This final report describes activities and accomplishments of a 4-year federally funded project to improve the capacity of state, regional, and local educational services to meet the needs of learners with deaf-blindness and their families throughout the state of Tennessee. The project provided individualized technical assistance and support to families and service providers so they could better identify, assess, plan for, and effectively instruct these learners as members of community-based heterogeneous environments. Specific activities of the project included: (1) establishment and maintenance of a deaf-blind census; (2) development of specific teacher competencies within the current Tennessee licensure areas needed to address the unique needs of learners with deaf-blindness; (3) training and technical assistance to improve the skills of professionals working with individuals with deaf-blindness; (4) development of a brochure and newsletter to assist with the dissemination of information; and (5) infusion of family and consumer participation into project activities. Individual sections of this report describe the project's purpose, goals and objectives, accomplishments, outcomes, problems, and impact. Appendices include need surveys, project publications, and evaluation forms. (CR)