This report describes activities and accomplishments of the 3-year project, "Expanding the Circle of Services for Children and Youth Who Are Deaf Blind," a South Dakota project to improve services to this population through improved interagency cooperation and technical assistance. A highlight of the third year was the formation of the Great Plains Regional Alliance which addresses the needs of children who are deaf blind and their families who reside on American Indian reservation lands. The project resulted in improved identification of children who are deaf blind, provision of training and technical assistance on inclusion strategies for almost 4,000 individuals, and provision of training concerning deaf blind children for 573 individuals. Development of several publications and a video in collaboration with other agencies and programs is also noted. Specific activities and their status at the project's completion are listed for several objectives within the project's two major goals, which focused on: (1) early identification and intervention; and (2) service provision in integrated educational settings and successful transition to adult settings. (DB)