Client centered or inverted centered systems work exactly opposite of the Hierarchy. Traditionally, staff is overworked and under paid. The staff works directly with the customer. The organization ability to manage the entire operation is compromised and generally not as effective at dealing with issues. Management becomes more of a pr representative then a leadership role. One of the largest complaints or drawbacks is that the “centralized organizations is that the organization is centered on its own structure and survival and has little time or energy to be client/consumer centered, much less to care for its practitioner staff (Chambers, 2005)”.