This project falls short on three critical and interrelated facets. First, as the authors note, the training model for individual placement and support (IPS) was "modestly intensive." After a one-day training and weekly teleconferences in the first three months, the "sustained" training apparently consisted of one site-specific and one systemwide teleconference per month, which does not seem sufficient to ensure adequate implementation. In fairness, the training exceeded the intensity that my colleagues and I naively employed in a series of dissemination projects during the 1980s (2). As did others during this era, we had mixed results. We discovered that initial training typically had little impact (especially with staff turnover) and that written materials and occasional phone calls were inadequate for overcoming the many barriers to implementation. One provisional conclusion from recent dissemination studies is the importance of ongoing face-to-face contact by a trainer-consultant, because site visits usually lead to more accurate assessments and personalized interventions. In contrast to the VA project, the National Evidence-Based Practices Project used a far more intensive consultation approach, with up to two years of monthly face-to-face expert consultant contact. Even with this intensive consultant model, high fidelity was not uniformly achieved (McHugo GJ, Drake RE, Whitley R, et al, unpublished manuscript, 2007).