Boston University Sargent College of Health & Rehabilitation Sciences
Center for Psychiatric Rehabilitation

Boston University Sargent College of Health & Rehabilitation Sciences
Center for Psychiatric Rehabilitation

Principled Leadership in Mental Health Systems and Programs

William A. Anthony and Kevin Ann Huckshorn

Book (PDF)


Was: $59.95

Principled Leadership in Mental Health Systems and Programs

William A. Anthony and Kevin Ann Huckshorn


Was: $59.95


As we mourn the passing of our Center’s founder and tremendous leader in the mental health field, we would like to pay tribute to Bill Anthony by offering this book as a free PDF download.

Recommended for educators, directors, managers, or anyone interested in becoming a leader or improving his/her leadership skills. Valuable resource for staff development, classroom use, and leadership training.


Why do some organizations prosper while others deteriorate? Why do some flourish during a period of change while others calcify? Why do some, previously known for their mediocrity, become exemplary?

While there have been many attempts to answer these questions in the corporate, for-profit world, Anthony and Huckshorn set out to find out what makes a difference in the world of mental health. More specifically, they wanted to learn how mental health organizations become successful and responsive systems of care that are recovery oriented, consumer centered, and non-coercive.

To this end, Anthony and Huckshorn interviewed leaders at all levels in the mental health field who have shown the ability to transform their organizations—Federal administrators, commissioners, agency directors, program managers. What they found is that big or small, public or private, and independent of professional discipline—it’s the quality and effectiveness of its leadership that fuels a successful organization.

From their extensive interviews with these exemplary leaders, Anthony and Huckshorn advance eight leadership principles and accompanying tasks that they found to be critical for effective leadership. They contend that staff at all levels can become the “CEO” in their own spheres of influence, and they provide the template for doing so. While Anthony and Huckshorn focus specifically on the field of mental health, the principles advanced in Principled Leadership are relevant and critical to effective leadership in all organizations.

Citation: Anthony, W. A., & Huckshorn, K. A. (2008). Principled leadership in mental health systems and programs. Boston, MA: Boston University Center for Psychiatric Rehabilitation.

Product Details

PDF file: 272 pages
Published: 2008
ISBN: 978-1-878512-22-2

Companion Product

Principled Leadership In Mental Health Systems and Programs: A Guide for Teachers and Trainers
by R. Scott Graham

Commissioned by the National Association of State Mental Health Program Directors, with funding provided by the Substance Abuse and Mental Health Services Administration, Center for Mental Health Services (SAMHSA/CMHS).

The Principled Leadership Guide is particularly useful for teachers, trainers, or directors who are using multiple copies ofPrincipled Leadership and wish to have additional lecture or reading material and assignments.

Free download in PDF format available.

Table of Contents

Principle 1: Leaders communicate a shared vision.
Principle 2: Leaders centralize by mission and decentralize by operations.
Principle 3: Leaders create an organizational culture that identifies and tries to live by key values.
Principle 4: Leaders create an organizational structure and culture that empowers their employees and themselves.
Principle 5: Leaders ensure that staff are trained in a human technology that can translate vision into reality.
Principle 6: Leaders relate constructively to employees.
Principle 7: Leaders access and use information to make change a constant ingredient of their organization.
Principle 8: Leaders build their organization around exemplary performers.


William Anthony

William A. Anthony, PhD

Dr. Anthony retired as the Executive Director of Boston University’s Center for Psychiatric Rehabilitation and professor in the University’s College of Health and Rehabilitation Sciences. For over 40 years, Dr. Anthony worked in various roles in the field of mental health and psychiatric rehabilitation and was honored for his performance as a researcher, an educator, and a clinician. He was the co-editor of the Psychiatric Rehabilitation Journal. In 1988, Anthony received the Distinguished Services Award from the National Alliance on Mental Illness; and in 1992, he received the Distinguished Service Award from the President of the United States for his efforts “promoting the dignity, equality, independence, and employment of people with disabilities.” Dr. Anthony has appeared on ABC’s “Nightline,” which featured a rehabilitation program developed and implemented by Boston University’s Center for Psychiatric Rehabilitation. He has authored over 100 articles in professional journals, 16 textbooks, and several dozen book chapters.

Kevin Ann Huckshorn photo

Kevin Ann Huckshorn, RN, MSN, CSP, ICDC

Ms. Huckshorn is director of the Office of Technical Assistance for the National Association for State Mental Health Program Directors (NASMHPD) and the National Coordinating Center for Seclusion and Restraint Reduction. She is a licensed and certified mental health nurse and substance abuse clinician with practical knowledge from 25 years of professional frontline experience working in a variety of public and private mental health organizations and substance abuse programs. Ms. Huckshorn is a frequent speaker at national conferences related to behavior health and also works internationally on such issues as the prevention of violence and the use of seclusion and restraint in mental health settings. She is currently in the dissertation phase of her doctoral program; has published articles on violence, treatment adherence, and workforce development; and serves on the editorial boards of three U.S. peer-reviewed mental health journals.


Click here to read a review from
Van Horn, R. (2009). Book Review: Principled leadership in mental health systems and programs.

Click here to read a review from the Psychiatric Services Journal.
Hogan, M. F., (2009). Book Review: Principled leadership in mental health systems and programs. Psychiatric Services, (60)5, 709-710.

Click here to read a review from the Psychiatric Rehabilitation Journal.
Zipple, A. M. (2009). Book Review: Principled leadership in mental health systems and programs. Psychiatric Rehabilitation Journal, (34)4, 134-135.

Click here for a review from the Behavioral Healthcare Journal
McAlarney, B. P. (2008). Emphasizing ‘principled leadership.’ A new book says well-trained leaders are key to creating recovery-based systems. Behavioral Healthcare Journal, 28(8), 29-30.

…A must read for current and future leaders in our field, regardless of professional background or clinical perspective. Rich with both theoretical concepts and practical advice, it should be on the shelf of every mental health leader and administrator….
Steven Sharfstein, MD, President and CEO, Sheppard Pratt Health System; Clinical Professor and Vice-Chair of Psychiatry, University of Maryland; Past President, American Psychiatric Association

…Challenge[s] us to move away from “command and control” and instead to embrace a style of leadership that reflects our own authenticity of values. With works such as this one, perhaps transforming mental health leadership is indeed possible after all.
Gail P. Hutchings, MPA, President and CEO, Behavioral Health Policy Collaborative; Former Chief of Staff, Substance Abuse and Mental Health Services Administration, U.S. Dept of Health and Human Services

…Real world vignettes from well-known and respected leaders in the field provide a rich and interesting read on a subject that often is presented only theoretically…Puts to rest the myth that effective, successful leadership is based on genes, luck, or financial resources.
Robert W. Glover, PhD, Executive Director, National Association of State Mental Health Program Directors (NASMHPD)

…A marvelous book. Although targeted at mental health professionals, its main messages apply to any organization. It can be read profitably by students of management anywhere.
Zvi Bodie, PhD, Norman and Adele Barron Professor of Management, Boston University School of Management

…Compels current leaders to think about what they are doing well and what they should consider changing…Should be required reading for leaders and students of leadership who wish to transition from clinical roles into leadership roles.
Aaron Groves, MD, Director of Mental Health, Queensland Health, Australia

…Sound advice to help leaders in our field achieve success in what is, without question, a most difficult leadership challenge.
Miles F. Shore, MD, Bullard Professor of Psychiatry, Harvard Medical School; Visiting Scholar, Kennedy School of Government

…From the void of research on mental health leadership, emerges a wonderful book by two experienced leaders…While clearly based on U.S. experiences, it has significant value internationally.
Fran Silvestri, Director, International Initiative for Mental Health Leadership, New Zealand