Pay is low. When you get raises, it is framed as being appreciative of your work, but it is really catching up to what other agencies already pay. And when you do get a raise, you are told to keep it private and not share it with anyone. Benefits are expensive, BHTs lose a lot of hours due to cancelations, near a complete lack of support on challenging cases, no work/life balance, low pay compared to other agencies, no room for advancement aside from the lowest levels