Thank you everyone for you useful comments and I will try to reply individually. My collaborator, Dr. Courtney Baker at Tulane, did a thorough review of the empirical literature and there is very little out there right now. The few published studies look at outcomes at: 1. student/client level; 2. staff level; 3. system level; 4. cost savings. We looked at staff level outcomes because we felt that it WAS possible to perhaps design a measure that is usable across many settings (mental health, schools, corrections, medical, perhaps even foster care). We also had goals of being practical, proximal, and psychometrically sound. We did some self-report validity analysis (for example, whether higher ARTIC scores connect to settings who have attempted to implement TIC). The next step will of course to do more validity work to see if ARTIC scores are connected to other TIC indicators (implementation, fidelity to implementation, supervisor assessment of TIC staff attitudes, etc). We really wanted to publish the study in the empirical literature to provide background data/information to the field about this (time consuming, yet humble) effort at measurement. Let's keep dialogue going. Thanks for all the comments, Steve