THE (R)EVOLUTION IS HERE.
ARE YOU IN?
Current structures of group practice are not meeting the needs of employees or practice owners.
But it doesn’t have to be this way.
The current vibe:
Employees feel overworked and exploited
Owners feel overburdened and villainized
Trust is at an all-time low while fear is at an all-time high
Simultaneously, private equity and venture capital are creeping in to completely change the landscape of mental health business.
The old way of doing business is over. It’s time for a (r)evolution.
What is Group Practice (R)evolution?
At Group Practice (R)evolution, we believe healthy practices are built on shared knowledge, shared power, and shared humanity.
What if we could build practices, not on the way we’ve always done business, but with innovative tools and ideas that lead to better outcomes for clients, staff, and practice owners?
At GP(R), we believe this new future is possible through:
Business literacy for everyone: We teach clinicians and support staff the business basics. How revenue works, how compensation is structured, what sustainable margins look like, so they can confidently discern what is fair, what is exploitative, and how decisions impact the whole system. When employees understand the “why” behind the business, trust grows and resentment decreases.
Emotional support for practice owners: Owning a group practice is emotionally complex. We offer space for owners to talk about the human side of leadership, not just logistics and KPIs. Through facilitated support groups, owners can process overwhelm, loneliness, ethical dilemmas, and growth edges in community, instead of carrying it all alone.
Empowered voices at every level: We help practices develop structures where every role has a meaningful voice. This includes tools for shared decision-making, communication practices that balance power differentials, and resources that help owners lead with transparency and integrity. When people feel heard, they stay invested.
Upcoming events
-
![]()
Tolerating Industry Change: What Therapists in Group Practices Need to Know Right Now
$27 | Thursday 1/22/26 10:00-11:00AM CT
This 1-hour webinar offers therapists, supervisors, and group practice leaders a grounded, reality-based overview of what is currently happening in the mental healthcare industry and how these changes are impacting clinical work, workplace dynamics, and professional sustainability.
-
![apples and oranges]()
Business Literacy for Employees
Donation only ($11-$20 suggested)
Friday 1/23/26 10:00-11:00AM CT
Comparing Apples to Oranges: How to Navigate, Evaluate, and Understand Group Practice as an Employee
Whether you're looking for your another job or seeking more clarity about your current one, this training will equip you to make aligned, informed decisions and become a more empowered, systems-aware clinician in the process. This training is ideal for LPCs, LSWs, and AMFTs or any new grad looking to navigate private practice job offers with discernment and confidence.
-
![]()
Practice Owner Support Group
$27 for non-members, included for current GP(R) members
Tuesday 2/3/26 10:00-11:00AM CT
Running a group practice can be an isolating journey filled with complex decisions and responsibilities that few understand. Our Practice Owner Support Group is a confidential monthly meeting space where you can connect with fellow owners who truly get it.
-
![]()
The Employee Round Table
$17 for non-members, included for current GP(R) members
Wednesday 2/11/26 11:00AM-12:00PM CT
The Employee Roundtable is a facilitated conversation space for group practice employees who want transparency, context, and peer support. Participants ask real questions about fairness and sustainability, learn how businesses run, and explore what’s next in their careers in a setting that respects confidentiality and complexity.
-
![]()
Talking Insurance Without Losing Your Mind: A Practical Training for Therapists
$27 | Thursday 2/26/26 10:00-11:00AM CT
This 1-hour continuing education webinar provides a clear, clinically relevant overview of how common insurance models function in the United States and how these structures impact clients’ access to mental health care. Participants will learn key insurance terms, differences between plan types, and why mental health benefits vary so widely across policies.
-
![]()
Practice Owner Support Group
$27 for non-members, included for current GP(R) members
Tuesday 3/3/26 10:00-11:00AM CT
Running a group practice can be an isolating journey filled with complex decisions and responsibilities that few understand. Our Practice Owner Support Group is a confidential monthly meeting space where you can connect with fellow owners who truly get it.
-
![]()
The Employee Roundtable
$17 for non-members, included for current GP(R) members
Wednesday 3/11/26 11:00AM-12:00PM CT
The Employee Roundtable is a facilitated conversation space for group practice employees who want transparency, context, and peer support. Participants ask real questions about fairness and sustainability, learn how businesses run, and explore what’s next in their careers in a setting that respects confidentiality and complexity.
-
![]()
Business Literacy for Employees
Donation only ($11-$20 suggested)
Friday 3/6/26 1:00-2:00PM CT
Comparing Apples to Oranges: How to Navigate, Evaluate, and Understand Group Practice as an Employee
Whether you're looking for your another job or seeking more clarity about your current one, this training will equip you to make aligned, informed decisions and become a more empowered, systems-aware clinician in the process. This training is ideal for LPCs, LSWs, and AMFTs, or any new grad looking to navigate private practice job offers wtih discernment and confidence.
Group Practice (R)evolution is a full digital platform with lots of goodies included in a quarterly or yearly subscription.
But you can experience a taste of what’s inside by joining these experiences:
Business literacy webinars for employees
Emotionally-focused support groups for practice owners
Facilitated conversation space for group practice employees who want transparency, context, and peer support
Monthly educational webinars on the intersection of mental health and business
Get in on the action
Abundance
•
Commitment to self-work
•
Curiosity
•
Compassion
•
Authenticity
•
Liberation
•
Courage
•
Abundance • Commitment to self-work • Curiosity • Compassion • Authenticity • Liberation • Courage •
Want more?
Join the platform!
What’s included:
Monthly support groups for practice owners and employees
Monthly educational webinars on a variety of topics that support healthy work environments
A consultation hotline for quick advice and support
Monthly podcast episodes featuring new and innovative ideas about the future of group practice
A curated social platform emphasizing curiosity, support, and education.
Investment
Revolutionary membership $47/month (for owners or employees)
Includes all platform assets
Evolutionary membership $19/month (for employees only)
Includes hotline, social platform and podcast
Practicing with the head and the heart
At Head/Heart Business Therapy, we support individual, group, and organizational change by helping therapists and leaders understand what’s shaping them from the inside out.
We believe effective care depends not only on clinical expertise, but on the ability to see how inner experience, professional roles, and larger systems influence how we work. As the mental health field evolves, this kind of awareness supports leadership that is grounded, ethical, and sustainable.
About your host
Sarah Buino, LCSW, CADC, RDDP, NMT is a speaker, educator, consultant, and therapist, and the founder of Head/Heart Therapy and Head/Heart Business Therapy.
For more than a decade, Sarah has worked with individuals, groups, and organizations on issues including professional sustainability, shame resilience, ethical use of power, anti-racism in healthcare, and healing developmental trauma. She founded Head/Heart Therapy in 2014, which grew into a well-regarded group practice serving clients in Chicago and beyond.
Today, Sarah focuses her work at the group and organizational level, supporting therapists and mental health leaders as they navigate complexity, change, and responsibility. She integrates clinical expertise with real-world business experience to help helping professionals lead with clarity, integrity, and sustainability.