Working here can be a little bit of controlled chaos. There isn't a lot of structure in some areas, resulting in constant change. There also isn't a lot of communication. One person can make a decision about how something is going to be done, and not only don't communicate it to anyone else but expect that you will intuitively know the method or policy that has not been shared. In other words, employees don't communicate but you are expected to know what decisions have been made anyway. That atmosphere can bleed into how clients are handled throughout their treatment. This results in a revolving door at NORA where people get fed up and resign.