Leadership in Psychiatry

277 Pages·2013·2.147 MB·English

by  Dinesh Bhugra, Pedro Ruiz, Susham Gupta(eds.)

Leadership in Psychiatry
Leadership in Psychiatry
Edited by
Dinesh Bhugra
ProfessorofMentalHealth&CulturalDiversity
InstituteofPsychiatry
King’sCollegeLondon
London,UK
Pedro Ruiz
ProfessorandExecutiveViceChair
DirectorofClinicalPrograms
DepartmentofPsychiatry&BehavioralSciences
MillerSchoolofMedicine
UniversityofMiami
Miami,Florida,USA
Susham Gupta
ConsultantPsychiatrist
EastLondonNHSFoundationTrust
London,UK
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LibraryofCongressCataloging-in-PublicationData
Leadershipinpsychiatry/editedbyDineshBhugra,PedroRuiz,SushamGupta.
p.;cm.
Includesbibliographicalreferencesandindex.
ISBN978-1-119-95291-6(cloth)
I.Bhugra,Dinesh. II.Ruiz,Pedro. III.Gupta,Susham.
[DNLM:1.Leadership. 2.MentalHealthServices–organization&administration. 3.Communication.
4.MedicalStaff–organization&administration. 5.ProfessionalCompetence. WA495]
RC467.95
616.890068–dc23
2013015838
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Setin10/12.5ptTimesbyAptara(cid:2)R Inc.,NewDelhi,India
1 2013
Contents
ListofContributors viii
Preface xi
PartA TheRoleoftheLeader
1 WhatisLeadership? 3
DineshBhugra,SushamGuptaandPedroRuiz
2 WhatMakesaLeader?SkillsandCompetencies 13
JuanJ.Lo´pez-Ibor,BlancaRenesesandMar´ıaIne´sLo´pez-Ibor
3 MedicalProfessionalism,LeadershipandProfessionalJudgement 34
DineshBhugra,AlexTill,NicholasDeakinandPedroRuiz
4 LeadershipTheoriesandApproaches 49
JohnP.Baker
5 ClinicalLeadership 63
AhmedOkasha
6 LeadershipandClinicianEngagementinServiceDevelopment 74
HugodeWaal
PartB SkillsRequiredforLeadership
7 Communication 89
LeventKu¨ey
8 LeadershipandDecision-Making 99
DineshBhugra,AlexTillandPedroRuiz
9 Team-BuildinginPsychiatry 107
WolfgangGaebel,AndreasKuchenbecker,NoemiWulffandJu¨rgenZielasek
vi Contents
10 CoachingandMentoring 126
RebeccaVineyandDeniseHarris
11 LeadershipandFactions 137
Zoe¨ K.Reed
12 LeadershipOutsidetheClinicalTeam 147
JuanJ.Lo´pez-Ibor,Mar´ıaIne´sLo´pez-IborandBlancaReneses
13 LeadershipinAcademicPsychiatry 163
DilipV.JesteandMajaGawronska
14 TakingPeopleWithYou 179
DavidM.NdeteiandPatrickGatonga
15 LeadersandManagers:ACaseStudyinOrganizational
Transformation–theSheppardPrattExperience,1990–2011 189
RobertRocaandStevenS.Sharfstein
16 BurnoutandDisillusionment 199
WulfRo¨ssler
17 GenderIssuesRelatedtoMedicalLeadershipwithParticular
ReferencetoPsychiatry 206
MarianneKastrupandKlementDymi
18 LeadershipforGoodversusGoodLeadershipinMentalHealth 217
SidneyH.WeissmanandKennethG.Busch
19 AcquiringLeadershipSkills:DescriptionofanInternational
ProgrammeforEarlyCareerPsychiatrists 226
NormanSartorius
20 Leadership,EthicsandManagingDiversity 233
JulioTorales,HugoRodriguezandDineshBhugra
PartC LearningMaterials
21 AssessmentTools 241
CindyL.Ehresman
22 LearningMaterials 253
JohnP.Baker
Contents vii
23 Conclusions 260
DineshBhugra,SushamGuptaandPedroRuiz
Index 263
List of Contributors
JohnP.Baker WolfgangGaebel
AssistantProfessor Professor,DepartmentofPsychiatryand
CenterforLeadershipExcellence Psychotherapy
WesternKentuckyUniversity LVR-KlinikumDu¨sseldorf
BowlingGreen,Kentucky,USA MedicalFaculty
HeinrichHeineUniversity
DineshBhugra Du¨sseldorf,Germany
ProfessorofMentalHealthandCultural
Diversity PatrickGatonga
InstituteofPsychiatry,King’sCollege UniversityofNairobi
London Nairobi,Kenya
London,UK
MajaGawronska
KennethG.Busch SteinInstituteforResearchonAging
Psychiatrist UniversityofCalifornia,SanDiego
Chicago,Illinois,USA (UCSD)
DepartmentofPsychiatry
NicholasDeakin SanDiego,California,USA
AcademicFoundationYear
BartsHealthNHSFoundationTrust SushamGupta
London,UK ConsultantPsychiatrist
EastLondonNHSFoundationTrust
KlementDymi AssertiveOutreachTeam–City&
ResearchAssistant Hackney
PsychiatricCentreBallerup London,UK
Hellerup,Denmark
DeniseHarris
CindyL.Ehresman ClinicalFacilitator
ProgramManager ProfessionalandPracticeDevelopment
SchoolofLeadershipStudies Team
WesternKentuckyUniversity SussexCommunityNHSTrust
BowlingGreen,Kentucky,USA ZacharyMertonHospital
Rustington,WestSussex,UK
ListofContributors ix
DilipV.Jeste DavidM.Ndetei
EstelleandEdgarLeviChairinAging ProfessorofPsychiatry
Director,SamandRoseSteinInstitutefor UniversityofNairobi
ResearchonAging Director,AfricaMentalHealth
DistinguishedProfessorofPsychiatryand Foundation
Neurosciences Nairobi,Kenya
DirectorofEducation,Clinicaland
TranslationalResearchInstitute AhmedOkasha
UniversityofCalifornia,SanDiego DirectorofWHOCollaboratingCenter
SanDiego,California,USA forResearchandTraininginMental
Health
MarianneKastrup OkashaInstituteofPsychiatry,Ain
CompetenceCenterforTranscultural ShamsUniversity
Psychiatry Cairo,Egypt
PsychiatricCentreBallerup
Hellerup,Denmark Zoe¨ Reed
DirectorofStrategyandBusiness
AndreasKuchenbecker Development
LVR-AcademyforMentalHealth SouthLondonandMaudsleyNHS
Solingen,Germany FoundationTrust
London,UK
LeventKu¨ey
AssociateProfessorofPsychiatry BlancaReneses
IstanbulBilgiUniversity DeputyDirector
Istanbul,Turkey InstitutodePsiquiatr´ıaySaludMental
InstitutodeInvestigacionSanitaria
JuanJose´ Lo´pez-Ibor (IdISSC)
DepartamentodePsiquiatr´ıa,Facultadde HospitalCl´ınicoSanCarlos
Medicina DepartamentodePsiquiatr´ıa,Facultadde
UniversidadComplutense,Institutode MedicinaUniversidadComplutense
Investigacio´nSanitariadelHospital Madrid,Spain
Cl´ınicoSanCarlos(IdISSC)
Fundacio´nJuanJose´ Lo´pez-Ibor RobertRoca
Madrid,Spain VicePresidentandMedicalDirector
SheppardPrattHealthSystem
Mar´ıaIne´sLo´pez-Ibor Baltimore,Maryland,USA
Director,DepartamentodePsiquiatr´ıa,
FacultaddeMedicina HugoRodriguez
UniversidadComplutense,CIBERSAM HeadofInpatientUnit
(CentrodeInvestigacio´nBiome´dicaen InstituteofPsychiatry
ReddeSaludMental) NationalUniversityofAsuncio´n
Fundacio´nJuanJose´ Lo´pez-Ibor Asuncio´n,Paraguay
Madrid,Spain
x ListofContributors
WulfRo¨ssler NationalUniversityofAsuncio´n
ProfessorEmeritus,UniversityofZurich, Asuncio´n,Paraguay
Switzerland
SeniorProfessor,LeuphanaUniversity, RebeccaViney
Lu¨neberg,Germany CoachingandMentoringLead
ProfessorofPost-Graduation,University AssociateDean
ofSaoPaulo,Brazil ProfessionalDevelopmentDepartment
LondonDeanery
PedroRuiz StewartHouse
ProfessorandExecutiveViceChair London,UK
DirectorofClinicalPrograms
DepartmentofPsychiatryandBehavioral HugodeWaal
Sciences ConsultantOldAgePsychiatrist
MillerSchoolofMedicine–Universityof Norfolk&SuffolkNHSFoundationTrust
Miami SouthLondon&MaudsleyNHS
Miami,Florida,USA FoundationTrust
AssociatePostgraduateDean,Eastof
NormanSartorius EnglandDeanery
President,Associationforthe TheJulianHospital
ImprovementofMentalHealth Norwich,UK
Programmes
Geneva,Switzerland SidneyWeissman
ProfessorofClinicalPsychiatry
StevenS.Sharfstein FeinbergSchoolofMedicine
PresidentandChiefExecutiveOfficer NorthwesternUniversity
SheppardPrattHealthSystem Chicago,Illinois,USA
Baltimore,Maryland,USA
NoemiWulff
AlexTill LVR-AcademyforMentalHealth
FoundationYear1 Solingen,Germany
Leicestershire,Northampton&Rutland
FoundationSchool Ju¨rgenZielasek
EastMidlandsWorkforceDeanery DepartmentofPsychiatryand
Northampton,UK Psychotherapy
LVR-KlinikumDu¨sseldorf
JulioTorales MedicalFaculty
ProfessorofPsychiatry HeinrichHeineUniversity
ProfessorofMedicalPsychology Du¨sseldorf,Germany
SchoolofMedicalSciences
Preface
Clinicalleadershipisvitalinlookingafterpatients,managingresourcesandresponding
to the needs of families and carers of patients. However, only in the last few years has
attentionincreasinglybeenpaidtoaspectsofleadershipandtraining.Inmedicalschools,
aswell asother trainingenvironments, very limitedexposure toleadership situationsis
madeavailable.Hence,oftenthoseinclinicalleadershipsituationslearnonthejob.
There is always a tension regarding whether leaders are born or made. The truth is
somewhereinthemiddle.Certainleadershipskillscanbelearnt,suchasmanagingteams,
managing resources and communication skills. On the other hand, certain personality
skills are present from birth. This combination of nature and nurture can make a good
leader who is capable of doing the best for their patients and making the most of the
availableresources.Leadershipdoesnotoccurinavacuumandleadersneedfollowers.
Whyfollowerschooseoneleaderratherthananotherdependsuponanumberoffactors.
Charisma, passion, courage and communication, along with technical competence, are
someofthequalitiespossessedbysuccessfulleaders.
Atthecoreofclinicalleadershipisthepatient,whoseclinicalneedsmustbeparamount.
Servicesneedtorevolvearoundthepatient,andtheclinicalleaderhastotaketheseinto
account in acquiring and managing resources. Clinical leaders must remain focused on
clinicalmatters,butalsoonthesocial,politicalandeconomiccontextwithinwhichthey
mayprovideservices.
Clinicalleadershipinmentalhealthservicescarrieswithitcertainresponsibilities,and
specificcompetenciesandskillsarerequired.Planninganddeliveringservices,whether
theseareinthepublicsectorortheprivatesector,isacriticalaspectoftheroletheclinical
leader plays. In addition, the task for the leader is to set the direction for the planning
and delivery of services. This focus requires personal qualities such as self-awareness,
self-managementandself-development.Partofthecontinuingprofessionaldevelopment
mustfocusontheseskills.Keepinguptodateandbeingtechnicallycompetentisvitalfor
anyclinicalleadersothattheycanconveyprofessionalvaluesandviewswithconfidence.
Anyworkerinaclinicalsettingmustworkwithintegrityandhonesty.
Clinicalleadersalsoneedtohavevisionaboutthehealthcaredelivery,alongwiththe
passiontocommunicatetheirvisiontothekeystakeholders.Leadersalsoneedtheskillsto
mentorteammembersandsupportthemwhenneeded.Managingteamsandresourcesis
animportantfunctionoftheleader’srole.Theleadermustmaintainprofessionalstandards
andunderstanddecision-makingprocessesaswellastheoriesofleadership.
Itispartoftheprofession’sresponsibilitytoensurethatthenextgenerationofleaders
havetheappropriateskillsmixandarefullyawarebothoftheoreticalandpracticalaspects