mental health technician

partner

mental health therapist

childcare provider

medical technician

Therapeutic Health Services

THS touts that they are a company focused on diversity, quality job culture, and support their patients and employees, but they lack diversity on each level of employments from counselors, MH/MSW, management, supervisors, and support staff.  There is very little to no advancement, but you see unqualified individuals in supervisor and upper management.  Having someone with clinical experience in the CCO or CEO positions may improve this, but they are focused on business and supporting leadership and supervisors before making sure it is a safe working environment.  There is very little to no support to counselors from management.  I've never worked in a behavioral health treatment center that the management didn't check in when patients pass away, difficult or dangerous situations such as a patient attacking staff members or the Corona Virus "stay at home" order.  If they don't like you, the gossip is thick and toxic but not addressed by management or HR.  The Seattle location building is in very poor condition and smells like waste and mold.  Retaliation has been witnessed for those who reach out for help to management or HR.  One thing the supervisors and management are really good at it is terminating employees - it's quite impressive what they come up with and I wouldn't be surprised if they have lawsuits past and present. 

Cons: Toxic work environment, lack of supervision of management high case loads and constant threat of job termination if you don't meet productivity dep by management, no autonomy from counselors in SUD and MH,ending on if you are a favorite, shocking they are approved by CARF and KCBHO, management/supervisors lack confidentiality of employees, poor/low salary increases and yearly reviews.

Community Based Outpatient Clinic [CBOC] with ample learning opportunities

Mental Health Clinicians' Day: Provides Individual Therapy, Documentation, Team collaboration, external agency collaboration, group therapy [optional], team meetings, opportunities to aid interns and get supervisory experience. 

Case Managers' Day: Needs assessments, scheduled and walk-in appts. community resourcing, intra-agency collaboration and external agency collaboration

Interns' Day: Same as above

Learned skills: Supervisory, increased therapeutic skills, crisis intervention skills, knowledge of local systems [Drug Court, Mental Health Court, Financial supports [DSHS], Department of Child Services etc.] 

Management: Recent Reorganization to improve support for staff and create a more cohesive agency structure. MH mangers and supervisors are supportive and advocate for staff wellbeing.

Workplace Culture: w/in the MH team, it is supportive and encouraging. There is some dissonance between programs that varies based on the branch location. There is also a disconnect at times between clinical staff and non-clinical leadership that makes change slow re: roles and responsibilities [workloads]. 

Hardest Part of Job: Managing higher case loads [THS caseloads are lower than other Seattle CBOCs.] Inconsistency in staffing causing caseloads to be higher than normal [used to be 55 client caseloads]

Most Enjoyable Part of Job: Working with the clients and being a part of a MH team that is passionate about working with marginalized folks with complex needs. 


Sadly this well established agency has upper management that creates an environment of fear - causing workers to point to each other making a lack of team work, creating competitive peers and a nepotism problem. 
Very fast paced environment with inconsistent standards and strong sense of favoritism with management and certain staff. 
Each counselor is assigned one day a week to do 2-3 assessments however they are also required to do assessments on any other given day if no one else is available. The focus is constantly bringing in new clients even though each counselor has a mixed caseload of approx 100-120 clients. There seems to be a lot of unhappiness in the staff and it's a stressful toxic environment to work in. It's not possible to get it all done. 
The upper management lets you know you're expendable and they do not respect individual counselors time or skills. 
Newly implimented integrated services teams should create more balance eventually but at this time it's not working because the case loads are way too big to assist other team members. 
It's a great idea but has a long way to go. 
Too much turn over, most counselors are always looking for another job, and the agency seems to have a hard time hiring new counselors to fill positions that have become available. When anything is voiced about turnover concerns, HR is quick to remind there's a 4.1 year average stay, but I think they are including a handful of people who've been there for decades in that average.
Great pay and benefits. But you will work for it. 
There is potential for a great workplace and updated managerial style if certain people would retire. 
Great forward thinking. If you manage to be a favorite, and there doesn't seem to be any certain criteria, you've got it made. Honestly I would be proud to work there if there could be a change in the management style.

The concept and idea of THS is wonderful and something I want to be a part of, the actual reality is just that it really does not deliver on that concept. 
The organization currently lacks any strong and significant leadership and their current situation of being heavily understaffed speaks to this. There does not seem to be a plan in terms of where things are going and ultimately the organization is rudderless and you can feel that in many places and ways. 
The expectations placed on you vs the reality of the situation rarely match up. This largely stems from executive leadership being so far removed from truly understanding what the day-to-day work is like from my perspective. This is also what currently drives the company culture very far down and there does not seem to much desire to recognize this nor change it. It has been this way for about the last 8 years to various degrees, but getting worse. 
It’s a shame that this is the case. THS was my work home for a long time but it has really seemed to lose its way and I don’t know that there is a willingness to truly examine itself, have hard conversations, and make harder decisions. The world of behavioral healthcare is needing to rapidly change and alter practices to serve those in need but again, THS does not seem to have much of an understanding of this and ultimately likely has forces at play that have a strong desire to keep things the way they are to the benefits they bring some. 
I learned a lot and gained a great deal of experience. It was not easy and incredibly frustrating a great deal of the time. I truly hope that they figure some of these things out but from what I have observed over the years I am very skeptical. 

This agency supports those who have a vision for leadership and is open to feedback at the programmatic level. Where I have struggled at this agency is beyond the mental health program. It has been a struggle to communicate clearly with leadership and for leadership to deeply understand the struggle of the clinicians and front facing staff. 

On our team there is incredible spirit, and we tend to lean into moments of connection when they arise, however opportunity for in-person connection and team building is limited during business hours. Most meetings are virtual. 

I love our team! 

Historically, there has also been a culture of fear. Fear of speaking out about things that we see, where we are mentally/emotionally, and fear of providing feedback because historically, it hasn't been taken seriously, which makes it hard for managers and supervisors to support us. I have opted for radical honesty with my supervisor and manager, which has made working here so much easier. When I'm honest about where I am, they provide respite and support. Unless you talk to them, you'll do it all alone and inevitably burn out. I'd rather be the squeaky wheel (respectfully and professionally) than have to do this work alone. 

Ultimately, if you share the values that lead you to community mental health, you'll be hard pressed to find a better agency to work for than THS. If you have the ability to hold a dialectical stance, are willing to see two side of any given situation, and willing to be honest with your leaders, you will love working at THS. Welcome to the team!

None stop on the go trying to help multiple people. Patients are amazing smart and talented, just need someone to believe in and support them. Staff are equally amazing  and supportive of each other. Corporate has little to no understanding of of how busy Everett truly is and doesn't acknowledge the serious difference in how much more work the entire staff at the Everetg location does compared to the other locations.  The hardest part of the job is having no support from the corporate management level and when you ask for their help they tell you to find your own solutions while at the same time giving you more to do. The most enjoyable part is watching and being a part of so many lives changing and getting better. Developing friendships with your coworkers and knowing that you are making a difference in so many lives. I wish corporate would care about the workers who have stayed for so many years dedicated to THS and that they would acknowledge how much more the staff at the Everett location does instead of treating us as if we are the black sheep of the family. 

THS could be a really great place to work if it were not for the lack of strong leadership, poor communication, mediocre pay.  The best part of working here are the benefits package and my co-workers.  But alas those are not enough compensate for the overall treatment of staff, which is evident by the extremely high turn-over rate they've been experiencing these past couple of years.  Long standing employees with decades of seniority have been leaving in droves.  I hope they can address these issues and start focusing on staff retention by offering more competative wages and genuine support to their workforce.  Like a lot of employers, there has been a lot of lip service of appreciation and gratitude of staff, but no meaningful actionable steps taken to show this supposed gratitude. It's dissapointing to say the least, because like I said...THS could have been a really great place to work...but it is what it is.  So on to greener pastures...and good luck THS! I hope they can pull it together sooner than later for the benefit of their clients, because that's who's ultimately suffering due to the current state of the agency. 

Caring and compassionate professionals, delivering high quality behavioral health care and support to some of the most vulnerable people in the community - that's the THS experience in a nutshell.  If you want to wake up every day and feel the work you do makes a difference, this is the place to work.  Make no mistake working in non-profit community behavioral health is challenging: limited resources and never enough staff (especially in this employment market). THS works hard to ease the burden of these challenges for its staff.  By offering competitive wages, great benefits (including generous time off) employees can feel monetarily fulfilled.  Beyond that, working with people who normally have challenges accessing quality care and working alongside talented professional colleagues makes showing up everyday professionally fulfilling. Our staff is very diverse and allows THS to provide culturally competent care. I would strongly recommend THS to anyone who wants to learn and grow professionally and personally.

This is a great company to start out as as a clinician or even intern at. However, in my experience, the clinical staff is at the bottom of the totem poll. Which is strange since they are the ones providing the services. Many clinical decisions are not made by clinically trained employees, rather, administrators. I feel this leads to disorganization and disconnect. 

It’s difficult for a new clinician starting out in community mental health, so to feel unappreciated, talked down to, and underpaid, can lead to quick burn out. To me, there seems to be a punitive environment, not one of grace and understanding that this telehealth transition has been difficult... primarily for clinical staff! Not marketing or admin or billing. Clinicians see clients and make the business what it is. They should feel respected and supported at the very least. 

I would start here, but move on when you can. 

I worked at THS for 4 years and there was literally a point every month when I wanted to quit. The higher ups are absolute trash, and it extends down to supervisors as well. Micromanaging is constant and if they decide they don’t “like” you…watch out. It’s essentially a popularity contest, you feel you have to stay in good graces to not be picked on. On multiple occasions supervisors would talk poorly about other employees in secret or call them out in a group setting.  Case loads around 100 is common, the EMR system is so bad, 100+ hours of billable service is required even during covid when people were barely showing for appointments their company mission seems to be make $$ and that’s about it. The concept of Harm reduction went to far, no accountability required for clients and the clients know it. Also the turn over is like nothing I have ever seen with counselors, during my time there I would guess 20-25 counselors came and left. 

Top Job Titles	Average Salary
Mental health technician 8 salaries reported	$73,762 per year
Partner 2 salaries reported	$23.50 per hour
Mental health therapist 2 salaries reported	$80,000 per year
Childcare provider 2 salaries reported	$22.09 per hour
Medical technician 7 salaries reported	$23.71 per hour

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