This final report describes the activities and outcomes of a federally-funded program designed to meet the needs of high risk hearing impaired children with multiple handicaps from 0-2 years of age--a population not served at the time by local, state, or federal programs. The project's hypothesis was that the initiation of a "total communication" program at the appropriately early age for language stimulation and learning should prevent the development of learning problems for such deaf children and also obviate the attendant frustration and allied emotional problems of the children. The model was located in a public school in Boston. It used an integrated team approach, coordinated by a single case manager. Parent counseling was included as an essential component of the program. During the third year of the program, a total of 66 high risk infants were located using identification procedures developed and refined during the first 2 years. After screening and evaluation, 34 of these children were enrolled in the program. Curriculum activities focused on sensory stimulation, language processing and production, and cognitive and social development. Individual prescriptive teaching plans were developed for each child by the entire team and implemented by the primary facilitator in each case. At the end of the year, the children had attained 70% of the total number of objectives set. Additionally, 25 families were involved with 1 or more of the 3 parent counseling facets of the program (educational, intellectual, emotional). In addition to services to children and families, six other components of the program described in this report include: (1) Inservice; (2) Demonstration/Dissemination; (3) Advisory Council; (4) Continuation; (5) Replication; (6) Coordination with Other Agencies. (SG)