Reported are results of a practicum from which a regional program for hard of hearing preschool children was developed and implemented which provided direct classroom services, parent counseling and inservice educational programs for school districts in the southeast region of Massachusetts. Noted is the delivery model of an educational collaborative to provide services for low incidence handicapped children. Discussed are the regionalization concept, the TRIAD model (a three member goal setting scheme for aspirational indexes), and the staffing and organizational relationships developed between two polar programs (preschool and secondary levels) within a region. Sections are given to topics such as state regionalization, the impact of rubella, development of a federal grant, definition of the population served, and evaluation of eight specific objectives such as the provision of individual and group counseling services to parents and the design of an inservice training program. Emphasized is the linkage of the program with a secondary program for deaf students. Evaluation is reported to show student gains based on criterion referenced measures and attendance records indicating acceptance of the educational program. Continuation and expansion of the model program is reported. A major portion of the document consists of appendixes including the federal grant proposal, public announcements, job descriptions, and a rating scale. (DB)