Pros: practical experience, insurance, some reimbursement (cell phone, gas)
Cons: high burnout, disorganized upper management, no personal life, long work days/weeks
I actually had a wonderful, supportive direct supervisor who wanted our feedback and input. She even would carry cases when someone was out sick (if she wasn't out sick herself), or there were no MHTs to actually carry them. Going further up the ladder, not so much. I actually liked most of my coworkers, and most of us could relate to one another because – more... they were going through the same struggles you were involving the job. Most of my families were pretty okay as well, at least the ones appropriate for the program because they definitely admitted some that didn't belong in an in-home services therapy program but in a long-term intensive psychiatric setting.
The job was 50+ hrs/week (usually more) and expect at least 10hr work days. Yes, there is flexibility, but it is at the cost of your work-life balance (which does not exist). I am an organized, driven person, but this job will break even the strongest person.
When I was hired, I was naive and innocent about the job (even though right after I accepted the job I found online job reviews like this). I moved thinking it would be okay... I was wrong. You are constantly questioned by upper management, put into dangerous situations risking your personal safety, driving 6hrs round trip to attend 1hr meetings, having your ability questioned when treatment goals aren't met due to intensive client barriers (ex youth has run away and location is unknown, parent who triggers child despite constant AND repeated methods and techniques NOT to do so, etc), and more.
In the end, even after I gave them my notice (more than 2weeks because I wanted another therapist for my families ASAP if possible), they were still trying to give me new clients to open because we still showed "open" census spots. All the MHTs were doing a minimum of 15 sessions/week and were still getting new cases! Another MHT would not be hired because the census did not "support" it.
I never took a sick day and only 2 vacation days in the whole 10 1/2 months I worked there. I would go into work despite head-splitting, nauseating migraines because to miss and then make up your work was worse than that. Because unless you took off a whole week or even had a partial week due to holidays or training, you were still expected to complete ALL your sessions and notes within the regular time frame. If I could not reschedule a missed or no-show session (or if the family was just really that busy), you will be expected to make them up over the weekend. I put my foot down with my direct supervisor about our families needing personal time as well, so that issue wasn't really pushed on me with her.
I could go on and on about all the different cons of the position and job, bit hopefully this should give you an idea. – less