IDEAS home Printed from
MyIDEAS: Log in (now much improved!) to save this article

Team leadership and patient outcomes in US psychiatric treatment settings

Listed author(s):
  • Wells, Rebecca
  • Jinnett, Kimberly
  • Alexander, Jeffrey
  • Lichtenstein, Richard
  • Liu, Dawei
  • Zazzali, James L.
Registered author(s):

    Previous studies suggest that psychiatric patients mirror the behaviors of the staff members who treat them, but there is little empirical evidence about how staff dynamics affect patients over time. The goals of this study were to examine associations between: (1) team leader discipline and mutual respect among treatment team members; and (2) mutual respect among team members and improvements in patient quality of life. Two models were tested on data from psychiatric treatment teams within the US Veterans Administration. The first examined associations between the discipline of each team's emergent leader and the level of mutual respect among that team's members. The second model tested associations between mutual respect among staff and changes over time in patients' quality of life. The subjects for model 1 were psychiatric staff members (n=785) whose responses were aggregated for team-level analyses (n=78). Mutual respect was highest in social worker-led teams and lowest in physician-led teams. The subjects for model 2 were 1638 seriously mentally ill patients in 44 of the units examined in the first model. When mutual respect among staff was greater, patients improved more over time in their satisfaction with the quality of their housing, relations with families, social life, and finances. Together, these analyses imply that mutual respect may improve patient outcomes and that leadership by some disciplines may facilitate such dynamics. In general, leaders may consider learning from other disciplines' strengths to improve their impact.

    If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.

    File URL:
    Download Restriction: Full text for ScienceDirect subscribers only

    As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 62 (2006)
    Issue (Month): 8 (April)
    Pages: 1840-1852

    in new window

    Handle: RePEc:eee:socmed:v:62:y:2006:i:8:p:1840-1852
    Contact details of provider: Web page:

    Order Information: Postal:

    References listed on IDEAS
    Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:

    in new window

    1. Lehman, Anthony F., 1988. "A quality of life interview for the chronically mentally ill," Evaluation and Program Planning, Elsevier, vol. 11(1), pages 51-62, January.
    2. Colombo, A. & Bendelow, G. & Fulford, B. & Williams, S., 2003. "Evaluating the influence of implicit models of mental disorder on processes of shared decision making within community-based multi-disciplinary teams," Social Science & Medicine, Elsevier, vol. 56(7), pages 1557-1570, April.
    3. Schmid, Ingrid K. & Svarstad, Bonnie L., 2002. "Nurse-physician communication and quality of drug use in Swedish nursing homes," Social Science & Medicine, Elsevier, vol. 54(12), pages 1767-1777, June.
    Full references (including those not matched with items on IDEAS)

    This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

    When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:62:y:2006:i:8:p:1840-1852. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Dana Niculescu)

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If references are entirely missing, you can add them using this form.

    If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    This information is provided to you by IDEAS at the Research Division of the Federal Reserve Bank of St. Louis using RePEc data.