The administration is extraordinarily top-heavy. Most of those in upper administration/executive positions began in direct care positions 35 years ago and have worked their way up. The problem with this is that practically everyone who stuck it out became a "Vice President." Additionally, for many of them this was their first work experience and they therefore have had no other exposure to management styles, nor had education in management. As a group they are very clanish and do not allow outsiders into their clique. As a group they use a management style that was popular in the 1970s. which suggests that constant change keeps emplyees off-balance and they are therefore less inclined to complain. At least every 6 months people are moved around to different offices and/or buildings. Programs are revamped so that the direct care employees are also kept in a constant state of change. It is a very unnerving way to manage and eventually results in frustration among employees below the upper echelon and they end up losing a LOT of really good employees.