Principled Leadership for the State Hospital CEO/Administrator Toolkit


The emerging mental health system is focused on providing recovery/resilience-oriented services to individuals, youth and families as its sole and compelling goal. Towards that goal, all system components, including hospitals, must articulate a vision and mission that provides a foundation for specific recovery-oriented competencies, roles and responsibilities, detailed goals, and measurable and accountable care processes and service outcomes.

The toolkit is organized to support learning and practical experience. It identifies eight core competence areas for supporting performance improvement and system change in state hospitals. Each core competency area is organized to describe the core competencies, knowledge, skills, attitudes/attributes and tasks related to that competency. CEOs can think of these as tools for self-assessment. Each competency area also includes practical examples of procedures, policies and other tools. Websites and reading recommendations are identified for further reading. And, there are suggested “low hanging fruit”-where a CEO might start on a specific competency area.


Toolkit Cover

Toolkit Overview

Supporting Resources for Core Competency 1

1.1 SAMHSA National Statement on Recovery

1.2 Recovery Self Assessment Providers

1.3 Recovery Promoting Relationships Scale RPRS Manual

1.4 Hawaii Recovery Paradigm

1.5 Hawaii Understanding Mental Health Recovery Partnering with Consumers Transformation

1.6 Illinois DHS-DMH Respect Survey

1.7 Maryland Code of Conduct Policy

1.8 Recovery Education Center Policy Guidelines

1.9 Missouri DMH-Fulton State Hospital Respect Policy

1.10 Allegheny HealthChoices Community Support Planning Training Manual

1.11 Building Bridges Joint Resolution

1.12 Working Definition of Family Driven Care

1.13 Youth Guided Care

1.14 Mental Health Consumer Providers - A Guide for Clinical Staff

1.15 Paving New Ground - Peers Working in Patient Settings

1.16 Promoting Participation in Organizational Decision Making

1.17 AACRC Position Paper on Family Driven Care

Supporting Resources for Core Competency 2

2.1 Principled Leadership in Mental Health Systems (excerpt)

2.2 IHI A Framework for Spread

2.3 Strengths Finder

2.4 Benchmarks 360 Tool

2.5 Campbell Leadership Index

2.6 Myers Briggs Type Indicator Tool

2.7 Quam CEO Best Practices

2.8 Principled Leadership in Mental Health Systems and Programs

2.9 The Science of Spread

2.10 Organizatinoal Measurement and the Implementation of Innovations in MH Services

2.11 Ed Schein Articles

2.12 Fifth Discipline Excerpts

Supporting Resources for Core Competency 3

3.1 Fundamentals of Competency

3.2 Preventing S/R Use Through Effective Training

3.3 Massachusetts Policy Story

3.4 MA Dept. of Mental Health Regulations

Supporting Resources for Core Competency 4

4.1 The Three Legged Stool

4.2 U. Hawai'i Clinical Supervision A Framework for Action

4.3 U. Hawai'i Defining Supervision Administrative or Clinical

4.3a U. Hawai'i Defining Supervision Administrative or Clinical

4.4 Hawai'i Current Practices in Assessing Risk for Violence

4.5 MD Peer Support Specialist Job Description

4.6 Basic Psychiatric Evaluation for the Non-psychiatrist

4.7 Family Search and Engagement Practice Guide Final

4.8 Implementing Recovery Oriented Evidence Based Programs - Identifying the Critical Dimensions

4.9 Six Core Strategies to Reduce the Use of Seclusion and Restraint: A Planning Tool

4.10 Honoring the First Territory Integrity

Supporting Resources for Core Competency 5

5.1 Understand and Involve the Consumer

5.2 How to Engage All Staff

5.3 Kathy Regan Change Story

Supporting Resources Core Competency 6

6.1 Basic Hospital Administrator Key Indicators Examples

Supporting Resources for Core Competency 7

7.1 Gayle Bluebird - Good Stories

7.2 Implementing SAMHSA Evidence-Based Practice Toolkits

7.3 Training and Fidelity Monitoring of Behavioral Interventions in Multi-Site Addictions Research

7.4 Ensuring High Fidelity Wraparound Process

7.5 Bridging Science to Service Using the Rehabilitation Research and Training Center Program

Supporting Resources for Core Competency 8

8.1 Sample Quality Management Plan

8.2 Sample Quality Management Charter

8.3 Sample Performance Indicator Flowchart

8.4 Sample Staff Communication Flow

8.5.1 Sample Performance Improvement Indicator Report, Indicators

8.5.2 Sample Dashboard

8.6 Developing and Using Programmatic Quality Improvement Pross (Frank Ghinassi)

8.7 Root Cause Analysis (Frank Ghinassi)

8.8 Building a Better Mental Health Workforce