This report describes the activities and outcomes of a pioneering Telehealth project in which clinical psychologists use state of the art satellite technology to consult with paraprofessionals who live and provide treatment settings to persons with the dual diagnosis of developmental disabilities and mental illnesses. The goal is to provide early intervention to individuals who have psychiatric and behavioral troubles before they escalate to the level of needing acute hospitalization. The project began with support for 56 people who had lived an average of 14 years in the Wyoming State Hospital. This 5-year project has been able to avoid psychiatric hospitalization for the 90 subjects in this project. This success has saved thousands of dollars and assured a quality, integrated life for individuals with severe disabilities by supporting them in their communities. The report concludes that compressed video technology provides an excellent venue at a reasonable cost in a rural state such as Wyoming, to get quality training to the worker in the field on subjects that are individualized and interactive. The program found that the technology provides a cost-, time-, and travel-effective way to bridge the gap of distance and inclement weather in the rural state. (Contains 17 references.) (CR)