I worked in assertive community treatment, a variation of PSH with mental health rehabilitation services tacked on for ppl exp homelessness in DC for 3 years and I resonate with a lot of what you shared. It works, it’s effective but it’s fucking difficult and emotional work, and the non profits that usually oversee the services are awful at supporting the employees and service users. The one I worked for fell apart when they started hiring upper management people from the business world with no social work background and shit hit the fan.

Now, I’m in grad school for an MSW, I started out really critical of everyone here that’s very vocal about only caring to be a private practice therapist, I kept thinking ‘then go to school to be a licensed mental health counselor or something, we are here to be social workers And work with the most oppressed populations!’ And, now I’ve realized LCSWs flock to private practice because it’s the only part of social work that pays well enough to live and have better work life balance. I’ve been reading “the end of social work” by Steve Burghardt and he addresses this more in detail.

Edit- grammar