This final report presents activities and accomplishments of a three-year outreach project to link programs and agencies serving deaf and hard of hearing children and their families with child care programs in their communities. Each year project staff provided training in establishing integrated early childhood programming and child care for at least four sites. Training participants included administrators, teachers, and parents. Facilities included child care centers, schools for the deaf, public and private schools, nursery schools, and a research hospital. The project was based on the Integrated Preschool Model developed at Gallaudet University (District of Columbia). The three phases of the model involved two training sessions at Gallaudet University followed by periods of application at trainees' home sites. During the final phase trainers worked with professionals and parents at local sites to advance integration and interagency relationship and provide final feedback. The project also provided on-going long distance technical assistance and produced a book, "Access for All Deaf and Hard of Hearing Preschoolers: Issues and Practices." After an executive summary, individual sections of this report describe the project's goals and objectives, conceptual framework, model, problems and their resolution, evaluation findings, impact, and statement of future activities. An appendix provides training agendas and forms. (DB)