 In a blog posting first published in May 2010, he expressed "grave reservations" about referring clients to Aspen programs in view of the company's loss of key staff and its record of abruptly closing programs.He noted, however, that in its 2011 program closures, Aspen had "been somewhat more careful about transitioning the affected residents of the facilities being closed," and that he was continuing to consider Aspen programs for some clients.Yet in April 2014, he provided an updated review on Aspen and again expressed on his website that he "cannot be confident that their facilities will not compromise the best interests of patients/ clients in order to increase earnings."