The primary allegiance of medical administrators should be to patients and the clinicians who care for them, not to politicians and those who hold the purse strings.
SYNOPSISThis paper deals with some of the problems of the psychiatrist workin within an institutional setting. Reference is m a t e t o the distiqctlon between psychiatric administrators and administrative therapists, and the hypothesis is put fotward that a degree of management training is as necessary for the latter as it i s for the former. Examples are given of some of the management roblems that an administrative therapist might Rave to deal with and suggestions are made as to how a suitable course in middle management for psychiatrists might be designed and implemented.
A so-called 'temporary' solution to a political problem in 1929 led to the psychiatric hospitals in New South Wales becoming repositories for inebriates for the next 75 years. This unsatisfactory situation may be about to change.
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