Policies and procedures are still "a work in progress" despite the fast pace of growth. The drive for numbers, although it is something that seems manageable, has led to overworked and stressed out employees, and ultimately has led to a lower level of clinical quality which is not the message promoted by the company. Unfortunately, the clinical directors that I worked with were too involved in the "process" of getting clients in the door and producing outcomes from a numerical standpoint that they could not see that the clinical quality was being severely affected.