1. The SHARED LEADERSHIP AND MANAGEMENT MODEL Mental Health and Psychology Programs VAMC Oklahoma City

2. GOALS OF THIS PRESENTATION Describe the paradigms that underlay the success of this model Describe the paradigms that underlay the success of this model Provide an overview of the shared leadership/management model Provide an overview of the shared leadership/management model Key stops on the path Key stops on the path Examples of “value added” functions Examples of “value added” functions Questions and Discussion Questions and Discussion

3. COMMON SENSE Everything to be discussed is common sense……..but Everything to be discussed is common sense……..but “COMMON SENSE IS NOT ALWAYS COMMON PRACTICE” - Stephen Covey “COMMON SENSE IS NOT ALWAYS COMMON PRACTICE” - Stephen Covey

4. “ Leadership and Management” Leadership - Doing the right thing! Leadership - Doing the right thing! Management – Doing the right thing – right! Management – Doing the right thing – right!

5. The Early History of Mental Health Leadership at VAMC OKC Only three Chiefs of Psychology since the Medical Center started in 1953 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 1969 – Pat Keukes, Ph.D. becomes Chief and served until retirement in 1996 1996 –Product Line management introduced – VISN 16 CEO allows “choice” 1996 –Product Line management introduced – VISN 16 CEO allows “choice” 1997 – Rich Carothers, Ph.D. is appointed Chief and serves to the present 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 Charles Smith, M.D. Chief of Psychiatry for many years ending with his death in 2001 Barbara Masters, M.D. current Chief of Psychiatry Barbara Masters, M.D. current Chief of Psychiatry

6. Major paradigms underlying the success of the “shared management model” Focus on the mission – “Caring for America’s Heroes” Focus on the mission – “Caring for America’s Heroes” WIN – WIN (reference Habit 4 – Covey) WIN – WIN (reference Habit 4 – Covey) Mutual Benefit Mutual Benefit Development of “Trust Accounts” Development of “Trust Accounts” Treat your staff as your most valued customers Treat your staff as your most valued customers Low turnover of staff and leadership Low turnover of staff and leadership

7. LUCK WHERE OPPORTUNITY AND PREPARATION INTERSECT! WHERE OPPORTUNITY AND PREPARATION INTERSECT!

8. Mental Health Programs in Oklahoma City Inpatient Psychiatry Unit – Acute and Gero Inpatient Psychiatry Unit – Acute and Gero Substance Use Disorders Program Substance Use Disorders Program Ambulatory Mental Health Clinic –MH in CBOCs Ambulatory Mental Health Clinic –MH in CBOCs Family Mental Health Program Family Mental Health Program Mental Health in Primary Care Mental Health in Primary Care PTSD Program PTSD Program Day Treatment Center Day Treatment Center Health Psychology Health Psychology

9. Mental Health Programs (continued) Neuropsychology Lab Neuropsychology Lab C&L Service C&L Service Homeless Program – PRRTP, CWT, G&PD,SE Homeless Program – PRRTP, CWT, G&PD,SE Community Residential Care Community Residential Care Mental Health Intensive Case Management Mental Health Intensive Case Management OIF/OEF – currently developing OIF/OEF – currently developing

10. Staff by Discipline Psychology Service Psychologists18 FTEE Psychologists18 FTEE Social Workers15 FTEE Social Workers15 FTEE Psych. Tech.3.5 FTEE Psych. Tech.3.5 FTEE Addiction Th.3 FTEE Addiction Th.3 FTEE Voc Rehab4 FTEE Voc Rehab4 FTEE PSA/Support7.8 FTEE PSA/Support7.8 FTEE Total51.25 FTEE Total51.25 FTEE

11. SHARED LEADERSHIP MODELED AT THE TOP The model is endorsed by senior management – Director and Chief of Staff 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 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. Chiefs office in same suite – meet weekly with AO. Dependent on good working relationship and high trust.

12. Program Level Leadership Larger programs have an Administrative Director and Medical Director Larger programs have an Administrative Director and Medical Director Administrative Director – psychologist or social worker Administrative Director – psychologist or social worker Medical Director – psychiatrist Medical Director – psychiatrist Coordination through Mental Health Council and regular meetings with program directors Coordination through Mental Health Council and regular meetings with program directors

13. Key Stops on the Path Development of professional parity Development of professional parity Privileged and credentialed Privileged and credentialed Member of the Medical Staff 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. Serve as full voting member on major Medical Center Committees - e.g. Medical Center Executive Committee, Professional Standards Board, Clinical Executive Comm.

14. Key Stops on the Path (continued) Member of long term planning committees – such as the Medical Center Strategic Planning Committee 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 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 Participation and leadership in MIRECC

15. Full membership and leadership role in Academic Department Faculty appointment for all doctoral level staff Faculty appointment for all doctoral level staff Membership on key Department Committees – e.g. Department Executive Committee, Education Council, Research Council Membership on key Department Committees – e.g. Department Executive Committee, Education Council, Research Council Involvement in Department decisions Involvement in Department decisions

16. “VALUE ADDED ACTIVITIES” Build Value, Trust and Influence Manage the Employee Assistance Program Manage the Employee Assistance Program Lead the Alternative Dispute Resolution Program Lead the Alternative Dispute Resolution Program Lead the Management and Prevention of Violence in the Workplace – training, consultation and “flags” committee 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 Develop and management a successful “Brown Bag Lunch” Education Program Have expertise in disaster management and “ready to go” Have expertise in disaster management and “ready to go”

17. Value Added Activities continued Participation in mentoring programs – EVAL and LDI (VISN 16) 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” 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 Serve on ad hoc committees, task force and panels – e.g. AIB “go to” person on team building, group conflict “go to” person on team building, group conflict

18. Questions and Discussion Thanks for your interest and attention! Thanks for your interest and attention! I’m most willing to answer questions or consult with you about your service/program. I’m most willing to answer questions or consult with you about your service/program. Rich Carothers, Ph.D. Rich Carothers, Ph.D. Chief, Psychology Service Chief, Psychology Service Oklahoma City VAMC Oklahoma City VAMC (405) 270-5168 (405) 270-5168