J Korean Neuropsychiatr Assoc.  2014 Mar;53(2):92-98.

Leadership, Ethics, Professional Role, and Future Direction of Psychiatrists

• Lee SM
• Park KM
• Roh S
• Seo YJ
• Choi WS
• Hwang TY

Abstract

OBJECTIVES
The traditional roles of psychiatrists are being threatened according to the changes of requests from society. Psychiatrists need to rapidly adapt to new upcoming circumstances, improve leadership skills, and prepare for emerging ethical problems. The aim of this study is to predict and suggest what will happen in the future in the area of mental health, what role models might be required, what we should do and how we can prepare.
METHODS
The authors interviewed seven mental health professionals on topics of leadership, participating roles of psychiatrists. Three models for psychiatrists were suggested : clinical model, community leader model, and mental health promoting model. Afterwards, a questionnaire on each role model was distributed to members of the Korean Neuropsychiatric Association via email and results were analyzed.
RESULTS
Experts and stakeholders suggested that the following components from the interview will be fostered in the future : leadership in collaboration with other communities, introduction of leadership programs for young psychiatrists, strategies for sensitization of ethical issues, active communication with community partners, training professionals in legislation and administration. Regarding the questionnaire, 32 members responded. The most preferred role model was the Community leader model (46.9%, n=15), followed by the mental health promoting model (34.4%, n=11) and clinical model (15.6%, n=5). Most responders recognized that these issues are emerging and answered affirmatively on the developmental potential of each role model. A question about primary agents who are supposed to take charge of development of a suitable model was answered as follows : university professors for the clinical model (37.5%, n=12), psychiatrists working for public hospitals both for community leader (28.1%, n=9), and mental health promoting model (43.8%, n=14). Various opinions on leadership and strategies for fulfilling the role model were proposed.
CONCLUSION
This study investigated leadership, ethics, social roles, and future directions of psychiatrists in order to provide suggestions on how to properly respond to changes of environment. It is expected that this study will be helpful in establishment of guidelines for leadership development and improving ethical orientation of psychiatrists, and will provide an opportunity for Korean NeuroPsychiatric Association members to have deep consideration and radical debate on our transforming roles.

Keyword

Leadership; Ethics, medical; Professional role; Mental health

MeSH Terms

Cooperative Behavior
Electronic Mail
Ethics
Ethics, Medical
Ethics, Professional*
Hospitals, Public
Leadership*
Mental Health
Professional Role
Psychiatry*
Surveys and Questionnaires

Reference

1. Who.int [homepage on the internet]. Geneva: World Health Organization;c2014. updated 2008. cited 2014 Mar 3. Available from: http://www.who.int/healthinfo/global_burden_disease/gbd/en/.

2. Bloom DE, Cafiero ET, Jane-Llopis E, Abrahams-Gessel S, Bloom LR, Fathima S, et al. The global economic burden of non-communicable diseases. In : World Economic Forum; 2011 Sep 18; Geneva, Switzerland. 2011.

3. Prince M, Patel V, Saxena S, Maj M, Maselko J, Phillips MR, et al. No health without mental health. Lancet. 2007; 370:859–877.

4. Katschnig H. Are psychiatrists an endangered species? Observations on internal and external challenges to the profession. World Psychiatry. 2010; 9:21–28.

5. Craddock N, Antebi D, Attenburrow MJ, Bailey A, Carson A, Cowen P, et al. Wake-up call for British psychiatry. Br J Psychiatry. 2008; 193:6–9.

6. Oyebode F, Humphreys M. The future of psychiatry. Br J Psychiatry. 2011; 199:439–440.

7. Patel V. The future of psychiatry in low- and middle-income countries. Psychol Med. 2009; 39:1759–1762.

8. Keshavan MS. The changing global mental health landscape and need for leadership. Asian J Psychiatr. 2011; 4:161.

9. Bernstein CA, Bhugra D. Next generation of psychiatrists: what is needed in training? Asian J Psychiatr. 2011; 4:88–91.

10. Ruiz P. Focusing on Asia: the role of psychiatric and mental health education. Asian J Psychiatr. 2011; 4:87.

11. Everett A, Huffine C. Ethics in contemporary community psychiatry. Psychiatr Clin North Am. 2009; 32:329–341.

12. Robertson MD, Walter G. Many faces of the dual-role dilemma in psychiatric ethics. Aust N Z J Psychiatry. 2008; 42:228–235.

13. Colaizzi PF. Psychological research as the phenomenologist views it. In : Valle R, King M, editors. Existential phenomenological alternatives for psychology. New York: Oxford University Press;1978. p. 48–71.

14. Sackett DL. Evidence-based medicine: how to practice and teach EBM. 2nd ed. New York: Churchill Livingstone;2000.

15. Proudfoot J. The future is in our hands: the role of mobile phones in the prevention and management of mental disorders. Aust N Z J Psychiatry. 2013; 47:111–113.

16. Who.int [homepage on the Internet]. Geneva: World Health Organization;c2014. updated 2013. cited 2014 Mar 3. Available from: http://www.who.int/mental_health/publications/action_plan/en/.

17. Psych.org [homepage on the Internet]. Arlington: American Psychiatric Association;c2013. updated 2012. cited 2013 Dec 10. Available from: http://www.psych.org/practice/ethics/resources-standards.