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Explore the success paradigms, overview, and key elements of the shared leadership/management model at VAMC Oklahoma City. Learn about value-added functions, common sense practices, and the historical context of mental health leadership. Discover the major paradigms and programs, staff breakdown, shared leadership model structure, and value-added activities. Get insights on organizational development, trust-building, and professional involvement in decision-making.
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The SHARED LEADERSHIP AND MANAGEMENT MODEL Mental Health and Psychology Programs VAMC Oklahoma City
GOALS OF THIS PRESENTATION • Describe the paradigms that underlay the success of this model • Provide an overview of the shared leadership/management model • Key stops on the path • Examples of “value added” functions • Questions and Discussion
COMMON SENSE • Everything to be discussed is common sense……..but • “COMMON SENSE IS NOT ALWAYS COMMON PRACTICE” - Stephen Covey
“ Leadership and Management” • Leadership - Doing the right thing! • Management – Doing the right thing – right!
The Early History of Mental Health Leadership at VAMC OKC • Only three Chiefs of Psychology since the Medical Center started in 1953 • 1969 – Pat Keukes, Ph.D. becomes Chief and served until retirement in 1996 • 1996 –Product Line management introduced – VISN 16 CEO allows “choice” • 1997 – Rich Carothers, Ph.D. is appointed Chief and serves to the present • Charles Smith, M.D. Chief of Psychiatry for many years ending with his death in 2001 • Barbara Masters, M.D. current Chief of Psychiatry
Major paradigms underlying the success of the “shared management model” • Focus on the mission – “Caring for America’s Heroes” • WIN – WIN (reference Habit 4 – Covey) • Mutual Benefit • Development of “Trust Accounts” • Treat your staff as your most valued customers • Low turnover of staff and leadership
LUCK • WHERE OPPORTUNITY AND PREPARATION INTERSECT!
Mental Health Programs in Oklahoma City • Inpatient Psychiatry Unit – Acute and Gero • Substance Use Disorders Program • Ambulatory Mental Health Clinic –MH in CBOCs • Family Mental Health Program • Mental Health in Primary Care • PTSD Program • Day Treatment Center • Health Psychology
Mental Health Programs (continued) • Neuropsychology Lab • C&L Service • Homeless Program – PRRTP, CWT, G&PD,SE • Community Residential Care • Mental Health Intensive Case Management • OIF/OEF – currently developing
Staff by DisciplinePsychology Service • Psychologists 18 FTEE • Social Workers 15 FTEE • Psych. Tech. 3.5 FTEE • Addiction Th. 3 FTEE • Voc Rehab 4 FTEE • PSA/Support 7.8 FTEE • Total 51.25 FTEE
SHARED LEADERSHIP MODELED AT THE TOP • The model is endorsed by senior management – Director and Chief of Staff • Chief of Psychology and Chief of Psychiatry work closely to make all major program decisions • Chiefs office in same suite – meet weekly with AO. Dependent on good working relationship and high trust.
Program Level Leadership • Larger programs have an Administrative Director and Medical Director • Administrative Director – psychologist or social worker • Medical Director – psychiatrist • Coordination through Mental Health Council and regular meetings with program directors
Key Stops on the Path • Development of professional parity • Privileged and credentialed • Member of the Medical Staff • Serve as full voting member on major Medical Center Committees - e.g. Medical Center Executive Committee, Professional Standards Board, Clinical Executive Comm.
Key Stops on the Path(continued) • Member of long term planning committees – such as the Medical Center Strategic Planning Committee • Membership on VISN level planning and operational committees – VISN 16 – Mental Health Product Line Advisory Committee; various VISN work groups – eg. SUD, PTSD • Full Participation and leadership in MIRECC
Full membership and leadership role in Academic Department • Faculty appointment for all doctoral level staff • Membership on key Department Committees – e.g. Department Executive Committee, Education Council, Research Council • Involvement in Department decisions
“VALUE ADDED ACTIVITIES”Build Value, Trust and Influence • Manage the Employee Assistance Program • Lead the Alternative Dispute Resolution Program • Lead the Management and Prevention of Violence in the Workplace – training, consultation and “flags” committee • Develop and management a successful “Brown Bag Lunch” Education Program • Have expertise in disaster management and “ready to go”
Value Added Activitiescontinued • Participation in mentoring programs – EVAL and LDI (VISN 16) • Provide staff education – e.g. teach “7 Habit of Highly Effective People”, “Detection and Prevention of Abuse” • Serve on ad hoc committees, task force and panels – e.g. AIB • “go to” person on team building, group conflict
Questions and Discussion • Thanks for your interest and attention! • I’m most willing to answer questions or consult with you about your service/program. • Rich Carothers, Ph.D. Chief, Psychology Service Oklahoma City VAMC (405) 270-5168