behavior technician

group facilitator

substance abuse counselor

admissions coordinator

therapist

Legacy Healing Center

I’ve worked at Legacy as a Primary Therapist a little over a year and am currently transitioning to a job out of state due to non-job related changes. 
Coming into Legacy, I had 2 years of professional experience as a substance abuse therapist and over 6 years of casework/victim advocate/mental health work experience. 
At Legacy Healing center, my individual caseload ranged from 9 clients-13 clients. I conducted 3-6 hours of group therapy per week.  This work load has always felt feasible due to the incredible teamwork displayed at this facility. I have never had to question whether my clients would have ALL of their needs met due to collaborative team environment by other therapists on my team, case managers, and upper management. When faced with complex cases, Upper management (Clinical Director, Chief Clinical officer, Executive Director, Housing Director) has always been more than willing to offer support in the form of meeting with client personally, connecting client with resources, and overnight me personal and professional support to ensure I can continue to do my job comfortably. This has allowed me to leave work duties at work and take minimal (if any) work home with me. 
Another benefit of working for Legacy Healing Center is the structural support for therapists to maintain boundaries. Therapists are not expected to respond to any work/client needs outside of work hours. All therapists rotate “on-call” shifts every 10ish days.  
Legacy has great benefits. Four weeks PTO, paid gym membership at LA fitness, Health insurance, monthly bonus incentives. Upper management is receptive to discussing raises, and growth opportunities as well. 


The benefit to this company is that financial incentives fall toward the high end of payout in the field, however what I experienced was that incentivized pay came at a significant cost - absolutely no work life balance, no boundaries, a politicized work environment, and an expectation that you are literally accessible 24 hours a day, 7 days a week, even on vacation. 
 Simply put, this was the most poorly managed company I have ever worked for. The management structure was confusing - changing regularly in my time there. When I asked questions requesting clarity, they were often either  ignored, bushed off to another team member, or given unclear, ubiquitous responses. 
 The environment often feels hostile - gossip was plentiful, there was a significant lack of leadership and professionalism, and the onboarding process was one of the sloppiest I have ever experienced. 
Expect zero work life balance, extreme office politics, and cliques that reflect juvenile behavior - not a professional treatment environment. I had high hopes for a place that talks about the quality of their care but the recidivism rate of clients and the high turnover of staff is telling of the culture of this company. I was very disappointed by my experience here. 
The best parts of the job were the clients we served who were showing up every day to better themselves and a handful of dedicated frontline employees who show up everyday and go above and beyond to change lives. Unfortunately, the negatives far outweigh the positives.

The company is new to the Cincinnati area. The culture is intense and Led by fear. Salaries are generous and one will work very hard for every single cent. The insurance is no longer covered at 100%. 
There is very little work life balance and minimal work structure which may be due to the high employee turnover rate. The pto is generous if you can get the time off approved. Employees required to give 30 day notice before taking pto.
There wasn’t any training or orientation for new hires. You literally sink or swim. The expectations are high for Therapists:18+ caseload, weekly individual sessions, weekly family sessions, weekly family contact, complete caseload UR’s, conduct group1-3 times weekly, work weekends and see clients in the daytime and evening.
The facility is considered IOP/OP treatment. Therapists are encouraged to document “around” issues which felt unethical. Higher-ups frown upon individuals who address or challenge areas of concern. 
When the company decides to terminate employees they simply call you at the end of your work day, typically the last day of the pay period and state,
”The company has decided to go in a different direction.”

Overall, Working as a Therapist for Legacy felt extremely intense. Employees appeared to walk on egg shells and often worried for job security. I was hesitant of decorating my office due to the nature of swift termination. 
Save yourself the embarrassment of HR packing your office up in a brown box and asking that you meet in the parking lot to collect your belongings. 

 Throughout my time here, I have encountered ongoing concerns regarding professionalism, organization, and overall workplace culture. There has been a consistent lack of structure and support, which has made it difficult to perform my role effectively and with the level of care that both staff and clients deserve.
Recognition within the workplace appears to be primarily given to individuals in recovery, while long-term employees and their years of dedicated service often go unacknowledged.

Additionally, statements made within the workplace such as being referred to as “glorified janitors” despite our professional titles and responsibilities have been discouraging and undermining. I have also experienced and witnessed dismissive attitudes toward employee concerns, including being told that if we are dissatisfied, we should find employment elsewhere. This has contributed to a work environment where employees feel undervalued and unsupported.

I have made efforts to address these concerns by speaking with individuals across multiple levels, including fellow technicians, clinical staff, and supervisors. Unfortunately, there appears to be a widespread sense of dissatisfaction, with little evidence of meaningful change or opportunity for growth. The absence of a clear path for professional development and advancement has further solidified my decision.

I have worked in mental health and substance abuse treatment for the past 25 years. I have never seen anything like this place. They manage employees through intimidation and fear letting you know daily just how expendable you are. Zero room for clinical disagreements often at the detriment of patients. So long as the patients insurance will cover services, the patient stays even if using while in treatment. Zero room for creativity or thinking outside the box. There is only one box at Legacy and it is theirs. The funny thing is the folks working here have little idea of what it takes to truly recover from substance use disorder. I often asked myself what just happened here?

The pay is competitive, the PTO. Is not. Benefits are decent. Not a lot of flexibility in terms of time off. It’s horrible. Absolutely zero training.

My favorite thing is how they let people go. You will work a normal shift. At the end of the day you will receive a call from Florida explaining your services are no longer needed.

I want to support this place because I believe in the transformative power of treatment. These guys treat patients like a commodity and employees like they are expendable. If you don’t believe me, read the rest of the reviews. Do yourself a favor, don’t consider it and pay attention to how often they are advertising for new employees. It’s not because they are expanding.

I have worked for many treatment centers over the years, (the good, the bad, and the ugly ones).

I was approached by Legacy to become the Clinical Director of their newest center that was opening in Los Angeles. I made the decision to come aboard, and have not regretted the decision, ever.

What I have seen and experienced here is a company that truly cares about the people in their care, and the staff that provides that care. It is a culture of kindness, caring, and compassion. I cannot think of one employee here who is just in it for a paycheck. It is a team of solid, caring professionals who go above and beyond to ensure that our patients are receiving the highest quality of care that can be provided.

Are the expectations of the staff high? Yes, as they should be. Only the best of the best work here. Are these expectation reasonable? Yes, as Legacy strives to provide the best treatment experience to everyone who comes through the doors looking to turn their lives around.

My expectations of Legacy were high when I decided to join their team. To this day, they have never failed to meet or exceed my expectations. It is by far the best treatment center I have ever worked for, and I am proud to say I am part of their team.



Despite the current pandemic the facility is still accepting patients from CA, New York, New Jersey area, and Mexico. There were 2 suspected cases of Covid-19. Facility not equipped to handle such cases. The company did not provide proper PPE for all employees.They take all the problematic patients who other facilities have kicked out or have major behavioral issues. I was terminated over the phone by HR. No explanation given. No counseling, verbal, written reprimands prior to phone call. Current DON is a joke. No matter how flexible I was, my worth wasn't appreciated. I was currently in two car accidents in the same week, DON was not sympathetic. Not a good work environment. Management sucks. If you suck up you get promoted to positions that you're not qualified for. Example LPN to Assistant DON, who is on a power trip. The moral amongst the nurses is low. No one is happy due to current situations and schedule changes that the assistant DON is making without consulting employee first. Unethical and questionable work practices. It's organized chaos. The auxiliary staff has no respect for nursing staff. Patients can lie on you and they believe patient. If you value your license and life, personally I wouldn't recommend.

Clients are great and I love what I do, but many improvements need to be made. Chain of communication is abysmal. Pay is alright, but we should definitely get more for everything we have to put up with from both staff and clientele. Instead of telling a detox center that we’re full, patients often get rushed through the program and transition to the next phase before they’re ready just so an empty bed can be created to take on a new client. Coworkers are a 50/50. I love some and others I don’t even know how they got this job because they’re completely incompetent. Sometimes the amount of drama they cause makes me think I’m back in high school. They’re constantly short staffed (so you’ll likely get at least an interview!) because people either quit or the company goes on a firing spree. Some firings are definitely valid and deserved, but others are definitely not or deserve only a warning. However, this is a good job to gain an entry into the clinical psychology world, so I do recommend it for that. My point is, it’s an alright temporary job, but I definitely can’t picture making this place my whole career.

Legacy could be a diamond in the rough but sad to say it is nothing more than a toxic playground for recovery addicts. First thing you will notice is the abysmal training. The culture here is to throw your colleagues under the bus in order to sustain your own position. Not much work is done between the non existing communication between Management and Clinical. Nepotism is a thing here most co workers are either dating, former friends of addicts in recovery. The work environment is hostile on a daily basis with openly  racial jokes and many employees on power trips using who they know in upper management. Meetings are hosted in the style of JUDGE,JURY, AND EXECUTIONER many fall victim to the open door or shall I say Trap Door policy. These people are about their EGOS and MONEY. If your ok will coming to work walking on land mines with these toxic individuals with this company that has No Morals, No Principles, No standards it's just about the money. But hey go apply see for yourself.

What is the best part of working at the company?
Meeting a diverse group of clientele 

What is the most stressful part about working at the company?
The supervisors lack the ability and experience to make decisions based upon the facts and data. They are often overwhelmed and take it out on the staff and clients. They also have a tendency to micromanage and make employees feel uncomfortable about approaching their supervisor for advice. They also don’t train their staff so staff that do work well are often frustrated and overwhelmed . Supervisors ALWAYS take the word of the client which means that staff has no rights. Upper management has no communication with staff which creates a hostile environment. Clients know what is going on before staff. 

What is the work environment and culture like at the company?
Toxic , No communication from management 

What is a typical day like for you at the company?
Putting out fires  and figuring out  who and what clients need

Top Job Titles	Average Salary
Behavior technician 2 salaries reported	$23.07 per hour
Group facilitator 19 salaries reported	$75,789 per year
Substance abuse counselor 19 salaries reported	$86,711 per year
Admissions coordinator 11 salaries reported	$49,773 per year
Therapist 2 salaries reported	$200 per hour

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