The document, in both English and French, describes a 2-year project in Guyana based on the principle of community-based rehabilitation (CBR), which stresses training local community residents as supervisors to provide training of rehabilitation workers and direct services to children with disabilities living in rural areas. The program provided twice-weekly training over 15 months to 30 volunteers and 25 nursery school teachers. Trainees then introduced a training program to a total of 53 children in cooperation with family members. Program evaluation was predominantly positive. Volunteers were more effective than the nursery school teachers who participated as part of their normal work week. Other evaluation findings indicated that parents were often enthusiastic participants, that clear progress was made by most children (especially those whose parents were heavily involved), and that parental attitudes improved. Five case studies illustrate program effects. Briefly considered is the program's relationship with specialized facilities and the cost of the project ($45 per child per year). Key features of a successful CBR project are identified, including establishing a good foundation before beginning a project, the rehabilitation therapist as a promoter of community development, utilizing a new model of supervision, developing a flexible curriculum, encouraging parent associations, and seeing the role of the coordinator as primarily that of a facilitator of human relations. Includes 9 references. (DB)