I enjoyed the clinical and supervision aspects of my job. I disliked much of the data-driven demands of the job.
Pros: wellness and benefits program
Cons: numbers, data-driven provision of mental health services to clients
During the eight years I was at Community Reach Center, I was able to put in place a program for the clinical training and clinical supervision of clinical staff, for approximately 190 staff psychotherapist/clinicians. This included helping unlicensed clinicians attain clinical licensure in Colorado: LPC; LMFT; LCSW.
I felt CRC had a good benefits program and an excellent Paid Time Off program. I felt the pay scale was low for the work provided.
I had never worked in public mental health before this experience. I learned an incredible amount about the provision of public mental health services and the system in Colorado. I learned about what it takes to change large, complex systems like CRC. I learned that Medicaid capitated systems are enormously complex and require continuous change of their service providers.
I typically supervised clinicians 4 hours a day, and provided staff training events to clinical staff once a week for 3-4 hours. While a Director, I attended many Leadership and Director meetings each week and month. I was in administrative meetings approximately 3 hours a day. Our Director group had responsibility for the overall management and guidance of CRC staff.
I wrote job evaluations and related to all department heads, including psychiatrists and psychologists. I put in place a program that trained clinicians to become clinical supervisors.
I felt upper management became very numbers/data-driven in the provision of clinical services to clients, especially in the last 3 years of my time there. Many of the emotional needs of the clinical staff were disregarded. – more... Productivity of clinical therapy hours to clients was the primary focus of upper management and this was very concerning to me in terms of the overall future of the center, especially how this translated into the provision of lowered quality of care services to clients. I was also very concerned about the system itself at CRC, a system which was in a state of perpetual rapid major change during the entire time I was there.
As an example, after spending a literal fortune on the development of our own ab initio internal electronic medical record over a period of 6 years, it was decided to abandon this program in favor of an 'out of the box' program that had to be adapted for our use. This had a very negative impact on staff morale overall and was an extremely poor use of resources in my opinion.
I got along very well with my coworkers and colleagues.
The hardest part of my job was working hard to 'raise' quality psychotherapists and help them mature, and at the same time seeing them and their work unappreciated by upper management.
Some very promising therapists decided to leave the field on this account.
The best part of my job was providing clinical supervision and training to clinical staff and watching them grow as professionals and persons. I love teaching and supervising clinicians. – less