This final report summarizes the activities of the North Dakota Deaf-Blind Services program, a 4-year federally funded project to ensure exemplary programs and services for children and youth with dual sensory impairments (DSI) throughout North Dakota. These priorities were met through the systematic identification of children with deaf-blindness, and the collaborative efforts of project staff and agencies. Comprehensive training and support were provided to families and educators who are involved with children and youth with deaf-blindness across the state. Technical assistance was provided by collaborating with local and statewide advisory and early intervention committees, conducting annual needs assessments, using a statewide technical assistance team, supporting an extensive media center, and training families and educators using a variety of formats. Training and media products were developed, and information about resources and best practice were disseminated through a quarterly newsletter. The major emphasis of the grant was to build local capacity through training, mentorship, resource dissemination, and on-site, student-specific technical assistance. Assistance was generally provided to public and private agency personnel. However, support to families and teachers of people with deaf-blindness was also a priority. The report discusses the project's accomplishments, changes, impact, and products. (CR)