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Paradigm Treatment

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Babysitter for Unstructured Program - Clinical Assistant Paradigm Treatment Employee Review

1.0
Jun 29, 2020
Recommend
CEO approval
Business Outlook

Pros

Spending time with clients, going on outings such as surfing and hiking.

Cons

Very minimal clinical experience apart from helping de-escalate an occasional emotional crisis or consoling clients who are feeling down. Company claims that clients will have personal trainers, private gym, computer lab, 5 star cuisine, none of which is actually true so you will have to frequently deal with complaints from clients and their parents. Clients are given several HOURS of "therapeutic work time" and "free time" which consists of 2-6 hours of the clients either journaling, working on worksheets their therapist assigned, or finding some way to occupy their time, mainly through crafts making (friendship bracelets, collages, drawing). There is 1 therapeutic group weekday mornings which is called "process group", typically unstructured and clients go around in a circle talking about how they feel. There are 1 or 2 other artistic groups a couple days out of the week (movement therapy, sound bath), but the majority of the time is "work time" or "free time" which consists of sitting around and the clients complaining of extreme boredom. When this is brought up to management, the response is "what they do with their free time is up to them. If they're bored, it's their fault", or they look at clinical assistants and say, "figure something out. Play a game with them." Mamagement appears burnt out and checked out, complaints and concerns in regards to client treatment is met with zero action, or promises of actions that never get fulfilled and are eventually forgotten. The job is very reminiscent of a summer camp counselor, except it is supposed to be a mental health treatment center. The job revolves around watching the clients AT ALL TIMES, including sitting behind their bedroom doors as they shower, sitting behind their bedroom doors as they sleep, and sitting and watching them while they journal. In fact, if you decide to read a book or use your laptop to do homework while the clients are doing nothing but sitting and journaling, management informs you that you aren't watching them enough! The program is highly unstructured and staff is given no prompts aside from "do whatever you want, as long as it's safe". So if you're looking for little to no oversight and want to try your hand at running an entire program while management is off doing something else, this is the perfect program for you. If you enjoy being a sitter, this is a program for you. Most other clinical assistants do not have a mental health background and are hired to work closely with mental health patients. The entire system is questionable at best.

Explore other reviews about Paradigm Treatment

5.0
May 2, 2026
Recommend
CEO approval
Business Outlook

Pros

Amazing job to work at .

Cons

No cons are necessary for this job.

1.0
Feb 18, 2026
Recommend
CEO approval
Business Outlook

Pros

Beautiful location, free food, highly rewarding population, fairly competitive pay, and some truly wonderful coworkers. I gained a lot of valuable mental health experience here.

Cons

Leadership and culture were the main issue during my time here. In addition to virtually nonexistent training (a huge red flag), the organization seems to favor a very specific type of clinician who will conform without hesitation to its expectations, which often felt ethically ambiguous or overly authoritarian. If you don’t fit this particular mold, it will likely be difficult for you to succeed here. The main leadership here has empathy issues and very noticeable compassion fatigue. Everyone excluding their favorites is expendable to them. It's actually quite sad. I was also frequently pressured to do or recommend things that went against my education, experience, training, and values. Paradigm expects therapists to act as both clinical assistants and therapists (including personally administering medication to clients), which is not properly disclosed in listed job duties or interviews and is virtually unheard of in this field. In addition to being a huge cause of burnout, this dual role created confusion for clients and required therapists to engage in inherently anti-therapeutic tasks, such as policing what clients wore. We were regularly told that it’s bad for clients to like you and that if they do, it means “you’re doing something wrong.” When I voiced concerns or struggled due to the lack of support, I felt my credibility was unfairly questioned and that I was seen as a problem employee, something I've never been at past jobs. Minor issues were penalized disproportionately for some staff, while others faced far less scrutiny for similar or more serious concerns. There was a lack of consistency in how expectations and consequences were applied. Favoritism and bias was a consistent theme, with certain staff and clients clearly receiving more opportunities, training, and protection than others. I worked with multiple clinicians here who were openly bigoted, and whose concerning biases and behavior towards staff and clients alike in this regard were never appropriately dealt with. Leadership does not care. The environment felt highly political and often more competitive than collaborative, with cliques, bullying, and gossip severely impacting team cohesion. Therapists can expect to be overworked and underpaid, receive little to no positive recognition (unless considered a favorite), and work under absentee leadership with minimal support. It’s not a great place to grow and is a haven for burnout. The turnover was the highest I’ve personally seen in a workplace. If you put a premium on authenticity, a healthy therapeutic alliance, and ethics, I strongly encourage you to apply to another setting where they prioritize similar values.

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