This final report describes a 5-year Kentucky project to improve integrated educational services and life quality of children and youth with severe disabilities, including students with deaf-blindness. Project objectives focus on the identification and removal of barriers to effective integrated programs; the provision of educational services on age-appropriate regular school campuses; the development of community-based instructional programs; coordinated transition services between preschool and public school programs, and between public school services and adult supports/services in the community; and the development of state-level policies and procedures. By the project's end, a total of 206 students in 22 school districts had moved from segregated to integrated school campuses, and approximately 80 percent of students with severe disabilities in these districts were receiving regularly scheduled community-based instruction. Additionally, the project developed several best practice manuals, a set of personnel preparation competencies and recommendation, and an alternative student assessment and accountability system. Extensive appendices include various meeting and workshop agendas, a teacher's guide to the Alternate Portfolio assessment system, an issue of the Project newsletter, and a manual on students with special health care needs. (DB)