This final report describes the outcomes of Project Apache, a reservation, community-based early intervention program designed to develop comprehensive services to Apache infants and toddlers who are at risk of developing a disability and their families. The project uses a home-based service delivery program with paraprofessional aides to assist in implementing the family intervention plan. A reservation-based referral process was put into place with the cooperation of the Indian Health Service to identify at the earliest possible time infants who are at-risk for becoming developmentally delayed. Family and child assessments are used that are more dynamic and ongoing, as opposed to linear and sequential. The project found that formal assessment instruments were ineffective in working with the White Mountain Apache families and that information should be obtained through informal interviews and observation. The paraprofessionals were found to be very effective at securing this information. A list of recommended developmental assessments is provided, along with a list of successful interventions. The report describes the referral process, assessments, development of Individualized Family Service Plans, interventions, and program evaluation. Recommendations for providing services to Indian populations are made throughout the report. (CR)