Making a diagnosis, which may necessitate redefinition of the problem. Making recommendations based on the diagnosis. Assisting with implementation of recommended solutions. When innovations prove successful, they are institutionalized more effectively than when simply recommended without some demonstration of their value. Our effective implementation requires consensus, commitment, and new problem-solving techniques and management methods From the beginning, an effective relationship becomes a collaborative search for acceptable answers to the client’s real concerns. Ideally, each meeting involves two-way reporting on what has been done since the last contact and discussion of what both parties should do next. In this way a process of mutual influence develops, with natural shifts in agenda and focus as the project continues.