Anatomy of Psychiatric Administration : The Organization in Health and Disease

"When the 13 founders of the American Psychiatric Association came together in 1844, hospitals were small, and the administrative aspects of a superintenƯ dent's job were relatively minor compared with their size and complexity today. Since the turn of the century, administration-the art and the sciƯ ence-has become a specialty of great importance, particularly in big business and government. Business recognizes fully that the success of organizational endeavors depends to a great extent on the talents and energies of top leadƯ ers. As a result, industry spends huge sums of money to train promising young executives and offers generous salaries and benefits to entice them. Anyone who wants to invest in a business first asks: "Who manages this organization, and is this management competitive in today's marketplace?" Although health is today a great industry, emphasis on the executive role has lagged behind that in the general business field. In mental health circles, the strong emphasis on one-to-one therapy has delayed a full appreciation of the influence of organization per se on patient care and treatment. Yet there 1 are now many signs of change. The popularization of behavioral science and the rise of social and community psychiatry have brought organizational conƯ siderations forward. We are increasingly concerned with the human side of enterprise, with worker satisfaction, group dynamics, and organizational morale. Other flags have been unfurled"--Font no determinada Front Matter....Pages i-xxv Perspectives....Pages 1-23 Toward Scientific Management....Pages 25-53 Toward Better Theory and Practice....Pages 55-84 Entering and Leaving the System....Pages 85-107 Internal Dynamics: Stresses and Strains....Pages 109-144 Human Resource Management....Pages 145-174 Economics of Mental Health....Pages 175-213 Ethics of Administration....Pages 215-254 Education and Research....Pages 255-279 Relation of the Organization to the Outside World....Pages 281-316 Power and Decision Making in Organizational Context....Pages 317-336 Executive Careers....Pages 337-360 Back Matter....Pages 361-371 This book examines in depth the key issues of worker productivity and morale, group dynamics, and the relationship of the institution to the outside world. It is written to help the mental health administrator, especially the ̀clinician executive', manage more effectively for the good of the patient, the organization, and the community