A lot of gossip, and all of shady behavior. If you overstep or report a manager for misconduct, they find a way to get you in trouble for it. Therapists are expendable to them. They never offered me a raise in two years! I had multiple positive reports from supervisors but never got offered a pay raise. Supervisors become lazy and stop showing up to the clients house - you end up having to be supervised by someone less experienced. Also, don't even think about giving your ideas when it comes to a client! Creative solutions for Hope is the worst name for this company because it's a lie. They are all about sticking to what they know and never going outside the box.