“…However, it is important to realize that these case studies took place within the context of an existing clinic, a larger frame that facilitated the implementation of ROM. Many have written about the difficulties with implementation of ROM in a therapy or training clinic (e.g., Aafjes‐Van Doorn & Meisel, 2022; Cooper et al, 2019; de Jong, 2016; Mellor‐Clark et al, 2014; Minieri et al, 2015; Peterson & Fagan, 2017). It requires an organizational change that includes an intensive process of training, engagement, monitoring, and service support, in which common problems are preempted as much as possible, and genuine feedback on the implementation process is provided.…”