How can psychiatrists offer psychotherapeutic leadership in the public sector?

Cammell, Paul; Amos, Jackie; Baigent, Michael

doi:10.1177/1039856216635908

Cited by 3 publications

(6 citation statements)

References 13 publications

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“…Without a psychotherapeutic approach, formulations can become decontextualised and/or solely biological, potentially resulting in the iatrogenic prescription of ineffective and potentially harmful psychotropic regimes as the psychiatrist seeks to ‘do something’ in the face of distress and complex situations where multiple psychological and social factors are at play (Cammell 2016).…”

Section: Psychotherapeutic Leadership For Individual Patientsmentioning

confidence: 99%

“…In response to the Francis report (Francis 2013), Don Berwick, cofounder of the Institute for Healthcare Improvement, stated that healthcare leaders must embody the vision for high-quality care (Berwick 2013). Within mental healthcare, it is essential this vision is aligned with a psychotherapeutic approach, and psychiatrists have a collective responsibility to ensure that psychotherapeutic leadership exists throughout organisations in clinical, administrative and academic settings (Cammell 2016).…”

Section: Psychotherapeutic Leadership In Organisationsmentioning

confidence: 99%

“…Continuing to neglect the vital role of the psychiatrist, particularly in providing psychotherapeutic care, will hinder the development of psychologically informed clinicians and have serious consequences not just for patient care but for psychiatrists' ability to provide psychotherapeutic leadership for their teams, their organisations and the systems they work within and often lead (Allison 2016; Cammell 2016).…”

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confidence: 99%

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Psychotherapeutic leadership and containment in psychiatry

Gibson¹,

Till

Adshead³

2018

BJPsych advances

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SUMMARYLeadership is a key role for psychiatrists, with many models that can be adopted depending in part on the nature of the individual and their training, the primary task of the team and the nature of the organisation. In this article we suggest a new concept and model of leadership, ‘psychotherapeutic leadership’. We discuss the theoretical background to this model, its benefits and the implications for training and professional development.LEARNING OBJECTIVES•Understand the concept and role of the psychiatrist in providing psychotherapeutic leadership at an individual patient, team and organisational level•Explore how applying an understanding of psychodynamic principles in practice can provide containment in psychiatry and aid clinical leadership•Understand the role of psychotherapeutically informed approaches in recognising factors influencing staff morale and burnoutDECLARATION OF INTERESTNone.

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Section: Psychotherapeutic Leadership For Individual Patientsmentioning

confidence: 99%

Section: Psychotherapeutic Leadership In Organisationsmentioning

confidence: 99%

mentioning

confidence: 99%

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Psychotherapeutic leadership and containment in psychiatry

Gibson¹,

Till

Adshead³

2018

BJPsych advances

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“…1 Whilst it is understood that there is an evidence base for psychodynamic therapy and a psychodynamic approach to patients, how it might be offered in a public sector setting in Australia has been debated. 2,3 This case report suggests a possible role and a framework for offering it within a public health system. Further investigation is recommended into exploring the usefulness of non-manualised, individualised psychodynamic psychotherapy in the treatment of complex patients in public mental health service settings.…”

Section: Resultsmentioning

confidence: 96%

Psychodynamic therapy for non-compliance: a case report

Saha

McCarthy

Dhillon

2019

Australas Psychiatry

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Objectives: This paper outlines the use of psychodynamic psychotherapy as an adjunct to treatment as usual for addressing challenging behaviours in a patient with schizophrenia under the care of a community mental health team (CMHT) in South Australia. Methods: Ms P suffered from schizophrenia and demonstrated challenging behaviours in the context of being administered depot medication under a community treatment order (CTO). Multiple attempts at addressing non-compliance and consistently disruptive behaviour through conventional methods had failed. Consequently, the novel approach of fortnightly psychodynamic psychotherapy sessions was trialled for 5 months, augmenting treatment as usual. Results: Psychodynamic psychotherapy proved effective for this patient. With treatment, she showed an improved compliance and overall engagement. Additionally, consequent to regularly receiving medication, her mental state improved and hospitalisations decreased. Conclusions: Further research could lead to a better understanding of how and in what contexts, psychodynamic therapy and psychodynamic thinking can be utilised in the public health system.

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“…In this issue, Cammell et al (2016) call for psychotherapeutic leadership across the public sector. 10 To consolidate these changes, we argue for the return of academic clinicians to all levels of public mental health services. 11 Historically, academic clinicians led the tripartite mission of research, teaching and clinical excellence, which drove the advances of modern medicine.…”

Section: Expert Leadership -Why Psychiatrists Should Lead Mental Healmentioning

confidence: 99%