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Research and practice have repeatedly demonstrated that effective tools and practices fall far short of their potential when sufficient quality assurance techniques are not put in place. Justice systems and behavioral health agencies often find that, over time, intended practices and procedures are either performed inconsistently or not in accordance with the trained methods. We help mitigate this outcome by working with agencies to establish intentional and structured quality reviews, coaching, and other improvement processes designed to reinforce desired practices and identify and redirect practices that are out of alignment with the desired behavior.