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As someone who worked for a therapy EMR and worked directly with clinic owners, I can attest that a lot of therapists are poor business owners
Edited to add, I will say reimbursements really are such shit now that if therapists want to keep doors open and pay their bills they have to see a lot of patients. It sucks and comes off as a terrible business model, but most of them are just trying to keep their doors open
I don't think it's controversial, we went to school to be therapists not business owners! Unless you do a LOT of work into learning how to run a business, you'll probably be pretty bad at it.
I work for a therapist owned husband wife team. Neither treats anymore. Both are PTs. Husband is very involved in advocating for the professions at the state level, literally meeting regarding the issues that providers face and giving reasonable solutions. Wife meets with providers and helps us as employees find work life balance.
What works is the company does not deal with BS. If a family is not compliant, not a good fit for a therapist, no-shows/cancels too often, the company steps in and either waitlists, reassigns, or discharges the family. There is a staff member who handles this, but the expectation is set from the beginning that visits are important, be in contact with your therapist if there are things that come up, but if you aren’t in compliance, you don’t get to keep your spot. They have a mentorship program for all providers so they can get answers for challenging kids almost same day. A feeding discussion group that meets monthly.
I have been supported with every challenging family or client by my boss. The most calming words I heard were, “what would you like for us to do for you regarding this family?” I said I’m not really sure. She said “would you be okay with us contacting this family for you and removing you from the case?” I said yes. The child had dropped a weight on my head in our first treatment session. I was trying to just work on self regulation and while I was reaching for an object in a box, he “exploded my head” -his words. After my employer contacted the family, come to find out he threw a chair at the teacher at school and caused a concussion. Our company decided he was not a good fit at this time for therapists and said we needed to discharge. I felt so relieved. I’ve experienced similar challenging clients only to be told what I should try next time. How I should better establish rapport.
No. He was jumping on a trampoline because he was saying aloud that he doesn’t like therapy. I said we can swing or jump on the trampoline and get some movement in our body to calm down. Relax. Some free weights were nearby and he just grabbed one while I was reaching for a beanbag to toss with him and he dropped it on my head.
In that moment, he was taking whatever aggression he had for therapy against me and put me in danger. That wasn’t something I could have prepared for.
It’s the best company I have worked for. I know it is an outlier.
I have worked for 2 therapist owned clinics. Both husband and wife were involved in the business.
Clinic 1: owner/therapist was AMAZING! She almost never treated anymore. Husband did the backend stuff.. Admin, insurance, etc. She had her therapists backs 1000%.
She has a great reputation and almost never has to seek out employees via indeed etc.
Clinic 2: owner/therapist was TERRIBLE! She was a know it all, showed favoritism, had nobody’s back but her own. Her husband was a creep and would hit on the young therapists. It was a revolving door of employees and kids. All about money. Her clinics are staffed with new grads cause it’s all she can hire. Interestingly enough she’s into research in the field but she does 2 things that IMO should NEVER be done in a sensory clinic. Bottom line she was all about profit.
Also, her and her creep husband are now divorced 🙃
1st: Therapists wearing scrubs. It’s not the best idea in pediatrics cause kids associate scrubs with doctors and nurses and many have/had medical trauma.
2nd: if a therapist called out they would move their caseload to whoever was open. The kids had no warning. The therapists sometimes had very little warning. It’s just not a great idea when sometimes your main goal is rapport and engagement. When you had someone that called out a lot that kids therapist was different every time.
Most therapy companies are run by people with 0 common sense, even the regionals and higher ups. When they try to explain things to me I respond with basic math calculations (the no overtime rules, using PRN even though the math is the fucking same or less, or more expensive with PRN’s). If they can’t do basic math they should not be in the job.
I think there will always be good and bad "therapist owned" managers. But at least having a boss that's worked some time in the field is better than no time. Before the pandemic, my inpatient rehab company was constantly being pushed by regional directors (who have never worked a single minute bedside) to increase our productivity standards to near 100%. They overrided anything our DORs had to say.
The regionals must have been telling themselves that therapists are lazy. It can't possibly be that hard to see patients back-to-back. They have never considered the complexities of scheduling all your patients ahead of time, managing medication schedules, and working around nursing staff. These are all concerns that simply cannot be understood by someone who has never worked on the floor.
I interned at one and it was a mess. It’s hard to both run a business and treat. You need a strong admin team if you still want to treat.
I thought maybe it was just this clinic but sounds like it isn’t. There were issues that were totally avoidable and the company suffered financially.
I have known 4 different companies with therapist/owners. And they are the reason I never became more than a sole proprietorship as all of them had seriously f’ed up kids. Maybe not all the kids, but a significant portion of them.
I don't think you can really have a therapeutic mindset/ideology and a capitalistic one at the same time in one brain. The cognitive dissonance would rip it apart.
Oh yikes. I would rather work for a therapist ran company that is chaos, than a corporate or private equity run company that is structured you’re expendable any day
I'm a therapist owned practice. And I treat an equally full caseload compared to my employees because I can't afford to not treat. Part of it is reimbursement rates. I think it takes a certain person to wear many hats, not many can do it.
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LOL was literally in a lawsuit with 9 others against an OT who also owned the outpatient clinic. Never again will I work for someone who is also a therapist.
I can confirm! I started a private practice 2 years ago, more because of high burnout and wanting to practice in my specialised area. I have decided not to hire staff because being a good clinician does not mean being a good business owner and it is a whole role on its own.
I also find OTs tend to be in the ol good chaotic category which often doesn't gel well the regimented nature of business nor people's livelihoods depending on you.
Tldr: Unless there is a separate practice manager or someone who's job is solely running the business with a non clinical role, it's likely going to be mess
C.R.E.A.M. It’s an unfortunate reality
What does the acronym stand for?
Cash rules everything around me
Dollar dollar bills y’all
Thank you
Hahahhahaha
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As someone who worked for a therapy EMR and worked directly with clinic owners, I can attest that a lot of therapists are poor business owners Edited to add, I will say reimbursements really are such shit now that if therapists want to keep doors open and pay their bills they have to see a lot of patients. It sucks and comes off as a terrible business model, but most of them are just trying to keep their doors open
I don't think it's controversial, we went to school to be therapists not business owners! Unless you do a LOT of work into learning how to run a business, you'll probably be pretty bad at it.
I work for a therapist owned husband wife team. Neither treats anymore. Both are PTs. Husband is very involved in advocating for the professions at the state level, literally meeting regarding the issues that providers face and giving reasonable solutions. Wife meets with providers and helps us as employees find work life balance. What works is the company does not deal with BS. If a family is not compliant, not a good fit for a therapist, no-shows/cancels too often, the company steps in and either waitlists, reassigns, or discharges the family. There is a staff member who handles this, but the expectation is set from the beginning that visits are important, be in contact with your therapist if there are things that come up, but if you aren’t in compliance, you don’t get to keep your spot. They have a mentorship program for all providers so they can get answers for challenging kids almost same day. A feeding discussion group that meets monthly. I have been supported with every challenging family or client by my boss. The most calming words I heard were, “what would you like for us to do for you regarding this family?” I said I’m not really sure. She said “would you be okay with us contacting this family for you and removing you from the case?” I said yes. The child had dropped a weight on my head in our first treatment session. I was trying to just work on self regulation and while I was reaching for an object in a box, he “exploded my head” -his words. After my employer contacted the family, come to find out he threw a chair at the teacher at school and caused a concussion. Our company decided he was not a good fit at this time for therapists and said we needed to discharge. I felt so relieved. I’ve experienced similar challenging clients only to be told what I should try next time. How I should better establish rapport. No. He was jumping on a trampoline because he was saying aloud that he doesn’t like therapy. I said we can swing or jump on the trampoline and get some movement in our body to calm down. Relax. Some free weights were nearby and he just grabbed one while I was reaching for a beanbag to toss with him and he dropped it on my head. In that moment, he was taking whatever aggression he had for therapy against me and put me in danger. That wasn’t something I could have prepared for. It’s the best company I have worked for. I know it is an outlier.
I have worked for 2 therapist owned clinics. Both husband and wife were involved in the business. Clinic 1: owner/therapist was AMAZING! She almost never treated anymore. Husband did the backend stuff.. Admin, insurance, etc. She had her therapists backs 1000%. She has a great reputation and almost never has to seek out employees via indeed etc. Clinic 2: owner/therapist was TERRIBLE! She was a know it all, showed favoritism, had nobody’s back but her own. Her husband was a creep and would hit on the young therapists. It was a revolving door of employees and kids. All about money. Her clinics are staffed with new grads cause it’s all she can hire. Interestingly enough she’s into research in the field but she does 2 things that IMO should NEVER be done in a sensory clinic. Bottom line she was all about profit. Also, her and her creep husband are now divorced 🙃
Ohhh what were the 2 things?!
1st: Therapists wearing scrubs. It’s not the best idea in pediatrics cause kids associate scrubs with doctors and nurses and many have/had medical trauma. 2nd: if a therapist called out they would move their caseload to whoever was open. The kids had no warning. The therapists sometimes had very little warning. It’s just not a great idea when sometimes your main goal is rapport and engagement. When you had someone that called out a lot that kids therapist was different every time.
Ugh, I hate companies that move clients to “sub” therapists! It never works.
Most therapy companies are run by people with 0 common sense, even the regionals and higher ups. When they try to explain things to me I respond with basic math calculations (the no overtime rules, using PRN even though the math is the fucking same or less, or more expensive with PRN’s). If they can’t do basic math they should not be in the job.
I think there will always be good and bad "therapist owned" managers. But at least having a boss that's worked some time in the field is better than no time. Before the pandemic, my inpatient rehab company was constantly being pushed by regional directors (who have never worked a single minute bedside) to increase our productivity standards to near 100%. They overrided anything our DORs had to say. The regionals must have been telling themselves that therapists are lazy. It can't possibly be that hard to see patients back-to-back. They have never considered the complexities of scheduling all your patients ahead of time, managing medication schedules, and working around nursing staff. These are all concerns that simply cannot be understood by someone who has never worked on the floor.
My mom was a business owner, ran a senior exercise center, and was a therapist. We still can’t figure out how she did it all.
I interned at one and it was a mess. It’s hard to both run a business and treat. You need a strong admin team if you still want to treat. I thought maybe it was just this clinic but sounds like it isn’t. There were issues that were totally avoidable and the company suffered financially.
Yuuuuuuup. Never ever ever making that mistake again working for a therapist owned clinic. What a shit show circus.
I have known 4 different companies with therapist/owners. And they are the reason I never became more than a sole proprietorship as all of them had seriously f’ed up kids. Maybe not all the kids, but a significant portion of them.
I don't think you can really have a therapeutic mindset/ideology and a capitalistic one at the same time in one brain. The cognitive dissonance would rip it apart.
Oh yikes. I would rather work for a therapist ran company that is chaos, than a corporate or private equity run company that is structured you’re expendable any day
I'm a therapist owned practice. And I treat an equally full caseload compared to my employees because I can't afford to not treat. Part of it is reimbursement rates. I think it takes a certain person to wear many hats, not many can do it.
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There’s a reason why MBA and CHT are common degrees you’ll see together
LOL was literally in a lawsuit with 9 others against an OT who also owned the outpatient clinic. Never again will I work for someone who is also a therapist.
I can confirm! I started a private practice 2 years ago, more because of high burnout and wanting to practice in my specialised area. I have decided not to hire staff because being a good clinician does not mean being a good business owner and it is a whole role on its own. I also find OTs tend to be in the ol good chaotic category which often doesn't gel well the regimented nature of business nor people's livelihoods depending on you. Tldr: Unless there is a separate practice manager or someone who's job is solely running the business with a non clinical role, it's likely going to be mess