The organization relies on an incredibly high turnover/burnout rate. Most people don't last more than 3 years. There is not a lot of support for the trauma that you will come in contact with on a daily basis. The executive leadership team is out of touch with the work being done on the ground and do not prioritize the needs, advice or welfare of the staff. Communication is muddled and infrequent from leadership. Regarding medical programs, the leadership is mostly motivated by revenue. Occasionally the work environment is antagonistic and verbally toxic. Extra job responsibilities are routinely added without pay raises. Problematic staff are not held accountable due to, what is perceived as, seniority and loyalty to the organization. Staff who are in recovery are unfortunately not supported adequately while working in an especially triggering environment. There is not enough space for all staff to have their own work space. The building is very cold in the winter (think extra layers- or maybe don't take your jacket off, scarves, gloves) and the facilities are subpar overall.