Comparative Analysis InterventionEmpoweringExpense Peer ReviewSelf Encouraging Builds on Existing Strategy Internal use of time only Some restructuring of the day External ReviewerA bit 'Big Brother' like Could be Disempowering Would cost 1-2 hours per day of additional clinical time Periodic GPwSI Support Educational and Skill Developing Could be Empowering Would cost 1-2 hours per week for specific skill expertise and internal time