I can't really think of anything specific
It's easy to be a big fish in a small pond here at least
Pay is nothing compared to hospitals. We are billing insurance just as they are, so I'm unsure where the bulk of the funds are going.
More skilled people, decrease turnover, actually be innovative in terms of becoming skilled at trauma-informed work, anti-bias work, etc., like other agencies in the area do.
Hire real experts in the field, pay them appropriately, and require staff to learn from them. Make this somewhere people want to have a career, rather than a place any new graduate can get hired.
More diversity, better quality work, actual supervision, actual accountability. People can pretty much be doing anything in their 1:1 sessions and making recommendations to collaterals that are biased and harmful, and no one would be the wiser.
Culture needs improvement. Clinicians are very biased in terms of race, class, disability. There are a lot of power-hungry clinicians in their first job, and leadership team doesn't call this out. There's a culture of rubberstamping DCF and hospitals' views even when these are extremely unsound.