Pros: versatile caseload, can earn your bbs hours quickly, get trained in at least one evidenced based practice
Cons: too much paperwork, long hours, not enough focus on building therapist's skills and too much focus on "numbers"
As a new clinical therapist coming in, I imagined my experience would be full of many opportunities to gain knowledge on how to become a better mental health service provider. However, I found that all that truly matters to supervisors, directors, and the CEO are "numbers": productivity (face to face hours), documentation and outcome measures. It seems that management are not so much concerned about the welfare of the therapists as they are about being able to report how many billable hours were calculated in the last month. Therapists keep high caseloads, expected to travel all over Los Angeles area (no restrictions on how far away client's live from the clinic), are overwhelmed with paperwork, are pretty much forced to work 50-60 hour work weeks with no overtime pay. And when you are burnt out after about 3-6 months, they simply guilt trip you into continuing or replace you with another naive new therapist who has no idea the amount of work they are really about to take on. This job is simply a test on how much work you can handle without passing out from mental exhaustion. This job has an extremely high turn over rate for therapist (I've been here less than a year and have already said goodbye to 5 therapists). That's insane! You would think that upper management would see how stressed out their therapists are and attempt to make steps to lessen the work load a little bit in order to increase the quality of services that their therapists provide. The hardest part of this job is worrying about not making enough billable hours at the end of the month due to client cancellations (which are beyond a therapists' control) and falling behind in paperwork (which is inevitable). The most enjoyable part of the job (of course) is the chance to work with the clients and families and actually help them achieve treatment goals.