...although it could probably be done with a mod. It almost certainly cannot be done via modding. The modding system in Prison Architect is far too constrained for such a thing to be moddable. xander Ah, sorry for my ignorance. But it would still be a feature that I would love to see in the game :)

Supported.
This would be an awesome thing to see in the game, although it could probably be done with a mod.
I really like the idea of psychiatrists being more important.

Alt-tab works perfectly fine for me,
OS:
Windows 7 Ultimate 32bit.
System:
Steam

Also, Only having PA open would not be a problem as you can Alt-tab to the desktop.

P.S
Ctrl-Esc is also working for me, have you tried that?

15(1999)/Male/Edinburgh