This final report describes a federally-funded project that was designed to provide a model for service delivery to severely physically involved infants and their families living in the highly rural area of West Alabama. The project developed and refined an eclectic treatment approach known as Developmental Physical Management Techniques (DPMT). Pre-service and in-service training in this technique was provided to 207 individuals in programs receiving services from the project, as well as to approximately 242 students enrolled at the University of Alabama from 1974-1977. Parents of 187 physically involved children also attended training sessions in DPMT with an emphasis on management in the home. The project provided direct and supplementary services to 53 severely involved preschool children and their families at its center, located on the campus of the University of Alabama. Additionally, assistance and consultation was provided to 15 school systems and 16 child care centers in Alabama, and 2 school systems and 9 child care centers in Mississippi and Arkansas. This report provides an overview of each of the program's components; discusses its goals, activities, and evaluation methods; and reviews its major accomplishments. Eleven appendixes include materials relating to the following topics: flow chart of demonstration model; parent workshops; staff training; consultants; advisory board; library; rise developmental checklist; rise curriculum sample; overview of services; summary of needs; and current status of replication sites. (SG)