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Wayne Dailey juggles numerous roles
(July 2006 Issue)

There is no rule that you have to follow convention. In fact, life can be much more interesting if you don't.

For instance, instead of seeing patients, a licensed clinical psychologist could be a consultant, conduct research, write pieces on terrorism and the consequences of disaster or be on the faculty at Yale.

Connecticut's Wayne Dailey, Ph.D., does all of these things. And, he does them all as a side to a full-time job that alone would normally take two people to fulfill.

In a unique, dual role for the Connecticut Department of Mental Health and Addiction Services (DMHAS), Dailey is the department's public information officer/ spokesperson and senior policy advisor to the commissioner and deputy commissioner. He is also an assistant clinical professor in the department of psychology at Yale University's School of Medicine, supervising post-doctoral fellows. And, he has a small practice as a consultant.

With a CV that reads like a diverse menu, Dailey also has extensive involvement in planning, establishing and evaluating mental health programs and service systems at the local, regional and statewide levels. He is active in the state's preparedness planning for disaster response, serving as a member of the leadership team responsible for organizing Connecticut's behavioral health response to major disasters and to terrorism. It's an area where he's developed an expertise and he has presented at the 2005 APA Convention on developing disaster responses.

Dailey took a break from his many roles to speak with New England Psychologist's Catherine Robertson Souter about his work and how he's juggled so many roles.

Q: Neither of the positions you hold at DMHAS requires a degree in psychology. How did you get into this line of work?
A: No, it's not a requirement to be a psychologist but it certainly puts me in a position of understanding many of the issues that come up in mental health. The position of spokesperson was filled by a non-psychologist before me and when that person needed to get questions answered that had subject matter content, someone else had to step in and take care of it. The advantage of having me do it was that I could, in many cases, answer the questions.

It's unique, how I got into this job. Albert Solnit, M.D., the commissioner of mental health and addiction services back in 1997 asked me if I would be willing to take on the job as spokesperson since the public information officer was retiring. I was already acting as policy advisor. He asked me if I would cover it for three weeks while they recruited for a new person. That was nine years ago. Those three weeks kind of stretched out a bit.

Q: A spokesperson would mainly deal with media inquiries. What does a senior policy advisor do?
A: I do a lot of writing on various policy matters and develop position statements for the department. For instance, recently the legislature specified a task force should be formed to assess the feasibility of using Medicaid dollars to support community placements for people with serious mental illness who are in nursing homes and I provided the staff assistance to the task force. I wrote the feasibility study and performed the cost analysis.

Q: How do you divide your time within the job?
A: It runs in fits and starts. The media side is based on demand. When media-related inquiries are greater, I will devote a majority of my time to that. The remainder of the time I spend on policy-related issues. For instance, last week we had a busy media week. There was a neighborhood outcry about the placement of an addictions services support residence, NIMBY issues. When something like that is going on you are busy on that side.

Q: Do you prefer either job?
A: I actually like both because it gives me a lot of diversity in my work activities. Things never become boring. I find it more stimulating and more fun professionally to have lots of different kinds of things to be working on at the same time.

Q: What do you bring to these roles as a psychologist?
A: You don't often see a psychologist serving as a public information officer but it's a way of decreasing the distance between the audience and the information source. I don't have to go to other people to get the information that I need or if I do, it's not about the subject matter; it's more about certain details. I can talk about the concept being addressed by a treatment program, for instance. It's useful to understand human nature and motivation. A big part of my job is to turn ideas into things that can be broadly understood and used to reach a wide range of audiences.

Q: What are you working on now?
A: At DMHAS, we are working on building a recovery-oriented system in Connecticut and being able to talk about that is an important part of what I'm involved in. We are doing a lot of retraining of our work force in recovery concepts. The former system was more oriented toward symptom reduction and this is more towards rehabilitation and support of people for community living. But, it's even more than just community-based care - a lot of that is focused on reducing symptoms so that they can function better in the community. Our orientation really focuses on helping people regain a meaningful and constructive sense of community.

Q: In addition to your work at DMHAS, you have become somewhat of an expert on disaster response.
A: After Sept. 11, 2001, Connecticut recognized the need to expand its capability to respond to the disaster behavioral health needs of its citizens. The federal government also recognized the need and provided funding to eight states plus the District of Columbia where a majority of families of victims lived to help enhance their disaster behavioral health capabilities.

At that time, we had to figure out what was needed where we had different population groups that needed attention. We recognized that their service needs would change over time and that what they would need would change over time. So we had preparedness and response and recovery phases to think about.

Q: How did you become an expert in this area?
A: In some cases it's been from research I've done and other times I've worked with people who are doing large areas of development. I've brought together the work and accomplishments and the thinking of scores of people and put those together in presentations that Commissioner Kirk and I have made at national meetings.

For instance, right now I'm heading to a meeting on risk communication regarding pandemic flu. My role is to think about the behavioral health and mental health implications of dealing with avian flu or pandemic flu. How do we prepare ourselves and how do we improve our resilience in coping? It's a pretty big challenge but we are developing information that will improve public awareness and help people think about ways to protect themselves and their families and also do things that are pro-social. It's important that people recognize that they can help their community while they help themselves to respond and recover from major disasters.

One of the big things is that we see disaster behavioral health as both helping people in natural disasters and as serving as a counter measure to terrorism because terrorism is designed to create a lack of confidence in society and government. By helping people in communities to cope and recover more quickly it helps to defeat the purpose of terrorism.