Geared around medical staff, not well set up for mental health staff. Bizarrely strict about insisting mental health staff come in during e.g. city emergencies when the roads were supposed to be closed, despite us obviously not actually being essential staff (i.e. we weren't there on Sundays).
As with most parts of the correctional system, not geared toward good service for clients/patients.
Lack of attention to worker rights (e.g. telling us we couldn't discuss salaries with each other, which is in fact a legal right, then only being willing to discuss it by phone during daytime business hours when I worked evenings.)