1. Preparation
   1. Education
      1. Standard DBT Training
         1. Self
         2. Therapists
         3. Skills Trainers
         4. Phone Consultation
      2. Administrative
         1. Clinical
         2. Executive
         3. Funding Sources
      3. Community
         1. Other Agencies
         2. Mental Health and Drug Board
         3. Referring Clinicians
         4. Public
      4. Agency-wide
         1. Therapists
         2. Physicians
         3. Administrative Staff
         4. Mobile Crisis
         5. Outreach Workers
   2. Survey
      1. Focus Group
      2. Survey Items
      3. Presentation
      4. Data Analysis
   3. Timetable
      1. Goals
      2. Meetings
      3. Decisions
      4. Trial Periods
   4. Materials
      1. Program Description
      2. Training Resources
      3. Proposal
      4. Sample Policies
      5. Patient Documents
2. Implementation
   1. Structure
      1. Skills Groups
      2. Individual Therapy
      3. Phone Consultation
      4. Therapist Support Group
      5. Patient Consultation
   2. Philosophy
      1. DBT: Adopt or Adapt
      2. Mentalization
      3. Other
   3. Obstacles
      1. Clinical
      2. Administrative
      3. Patient-related
   4. Funding
      1. Medicaid
      2. ODMH
      3. Private
      4. Private Foundation
      5. Government Grant
   5. Policy
      1. Supervision
      2. Clinical
      3. Hospitalization
      4. Inclusion/Exclusion
   6. Personel
      1. Clinical
         1. Therapist
         2. Case Management
         3. Medication Management
         4. Supervision
         5. Skills Trainers
         6. Phone Consultation
      2. Administrative
3. Population
   1. Borderline Personality Disorder
   2. MRDD
   3. Substance Dependence
   4. Homeless
   5. Disabled/Employed
   6. Most likely/Least likely to succeed
   7. Risk Factors
   8. Referred vs. Internal
4. Measurement
   1. Community Readiness
      1. Survey
   2. Training Effectiveness
   3. Goals of Implementation
   4. Philosophical Fidelity
   5. Clinical Outcome
      1. Retention
      2. Complication Rate
      3. Psychometrics
      4. Target behaviors
   6. Therapist Satisfaction
      1. Burnout
      2. Support
   7. Cost-Effectiveness
      1. Agency-wide
      2. Community-wide
5. Personal Goals
   1. Clinical Efficacy
   2. Time-cost Satisfaction
   3. Interpersonal Satisfaction
   4. Long-term Community Role
   5. Continuing Education
   6. Financial
      1. Sustainability
      2. Program Growth
      3. Personal Wealth