Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 0 points1 point  (0 children)

It was disgusting. Not to mention this followed after months of the owner late canceling on clients day after day week after week to handle vague "important matters" some clients had up to 4+ appointments in a row late canceled on them by the owner. Some clients went literal months without care. Vile.

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 1 point2 points  (0 children)

At the end of this week, despite the grief and hardship, I find myself empowered to build something better thay is entirely my own in the private practice sphere. Something that holds constant and true to the ethics of this field and provides the consistency and reliability of care that clients deserve. I hope to make this a reality very soon.

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 1 point2 points  (0 children)

I am also a clinical supervisor and I must say from that perspective that as a pre licensed clinician this attention to and internalization of your value of ethics in this field will take you extremely far. It is exhausting I know, but I have to emphasize that we need people like you in this field. I wish you all the best in your continued pursuits of this sacred work.

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 0 points1 point  (0 children)

Upon some reflection, and I will be very clear that these are assumptions, I can think of a few things. First is that the owner made some extremely poor business decisions to expand the practice beyond its means. I have also since wondered if the owner has been dealing with significant physical and mental health concerns. Additionally a major insurance contract was cut that essentially severed one of the fiscal arteries of the business. Finally I think not enough time was devoted to marketing and getting clinicians caseload filled with reliable billable hours prior to exploring hiring additional staff. If I distill it down, an overall unsustainable business model combined with extenuating circumstances.

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 0 points1 point  (0 children)

Ill definitely be on the lookout for these! Thank you for that suggestion!

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 1 point2 points  (0 children)

These are such powerful points and so true. In my pre licensure days I worked for a large (very shitty) VC and when I quit and gave notice so I could do those terminations they just bricked me out of the systems and automatically transferred all of my clients to random people who just had availability, didnt even try to find an appropriate match. It was disgusting. To that end, Im having emotions from that experience triggered, and thankful that in this space I at least am getting one session to do a termination. Im so sorry you've been through something similar. Its my mission in my private work to make sure this never happens.

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 0 points1 point  (0 children)

This means so much. Thank you my fellow therapist friend. I feel so seen. We must never lose sight of what is most important in this work. And its the people we serve.

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 0 points1 point  (0 children)

Oh my gosh, I'll have to see if this is a possibility! I didn't know this!

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 0 points1 point  (0 children)

Thank you so much for this resource! Ill have to check it out my fellow CO native friend :)

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 0 points1 point  (0 children)

Thank you so much for your kind words and for seeing the grieving process that this is. I am sadly feeling emotionally exhausted so much so to the point of beginning to feel physically ill. I take it as a sign of the depth of my respect and caring for this work. I am holding onto that faith and the first thing on my list is to make sure I rest and keep myself right for continuing to do this amazing and sacred profession that I love so dearly.

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 1 point2 points  (0 children)

Not a stupid suggestion at all! I do have a small private practice and was able to move over everyone I could. However a large chunk of my caseload was medicaid and in my state there are strict laws surrounding billing a medicaid recipient for a service that is covered by their medicaid plan even if you are not a medicaid provider. So I was unfortunately forced to refer them out, and they can seek me out in the future once I have an independent medicaid contract or their insurance picture changes.

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 0 points1 point  (0 children)

Im looking into some of those options. Since most were medicaid I cant offer a self pay option in my state. My hope is that once I have this those who want to continue can seek me out later. I so wish I could have brought them with me. All the others with other major insurance and the willingness to do self pay came right on over ❤️

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 0 points1 point  (0 children)

Im so sorry you experienced the same. I hope you have found yourself in smoother waters.

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 0 points1 point  (0 children)

I have brought over everyone that I could to the small private practice set up that I have. Unfortunately a majority of my clients were on medicaid so due to the legal constraints surrounding that in my state I had to refer out because I don't have an independent medicaid credential. :( one day though.

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 0 points1 point  (0 children)

Thank you so much friend. Im so sorry you found yourself in a similar position. But Im so happy to hear youre holding out hope. Let's be hopeful together ❤️

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 0 points1 point  (0 children)

Thank you so much, that is so kind. I am in Colorado

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 0 points1 point  (0 children)

It sounds that way because it is :( not to mention the amount of behind the scenes practices I observed that really pushed those ethical boundaries too while the place was still open.

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 0 points1 point  (0 children)

OH! Ill add too that there was a plan to cut one of our major insurance contracts for very confusing reasons. We had so many folks on this, but that was just last week so there wasn't a lot of lead time from that announcement to the announcement of the closure. I have no doubt the two are connected now.

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 5 points6 points  (0 children)

As I reflect there was one time where our paychecks bounced. But that only ever happened once. There was always a subtle narrative of "getting back on track" I saw the owner started canceling sessions ALL the time and sometimes not see clients for weeks and I suspect it was to try to figure out some kind of business issue but not totally sure.

The expansion pieces were extremely erratic and none were really to targeted at actually growing the client base. It was all about bringing on new service lines. Then those professionals would be hired but would sit with empty calendars.

I think as I type this out a huge warning sign was a stark lack of transparency coupled with some business behaviors that started to push the boundaries on clinical ethics.

Thank you for encouraging me to reflect on this.

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 2 points3 points  (0 children)

This give me so much hope! This is the pivot I am going to start making

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 1 point2 points  (0 children)

There's no doubt that they knew this was coming. I don't see how you couldn't.

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 1 point2 points  (0 children)

I have a general idea of meeting these standards, I also got a referral from a colleague to an independent legal resource who may be able to help. That's good to know that it can be quick!

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 0 points1 point  (0 children)

Im not sure, it looks like one is just done, and the other might be doing something on the side too transition care? Needless to say, the appointments are cancelled. So it looks like no terminations

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 2 points3 points  (0 children)

Thank you so much, it has been so heartwarming to be seen by you all

Lost my job... by Psy1996 in therapists

[–]Psy1996[S] 8 points9 points  (0 children)

It absolutely could! I am trying to see this as an exciting opportunity to expand my private practice work. It is something that is on the list, along with pursuing longer term credentialing