Leadership for Change in Complex Systems

Objectives: To examine clinician leadership for change from the perspective of complexity. Methods: The core features of complex adaptive systems are described and examples of these characteristics are identified in Australia's mental health system. The implications of conceiving of themental health system as a complex adaptive system are explored. Conclusions: It is concluded that there is value in conceiving of Australia's mental health system as a complex adaptive system and that such a conception provides useful guidance for leadership for change and for management.

[1]  I. Hickie,et al.  Summary of Guideline for the Treatment of Depression , 2003 .

[2]  M. Tobin,et al.  Integrating Public and Private Psychiatric Practice: From National Agenda to Personal Experience , 1999 .

[3]  I. Hickie,et al.  Primary Care-Led Mental Health Service Reform: An Outline of the Better Outcomes in Mental Health Care Initiative , 2002 .

[4]  H. Minas,et al.  Reflections on Clinician Leadership and Management in Mental Health , 2005 .

[5]  A. Fletcher,et al.  Providing Integrated Mental Health Services: A Policy and Management Perspective , 2005 .

[6]  T. Greenhalgh,et al.  Complexity and clinical care , 2001, BMJ : British Medical Journal.

[7]  M. Mitchell Waldrop,et al.  Complexity : the emerging science and the edge of order and chaos , 1992 .

[8]  P. Plsek,et al.  Complexity, leadership, and management in healthcare organisations , 2001, BMJ : British Medical Journal.

[9]  P. Plsek,et al.  The challenge of complexity in health care , 2001, BMJ : British Medical Journal.

[10]  Janice L. Wilson.  The Flight of the Wild Goose: The Psychiatrist as a Leader , 2000, The Australian and New Zealand journal of psychiatry.

[11]  H. Herrman,et al.  The Roles and Relationships of Psychiatrists and Other Service Providers in Mental Health Services , 2002, The Australian and New Zealand journal of psychiatry.

[12]  H. Minas,et al.  Quality, risk management and governance in mental health: an overview. , 2005, Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists.

[13]  David Pendleton,et al.  Values and leadership , 2002, BMJ : British Medical Journal.

[14]  Bruce S. Singh.  Academic Departments of Psychiatry in Australia: A Need for Reinvention , 2002 .

[15]  M. Tobin,et al.  Are Psychiatrists Equipped for Management Roles in Mental Health Services? , 2002, The Australian and New Zealand journal of psychiatry.

[16]  Bruce S. Singh,et al.  Psychiatry and the Need for Mental Health Care in Australia: Findings from the National Survey of Mental Health and Wellbeing , 2002, The Australian and New Zealand journal of psychiatry.

[17]  Sarah W. Fraser,et al.  Coping with complexity: educating for capability , 2001, BMJ : British Medical Journal.

[18]  H. Whiteford.  Leadership in Mental Health Policy: The National Context , 2005 .

[19]  S. Kauffman.  At Home in the Universe: The Search for the Laws of Self-Organization and Complexity , 1995 .

[20]  Bruce S. Singh,et al.  ‘Victoria on the Move’: Mental Health Services in a Decade of Transition 1992-2002 , 2003 .

[21]  H. Minas,et al.  Reflections on clinician leadership and management in mental health. , 2005, Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists.