Abstract: The needs of Head Start Program staff in mainstreaming handicapped children with hearing impairments are examined in a manual prepared for teachers and parents of hearing-impaired preschoolers. These children present special challenges to Project Head Start to plan educational activities, learning experiences and materials that permit them to mainstream into classroom with non-handicapped children. Teaching guidelines and techniques are presented to help hearing-impaired youngsters perform as well as normal children of the same age. Resources are reviewed which are available for help outside and Head Start. An appendix outlines test for screening and diagnosis of hearing problems and charts the normal development of the preschool child.