This is a basic question I have been wondering about ever since I started working in a mental hospital. I thought the answer would reveal itself over time but I still find myself asking why nurses run the mental hospital instead of people with psych degrees. It seems counterintuitive to take someone with an ADN and put them in charge of a psych unit with Recovery Specialists who have their BS in psych who know way more about what is going on. In my opinion, the person in charge should be a psych professional with nursing there to support medical needs and administer medications. The same goes for management, the whole thing is run by nurses all the way up to the CEO. Sure there are plenty of Psychiatrists coming and going, stopping on the unit briefly to write orders and going to team meetings, but they are usually contracted out and only making decisions on individual patients. The amount of knowledge about crowd control, enforcing rules, and making quick decisions on what patients should and should not be allowed to do go way beyond what nurses are trained to do.