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Applying Modern Management Principles to Clinical Administration of a Behaviorally Oriented Inpatient Unit
William T. Merkel; C. Alec Pollard
Psychiatric Services 1987; doi:
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Behavioral treatment unit in the Division of Behavioral Medicine, Department of Psychiatry and Human Behavior, St. Louis University School of Medicine, 1221 South Grand Boulevard, St. Louis, Missouri 63104

Behavioral treatment unit, Anxiety disorders center in the division of behavioral medicine

American Psychiatric Association

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Abstract

Very few clinical administrators are trained managers, and the combined role of clinician-manager is laden with conflicting expectations. This paper describes the planning, inception, and administration of a new, behaviorally oriented inpatient psychiat ric unit in a university medical center that was designed by the unit's clinical director and assistant clinical director. Contempo- rary management practices were adapted and applied to the development and administration of the unit. The unit's clear boundaries have allowed it to maintain its integrity within the hospital system, and its decentralized borizontal organizational structure has fostered a sense of ownership and responsibility on the part of staff at the operating level. A participative, personnel-oriented approach to unit operations has led to minimal staff turnover and high morale

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