This report describes the work done by the 48 State Deaf-Blind Projects awarded grants by the Department of Education's Office of Special Education Programs (OSEP) in late 2013. The report documents the technical assistance and dissemination activities carried out by the Projects and their collaborative activities, describes the needs for technical assistance among direct service providers who work with children and youth with deaf-blindness, and examines how satisfied direct service providers are with the services received from their State Deaf-Blind Projects.