Opening a new unit in an existing psychiatric hospital.

The authors describe philosophical and logistical issues they encountered in opening a new unit in an existing, freestanding psychiatric hospital. The historical background of the hospital is described. Four principles were found essential in ensuring a smooth opening and providing consistent high-quality patient care: 1. Medical staff input on design of the new unit. 2. Careful selection of key personnel by the unit's chief of service. 3. Team meetings to develop unit concepts prior to opening. 4. Using patient feedback and criticism as a guide to change.