The Purpose of this study was to examine middle managers experiences of psychic and social work environment and how it affects the middle managers work. More exactly, we interviewed middle managers from the municipal elderly care in one of Kronoberg county municipalities. Middle managers work in a position in between politicians, organizations, clients and their relatives; staff groups etc. and they all have a lot of demands on them. The research shows that if the district chiefs’ psychic and social work environment is good, they have the condition to do a great job and help the clients to a better life. But if the work environment is bad and the district chiefs are unsatisfied it will affect many people as the clients, the staff and the organization.  The interviews were based on four different themes to gather the whole picture of the district chiefs’ psychic and social environment. We used three different theories along with our pre-understanding to analyze the five qualitative interviews: Demands and control model, KASAM and Strain and reward model. We interviewed four district chiefs and one union representative for SKTF. The study was too small to give any general conclusions but it showed that the district chiefs that we interviewed had a good psychic and social work environment and that it is very important for the health and happiness of themselves, the organization, the staff and the clients.