title: The impact of setting and agency.
abstract: OBJECTIVE
  Workers in institutions that deal with loss and bereavement need to be aware of factors that can negatively influence their capability to work effectively. This paper aims to outline the risk factors and details some approaches to remedying the situation.
  
  
  METHODS
  Institutional problems are analysed from a psychoanalytic and systemic perspective. This is followed by a management approach that builds on the importance of multidisciplinary teamwork and the implementation of a regular staff support system.
  
  
  RESULTS
  It is proposed that implementation of these ideas and systems would create the most effective and efficient working model to cope with matters of loss and bereavement in organisations.
  
  
  CONCLUSIONS
  Stresses the value of multidisciplinary teamwork.
authors.affiliation: Tavistock Centre London, London, UK.
authors.forename: Anton
authors.initials: A
authors.lastname: Obholzer
mesh_terms: D000223:Adaptation, Psychological; D001601:Bereavement; D058016:Health Facility Administration; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D009769:Object Attachment; D010348:Patient Care Team; D006113:United Kingdom