 5 training sessions; (3) evaluate the training sessions by assessing the extent to which CHRs were utilizing the information and skills learned; and (4) disseminate training results and the model curriculum to the blindness, aging, and Native American service delivery systems. A second phase aimed to expand training and evaluation. The methodology section of the report contains information on project staffing, resources, training materials and methods, and assessment instruments and surveys. The outcomes section indicates that the project's major objectives were fulfilled, and reviews findings related to: (1) CHRs' pretraining attitudes; (2) cultural issues of independence, interdependence, and psychosocial aspects of aging and vision loss; (3) cultural applications of new skills; (4) CHRs' strategies for sharing their learning; (5) culturally appropriate communication patterns and teaching methods; and (6) followup reports by CHRs on the personal and professional impact of the training. A project summary and recommendations are included. The 28 appendices include a training agenda; key words; various forms, assessments, and results; a followup interview of CHRs; and lists of resources. (KS)