AbstractIn previous work, the Training in Community Living program has been shown to be an effective and feasible mode of community treatment for markedly impaired patients. However, questions have been raised regarding its potential for dissemination to clinicál settings in communities other than Madison, Wisconsin. Described are successful experiences in consulting with three rural Wisconsin counties to help them establish community treatment programs modeled on Training in Community Living principles. Also described are the factors responsible for the success of these consultations