Client-Centered versus Profit-Motivated

The balance between delivering services that truly benefit our clients and operating a successful business is quite fragile. It is not easy to create a model that promotes clinical validity and retention of employees, but it is most certainly not impossible. It takes careful consideration of models of treatment to do so. One thing is certain: a business model that only prioritizes maximizing profits cannot withstand the pressures of doing the right thing during day-to-day decisions. It is vital that businesses prioritize ethics and client-centered treatment over the enchantment of enrichment. The unfortunate side effects of the model of treatment utilized by private equity investors are discussed in detail throughout this chapter. The ways in which profit-motivated companies require their employees to approach treatment are discussed, highlighting ways that clinicians can advocate for ethical treatment. This chapter also points out the places in which private equity has misused business decisions to influence the growth of the field.