Chapter 42 covers the topic of rapid eye movement sleep (REM) sleep behaviour disorder. Through a case vignette with topical MCQs for consolidation of learning, readers are brought through the management of patients with the above disorder from first presentation to subsequent complications of the condition and its treatment. Topics covered include diagnosis, differential diagnoses, restless leg syndrome, stages of sleep.

Chapter 24 covers the topic of autism spectrum disorder (ASD) and intellectual developmental disorder. Through a case vignette with topical MCQs for consolidation of learning, readers are brought through the diagnosis to management of a patient with ASD. Topics covered include symptoms and diagnosis of autism, Asperger’s syndrome, common co-morbidities, intellectual developmental disorder, risk factors, pharmacological and non-pharamacological management of autism.

Chapter 13 covers the topic of trichotillomania and excoriation disorder. Through a case vignette with topical MCQs for consolidation of learning, readers are brought through the diagnosis and treatment of a patient with trichotillomania and excoriation disorder. topics covered inlcude diagnosis, co-morbidities and management.

Chapter 12 covers the topic of body dysmorphic disorder. Through a case vignette with topical MCQs for consolidation of learning, readers are brought through the diagnosis and treatment of a patient with body dysmorphic disorder. topics covered inlcude diagnosis, differential diagnoses, co-morbidities, risk assesment and management.

Chapter 14 covers the topic of hoarding disorder. Through a case vignette with topical MCQs for consolidation of learning, readers are brought through the diagnosis and treatment of a patient with hoarding disorder. Topics covered include diagnosis, risk factors, etiology, pharmacological and non-pharmacological management of hoarding disorder.

Critical to successful engagement in any organisation is an understanding of the important elements affecting good communication. There are many dimensions to the study of communication in the 21st century, both generally and in health service settings, in the 21st century. This chapter considers the foundational concepts, with references to help students discover more about communication in organisational, social and cultural settings. Many believe that even the definition of communication is worth questioning. As a notion it is so discursive and diverse that any definition other than the simplest becomes so complex as to cease being useful.

The advent of the digital age has brought about significant changes in how information is created, disseminated and consumed. Recent developments in the use of big data and artificial intelligence (AI) have brought all things digital into sharp focus. Big data and AI have played pivotal roles in shaping the digital landscape. The term ‘big data’ describes the vast amounts of structured and unstructured data generated every day. Advanced analytics on big data enable businesses and organisations to extract valuable insights, make informed decisions and enhance various processes. AI, on the other hand, has brought about a paradigm shift in how machines learn, reason and perform tasks traditionally associated with human intelligence. Machine-learning algorithms, a subset of AI, process vast datasets to identify patterns and make predictions. This has applications across diverse fields, including health care, finance, marketing and more. The combination of big data and AI has fuelled advancements in areas such as personalised recommendations, predictive analytics and automation in all aspects of our day-to-day lives.

Managers and leaders need to critically analyse their own thinking and decision-making processes so they can objectively evaluate the problems and issues they face every day. To do this they need to understand their personal preferences, prejudices, values and cultural beliefs, and their motivations and desires. It is also important for them to understand how these factors shape the biases managers and leaders take to decision-making. To achieve success, they require the ability to analyse, synthesise and evaluate material, and to assemble their thoughts in a logical argument.

The financial management of healthcare organisations is a key management responsibility for both public and private facilities. While this responsibility has always been important, it is becoming increasingly more so, with the rising costs of healthcare provision due to advances in technology and rising rates of chronic disease and ageing populations. The responsible use and management of scarce healthcare resources requires knowledge and information. The accounting process provides the necessary information to develop and monitor a budget. However, it is the financial management of the budget and associated activity levels that provide the necessary framework to ensure budget integrity and financial governance.

Effective strategic planning, implementation and management drive organisational performance. Healthcare managers have recognised the increasing importance of strategic planning and management as the healthcare industry has become more dynamic and complex. However, development of feasible strategy can be difficult, and implementation of even well-developed strategy is often challenging. This has become increasingly complex as healthcare organisations aim to implement triple bottom-line (TBL) reporting to better ensure sustainability. This chapter provides advice on leading and improving strategic planning and management for sustainability in health-service organisations.

Reflection is an action in which we step back and take another look. It is not a new concept in the health sciences. Contemporary conceptions of reflective practice are underpinned by the classic works of John Dewey, Carl Rogers and Donald Schön. Nowadays, reflection is considered one of the core components of healthcare education and is evident in the governing codes and guidelines underpinning professional practice in many health disciplines in Australasia. References to reflection appear in the health disciplines’ code of professional practice or code of conduct. Effective and purposeful reflection is seen to be a core component of proficiency and continuing professional development. Despite this, students, practitioners and healthcare leaders often find reflection – and critical reflective practice – challenging.

Intense debate surrounds the differences between the roles, functions and even the differences between leaders and managers. Leadership is not wholly different from management; indeed, it is a component of management and a responsibility of management, especially of senior managers. Effective managers need to be effective leaders, and the most effective leaders are also good managers.

Negotiation is important for healthcare managers. In the past, negotiation was largely conducted face-to-face but that changed during the COVID-19 pandemic. Many negotiations are now conducted virtually over videoconferencing platforms such as MS Teams. This chapter introduces negotiating that can assist readers to develop their skills for use in personal and professional negotiations.

Leadership is an elusive concept. Key authors cannot agree on the characteristics of leaders, but all agree that leadership is about relationships and evolves over time. For example, Rost and Barker state that ‘leadership is an influence relationship among leaders and followers who intend real changes and outcomes that reflect a shared purpose’. Meanwhile, Landsdale suggests that ‘effective leaders enable people to move in the same direction, toward the same destinations, at the same speed, but not because they have been forced to, but because they want to’. This raises the question of how we get people to want to go in the same direction and at the same pace. In the health services, this is particularly challenging because of the multidisciplinary nature of the key stakeholders. It requires appropriate leadership of interprofessional teams.

Understanding, managing and building positive culture within a workplace are key responsibilities of leadership and management. This chapter outlines what workplace culture is, the effects of poor culture on an organisation and what managers can do to improve workplace culture. the Austrian American management theorist Peter Drucker once famously said, ‘Culture eats strategy over breakfast’. This might seem implausible, because there is an expectation that healthcare managers plan, set out, implement and then evaluate strategy. Drucker’s point is that unless there is a positive workplace culture, seeing a strategy move to successful implementation and adoption is very difficult, sometimes impossible.

Workforce planning in the healthcare system continues to be a politically charged issue in many countries due to the continuing shortage of various health professional groups and the subsequent costs and liabilities to governments hoping to generate improvements and efficiencies. In 2016, the World Health Organization (WHO) released the Global strategy on human resources for health: Workforce 2030, whose overall goal was to improve health, social and economic development outcomes by ensuring universal availability, accessibility, acceptability, coverage and quality of the health workforce, through adequate investment to strengthen health systems and the implementation of effective policies at national, regional and global levels. The Strategy reaffirms the importance of the WHO Global Code of Practice on the International Recruitment of Health Personnel, which recommends countries, including Australia and Aotearoa New Zealand, aim for workforce self-sufficiency with regard to workforce-planning.

This chapter outlines the importance of partnering with stakeholders for quality health service management and delivery, and highlights common patterns driving partnership-based public policy. It introduces concepts associated with partnering in health services, defines key terms and discusses necessary managerial skills or competencies needed to engage with stakeholders and implement partnership-based policy. The interests of key health-sector stakeholders are discussed and important steps are outlined for managers undertaking stakeholder analyses. Finally, the chapter explores essential factors for successful partnerships and the competencies managers need to successfully develop and maintain stakeholder partnerships.

Matching available health resources to consumer needs is challenging. Governments and health bureaucracies with finite resources face increasing demands from their client populations, which often have complex health issues. No country prioritises resources to meet every single health need of every citizen; consequently, effective health service planning is critical to maximising population health outcomes and ensuring value for the available money. Due to the inherent contradictions existing between the high demand for and the limited responsive supply capacity by health services, health service planning is often characterised by negotiation, lobbying and compromise among various interest groups. A consensus can best be achieved if stakeholders agree upon a set of core values, and all involved in the process endorse principles and the procedures of planning. This chapter focuses on the practice of health service planning.