-Voicing concerns will lead to adversarial relationships and/or may get you fired
-Pay is not competitive with similar positions at other Community Behavioral Health Centers, and is inconsistent between staff. Newer staff are brought in at similar or higher rates than more experienced staff, there is no process for advocating for a raise, job responsibilities are added without increased compensation, higher levels of specialized training are not compensated proportionately (e.g. doctoral degrees, multiple licenses/certifications)
-Many inefficient processes that cost a lot of time and stress
-Problems are solved reactively, rather than proactively; concerns are raised to leadership in advance, but are not addressed until they actively become a problem instead of preventing them
-Upper leadership feels out of touch with what is happening at the service provision level. An example of this is eliminating a director position when it was clear clinical directors were already working very hard to cover the needs of the program they oversaw and provide the support, guidance, and coaching that managers needed to effectively run their programs
-Wait times for appointments is high
-Decisions are made to meet minimum requirements for regulations, rather than in the interest of quality of care
-Time is wasted on projects that don't go anywhere, initiatives fall off, having to explain needs/concerns multiple times to the same people.
-Training and supervision are touted as a core value, but there is minimal investment in redeveloping the training and supervision infrastructure after key staff departed the agency years ago
-No addiction services and very limited crisis services are offered
-Competent, compassionate people are dragged into doing more work to keep things from falling apart, which leads to a choice between burnout or sacrificing client care