The psychiatric profession must ensure that its next generation of leaders has the appropriate skills to provide mental health services in the face of globalization and urbanization, new technologies, and competing demands for shrinking resources. Developing leadership skills and leaders is critical in order to optimise the use of resources, their application, service planning and delivery of services for patients and their families.

This is the first book on leadership (rather than management skills) to focus on psychiatry and mental health care. Contributions from international experts with clinical and non-clinical backgrounds pull together the theories and practical skills required to be a successful leader. The aim is to guide mental health professionals in general and psychiatrists in particular on how to gain the relevant skills and on how to utilise these skills and training to take on leadership roles in clinical and organisational settings.

The book covers the role of the leader and the skills required for leadership, including chapters on communication, decision-making, team development, mentoring, gender issues in leadership, burnout and more. It includes a section on assessment tools and learning material. Essential reading for all those who aspire to lead in psychiatry!

Dinesh Bhugra is Professor of Mental Health and Cultural Diversity at the Institute of Psychiatry, Kings College London. He was President of the Royal College of Psychiatrists until 2011, and is President-Elect of the World Psychiatric Association until 2014, when he becomes President. He was awarded a CBE in 2012. He has authored/co authored over 350 papers, chapters and 30 books, the most recent volumes beingPrinciples of Social Psychiatry,Mental Health of Refugees and Asylum Seekers andTextbook of Cultural Psychiatry. He is editor of theInternational Journal of Social Psychiatry, International Journal of Culture and Mental Health andInternational Review of Psychiatry. Dr Pedro Ruiz is currently Professor& Executive Vice Chair as well as Director of Clinical Programs at the Department of Psychiatry and Behavioral Sciences of the University of Miami Miller School of Medicine. Currently, he is President of the World Psychiatric Association (2011-2014). Dr Ruiz has also served in more than 40 editorial boards in the United States and abroad and has also authored more than 600 publications; among them, "Substance Abuse: A Comprehensive Textbook" and the Ninth Edition of "Kaplan& Sadocks Comprehensive Textbook of Psychiatry".Susham Gupta is a Consultant Psychiatrist currently working with the City and Hackney Assertive Outreach Service in East London. He has various research interests and has published in the areas of dementia, transcultural psychiatry, management in psychiatry and mental health legislation. He is on the editorial board of International Journal of Social Psychiatry and World Journal of Psychiatry.

List of Contributors viii

Preface xi

Part A The Role of the Leader

1 What is Leadership? 3Dinesh Bhugra, Susham Gupta and Pedro Ruiz

2 What Makes a Leader? Skills and Competencies 13Juan J. López-Ibor, Blanca Reneses and María Inés López-Ibor

3 Medical Professionalism, Leadership and Professional Judgement 34Dinesh Bhugra, Alex Till, Nicholas Deakin and Pedro Ruiz

4 Leadership Theories and Approaches 49John P. Baker

5 Clinical Leadership 63Ahmed Okasha

6 Leadership and Clinician Engagement in Service Development 74Hugo de Waal

Part B Skills Required for Leadership

7 Communication 89Levent Küey

8 Leadership and Decision-Making 99Dinesh Bhugra, Alex Till and Pedro Ruiz

9 Team-Building in Psychiatry 107Wolfgang Gaebel, Andreas Kuchenbecker, Noemi Wulff and Jürgen Zielasek

10 Coaching and Mentoring 126Rebecca Viney and Denise Harris

11 Leadership and Factions 137Zoë K. Reed

12 Leadership Outside the Clinical Team 147Juan J. López-Ibor, María Inés López-Ibor and Blanca Reneses

13 Leadership in Academic Psychiatry 163Dilip V. Jeste and Maja Gawronska

14 Taking People With You 179David M. Ndetei and Patrick Gatonga

15 Leaders and Managers: A Case Study in Organizational Transformation the Sheppard Pratt Experience, 19902011 189Robert Roca and Steven S. Sharfstein

16 Burnout and Disillusionment 199Wulf Rössler

17 Gender Issues Related to Medical Leadership with Particular Reference to Psychiatry 206Marianne Kastrup and Klement Dymi

18 Leadership for Good versus Good Leadership in Mental Health 217Sidney H. Weissman and Kenneth G. Busch

19 Acquiring Leadership Skills: Description of an International Programme for Early Career Psychiatrists 226Norman Sartorius

20 Leadership, Ethics and Managing Diversity 233Julio Torales, Hugo Rodriguez and Dinesh Bhugra

Part c Learning Materials

21 Assessment Tools 241Cindy L. Ehresman

22 Learning Materials 253John P. Baker

23 Conclusions 260Dinesh Bhugra, Susham Gupta and Pedro Ruiz

Index 263