A chapter on management issues focuses on the development and implementation of the structural elements of a successful intensive outpatient treatment (IOT) program. Topics discussed include strategic planning and strategic partnerships, a board of directors, bylaws, and program policy. This chapter also discusses the daily management of a treatment program in terms of policies and procedures, staffing, budgeting, sharing new knowledge with staff, and facility management. Another chapter examines the recruiting, hiring, and retaining of IOT staff members and addresses the appropriate use of a program's human resources. The next chapter discusses how to prepare the staff to be understanding and competent in its treatment of individuals with diverse backgrounds. This is followed by a chapter that addresses outpatient treatment financing options and strategies. Issues examined are various funding streams, including the complexities of managed care contracting, private sources, and State and Federal funding. Also discussed are foundations and government grant programs. Particular funding sources are also described, along with the effect they have on the nature and scope of IOT programs. The final chapter explores aspects of measuring treatment performance outcomes. It focuses on treatment performance indicators such as engagement rate and client satisfaction, as well as the tools used to measure these factors. Appended bibliography and listings of members of the Resource Panel, Cultural Competency and Diversity Network participants, and field reviewers