Participants also addressed the need for clinic staff to be aware of how the lack of commitment to clinic policies impacts the transfer process. We had participants saying that there was an added strain on the new relationship when they were left to collect debt from prior treatment or instill policies for the first time while also building an alliance with a transfer client. Lastly

we recom- mend that clinics think more about who is transferred and consider the needs of clients with different issues and diagnoses. Not all clients should be transferred. Some clients prefer a new therapist every year because it keeps them from getting too close or depen- dent on a therapist; it may feel safer but inhibit some areas of growth. On the other hand

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