This final report discusses the activities and outcomes of a project designed to assist states in improving the quality of existing placements and services for individuals (birth through young adulthood) who are deaf-blind, and to increase the number of children, their families, and their service providers who will benefit from these services. The project assisted states in identifying service needs across the age ranges and in developing long-range State Technical Assistance Plans. Part 1 of the report provides a brief synthesis of the overall effectiveness and major outcomes of the five-year project. Part 2 describes specific activities that met the objectives of the project to provide an array of training and technical assistance activities to meet the overall needs of the state projects and agencies that provide services for children/youth who are deaf-blind. Activities included: (1) project director meetings; (2) family workshops; (3) family specialist training; (4) topical workshops on effective practices; (5) area meetings; and (6) state-specific technical assistance. Part 3 provides project financial and budgetary information and part 4 discusses project implications for policy, practice, and research. Extensive appendices include information on long-range technical assistance plans, summaries of workshops, project assessment materials, and case examples. (CR)