10.2190/JN4N-G535-F597-GD4C JN4NG535F597GD4C 0 EFFICACY OF MENTAL HEALTH EMPLOYEES IN AN ERA OF DE-INSTITUTIONALIZATION OF STATE HOSPITALS 20020509 20020509 20020509 20020509 http://baywood.metapress.com/link.asp?target=contribution&id=JN4NG535F597GD4C 3 ALEX PATTAKOS Results are presented of how the changing institutional setting affects employee efficacy in public mental institutions. The evidence of the investigation overwhelmingly suggests that state mental health employees at the institution level feel unable to influence the decision-making process. Law feelings of efficacy characterize the entire employee spectrum irrespective of occupational position, education, or membership in employee unions.