title: Incomplete technology and the organizational dynamics of a state mental hospital.
abstract: Inadequate clinical knowledge has a profound effect on the organization and administration of a state mental hospital. The official goal of active treatment is displaced by the operative goal of custody and there is a reliance upon hierarchy rather than expertise as the source of authority.
mesh_terms: D003156:Community Mental Health Services; D004501:Education, Medical; D005069:Evaluation Studies as Topic; D005550:Foreign Medical Graduates; D006040:Goals; D006739:Hospital Administration; D006778:Hospitals, Psychiatric; D006801:Humans; D007400:Interprofessional Relations; D008505:Medical Staff, Hospital / Q000193:education; D001523:Mental Disorders / Q000175:diagnosis; D009518:New York; D011787:Quality of Health Care