Pros
The clients are the best part of the job. Local office staff support each other and keep the program running despite lack of leadership. The Knoxville team consistently performs well with minimal support.
Cons
Leadership is largely absent and ineffective. The program manager lives three hours away and rarely comes to the Knoxville office. Many staff have never met him in person. When visits are promised, they often don’t happen. When they do, they are brief and unhelpful. Lack of psychiatric coordination when changing psychiatric staff creates confusion and disrupts client care. The regional manager/director lives in another state and does not follow through on commitments made to staff. One program manager covering the entire state is not a workable model and leaves staff unsupported. More clinical in-state support is needed to effectively manage client care. Support has steadily declined, morale is low, and turnover continues to increase. Knoxville performs just as well as Cedar Rapids but is treated unfairly and lacks adequate resources. HR is unresponsive and does not address staff concerns. Leadership is disconnected from day-to-day operations, contributing to staff burnout. No in state clinical support.