This second in a series of five papers on communication reticence discusses the establishment of a setting for the treatment of communicationally reticent individuals. Eleven years of operation of a formal program at the Pennsylvania State University provides the basis for discussion of factors in the operation of the system. An eclectic philosophy of treatment focusing on speech processes rather than medical, psychological, or speech pathological problems is stressed. Treatment methods basically consist of exceedingly intense teaching of rhetorical subprocesses. Screening and selection of clients, staff training, and problems of establishing a clinical unit in the academic setting are also discussed. (KS)