Description: The management of the secure psychiatric services is under increasing scrutiny. The book illustrates the problems faced by the Special Hospitals, the techniques and action employed to effect major change in these large, enclosed institutions, difficulties and obstacles encountered which dominate and influenced management and clinical initiatives.
Brief description: Charles Kaye is a Fellow of the Institute of Health Service Managers.
Review Quotes: `It is clearly not possible in a brief review to do justice to this densely informative and well argued book. The overall narrative (so it struck me) has some of the features of a Greek tragedy, commitment and passion, hubris, obvious victims (both patients and staff), a chorus of the righteous as well as thoughtful outsiders and an inexorability... as change and hopefulness vie with set-back and kicking in of the cultures of blame. The recent publication of the Fallon report adds another piece to the developing jigsaw. This volume offers important background to the current disputes and debates which have only partly been precipitated by the events leading up to the Fallon report from which staff as well as managers, policy makers and politicians will all benefit as they navigate the likely choppy waters of the next few years.'--British Journal of Psychiatry