Document Detail

The effect of a change of director in a psychiatric inpatient unit.
MedLine Citation:
PMID:  1249564     Owner:  NLM     Status:  MEDLINE    
Suicide, aggressive acting out, and increased numbers of AWOL patients are distinct possibilities if internal structures of psychiatric impatient units are altered-especially in units that offer intensive therapeutic experience on a short term basis to severely ill patients. One such time is when the directorship changes in this kind of unit. A sucessful unit is frequently thought to be the result of the charismatic leadership of its chief. With his departure, the unit loses its elan and becomes an uninspired pedestrian operation. Hence, such a unit loses personnel and even its program when the chief changes. In this paper, the authors give data to support the hypothesis that a unit with a specific philosophical treatment orientation will continue to function at a relatively high level of effectiveness and efficiency regardless of the difference between chiefs.
R J Nathan; J P Slovak
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of nervous and mental disease     Volume:  162     ISSN:  0022-3018     ISO Abbreviation:  J. Nerv. Ment. Dis.     Publication Date:  1976 Feb 
Date Detail:
Created Date:  1976-04-19     Completed Date:  1976-04-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0375402     Medline TA:  J Nerv Ment Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  113-8     Citation Subset:  AIM; IM    
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MeSH Terms
Hospital Administration*
Interprofessional Relations
Medical Staff, Hospital
Mental Disorders / therapy*
Milieu Therapy
Patient Acceptance of Health Care
Psychiatric Department, Hospital / standards*

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