Pros
Clients, and the opportunity to do meaningful work if you can somehow overcome a business model that is opportunist at best and unsustainable as it’s soon to realized (health homes).
Cons
This agency is part of a sad industry that feeds off human misery as demonstrated by the following: 1: They have a mission statement and a declaration of values stating the intention of providing mental health services to truly vulnerable populations (the Mish). 2: in practice the more familiar declaration is the demand for an almost instantaneous turn around of your daily “billing tickets” which is code for “case notes” (or is it the other way around??...I think I knew once....let’s just keep it real and call them billing tickets). 3: the laws of physics dictated that a demand for instantaneous billing tickets (IB) create constraints on time/space. These constraints limit activities essential to the Mish like prudent team based non generic treatment planning, and quality (not quantity) client care especially when partnered with UCS (unrealistic caseload sizes). 4: Collected billing tickets are aggregated and the resulting volume is the agency’s measure of an employees’ worth also known as productivity level (PL). 5: The formula < IB + < PL = termination. Those with little IB or PL/worth are terminated regardless of their real contributions to the Mish. Sending a powerful prioritizing message. 6: all things Mish related are a byproduct of the real process which is sustaining the organization while at the same time sustaining/prolonging client illness. As one doctor put it “it’s job security.” Tickets please...?
