I don't need that and luckily my T doesn't have any staff so I don't need to worry about that.

My H is a T for economically disadvantaged troubled kids. If he has an appointment with the parents he always tries to get ahold of them to confirm and remind them. Maybe because it's a free program and/or because the parents are struggling, but a lot of them no-show. It's really, really frustrating and time consuming and he doesn't get paid when that happens.