Pros
Oshi serves a population that is in great need and the work itself can be meaningful. Many team members are dedicated, collaborative, and genuinely invested in helping clients improve. When teamwork was supported, collaboration across clinicians helped clients make real progress and feel well cared for. The mission has strong potential and fills an important gap in services
Cons
Despite the importance of the work, productivity was consistently prioritized over clinician wellbeing. Caseloads and performance expectations were often unsustainable, with limited attention to burnout, work–life balance, or long-term sustainability. There was also pressure to stretch or work at the edges of licensing and scope-of-practice restrictions, which created ethical concerns and placed clinicians in uncomfortable professional positions. Overall, the emphasis on output and growth outweighed support for clinicians and regulatory integrity.