Abstract
The head of a clinical department of psychiatry must have both the right and the obligation to define and exercise the necessary priorities with regard to what types of mental disease should be offered treatment and in what order, what type of treatment should be offered and for what amount of time. With limited resources, these managerial rights may be severely restricted. Acute emergency cases are given highest priority, often to such an extent that they take the far greater part of the institutional resources. If the policlinical resources are poorly staffed, they suffer the same fate. In such a situation the psychiatric services cannot perform adequately. To avoid such a development, certain steps must be taken. Primarily, the necessary frame of space and resources must be secured. Secondly, the limits of acute emergency must be strictly defined, the treatment goals related to the emergency. The remaining available resources must then be assessed. Priority must be given to tasks that give a reasonable...
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