“…Progress is being made in developing performance management and outcome-based monitoring models (Kapp, Hahn, & Rand, 2011;Wall et al, 2005) and residential treatment centers are increasingly adopting outcome monitoring methods. However, development and implementation barriers persist on a political, ethical, administrative, and clinical level involving issues such as organizational culture, practice, and funding (Boyd, Einbinder, Rauktis, & Portwood, 2007;Butler, Little, & Grimard, 2009).…”