Unorganized organization, administration, ghetto employees. Challenging clients (Developmental Disabled, Mentally Challenged, Physically Challenged) This is a stressful and demanding job that pays a salary of $35,000K a year in Greater NYC. They want you to do too much I.S.P. and lift the clients out of their wheelchair. The Job description of a MSC is not a physical job , but it is very stressful and demanding with the governing agency OPWDD , the other agencies, and your coworkers are quick to call The Department of Justice on you for neglect. There will always be a investigation if you work in this field. Stay away from U.P.S.