This study evaluates user satisfaction and the cost effectiveness of the use of computer systems in the Braille and Talking Book Program of the Ohio Regional Libraries for the Blind and Physically Handicapped, and makes recommendations for patterns of service and funding. This report provides an executive summary as well as a 3-part presentation of aspects of the program. Part I covers present service: library services to the blind and physically handicapped in Ohio, delivery patterns, a telephone survey of program users, and an evaluation of present service and recommendations. Part II evaluates the regional library computer systems: elements of an automated circulation system for the Libraries for the Blind and Physically Handicapped, history of computerization at the Regional Libraries, evaluation, and costs. Part III discusses alternatives and recommendations for service structure and funding. Appendices provide the survey instrument used in the telephone survey of program users as well as a directory of the libraries and agencies involved in the program. (JD)