Fulfilling with regard to the relationships built with the clients, but an exorbitant amount of pressure to do the job.
Pros
Being a part of progress and recovery in someone's life, humbling experiences when working with the clients, most direct care staff are fully committed to their jobs, depending on which site at which you are working, community outreach to involve clients in outside environment, training staff are very helpful.
Cons
Constant pressure to meet unrealistic goals of RSPMI billing, continuous change with little support provided in order to balance the impact of changes, low pay when compared to work demands, initial training cannot fully encompass the tasks that are demanded from direct care staff, pay cuts from salary if billable services are not provided to meet daily quota, continuous demands from management to do more or improve beyond given means, safety of staff is often compromised in order to meet prescribed quotas, high turnover rate for direct care staff, bonuses and incentives have been cut, must take personal time before sick time can be used, no paid holidays or weather policies, quality of benefits have decreased, favoritism among staff that damages relationships with clients, and no support with regard to loan forgiveness, cost of continuing education, or other required expenses often covered by other companies.
