This report by the Council of the Great City Schools to the Rochester City School District presents the organization's findings and recommendations for improving the special education program in the school system, placing special emphasis on the organizational structure of the program, accountability, and how the instructional program generally serves students with disabilities districtwide. The process that the Council used to conduct the review is described in the next chapter. The subsequent chapter lays out the organization's observations and proposals for improving the overall delivery of services for students with disabilities across the school system. Nine appendices are included: (1) Organization Chart; (2) Comparison of Staffing Ratios; (3) District Incidence Rates and Staff Ratios; (4) Individuals Interviewed; (5) Documents Reviewed; (6) Agenda for Site Visit; (7) Biographical Sketches of Strategic Support Team Members; (8) About the Organization; and (9) History of Strategic Support Teams. (Contains 19 footnotes.) [This report was submitted to the Rochester City School District by the Council of the Great City Schools.]