title: Decisions, decisions.
abstract: In the present services for people with a mental handicap, moving away from the institutional type of care to a more normal home environment, my concern is the inability of so many managers to adjust to the new style of management that is needed for these services. That calls into question the quality of senior managers.
authors.affiliation: RCN Society of Mental Handicap Nursing.
authors.forename: A A
authors.initials: AA
authors.lastname: Parrish