The authors found several common themes in intensive interviews with 20
prominent psychiatric administrators. The decision to go into
administrative work resulted from strong interest in public service,
frustration in other roles, and/or situational factors. Administration was
learned by doing and by interaction with colleagues in the field or other
knowledgeable individuals. The job of administrator is often perceived as
stressful, but it offers rewards such as increased autonomy, opportunities
for self-growth, prestige, and the potential for a broader contribution to
mental health.Abstract Teaser