Screening zur frühen Identifizierung des psychosozialen Unterstützungsbedarfs bei Kindern psychisch erkrankter Eltern

Holl, Anna Katharina; Bentz, Lea; Calvano, Claudia; Winter, Sibylle

doi:10.1007/s00278-021-00561-y

Cited by 3 publications

(4 citation statements)

References 20 publications

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“…Here, the 18 participating adult psychiatric clinics were assigned to intervention or control groups on a cluster-randomized basis. The intervention clinics were supported by three implementation projects (7): a) establishing screening instruments to identify affected families (21); b) training clinical professionals to strengthen attitudes, knowledge and skills (22); and c) providing information to gatekeepers (current study).…”

Section: Methodsmentioning

confidence: 99%

Outpatient referrers as a pathway to care for a new family-centered health intervention in psychiatric clinics and how to reach them: Evaluation of an implementation strategy

Kaczmarek,

Laser,

Wiegand-Grefe

et al. 2024

Preprint

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Background The implementation of evidence-based research results in clinical practice is hampered by various obstacles. One of these barriers is the dissemination of information about the provision of new interventions. Using the example of the new CHIMPS-NET (Children of Mentally Ill Parents), a family-centered intervention in German psychiatric clinics, the referral criteria, information dissemination and accessibility of outpatient specialists involved in the access and referral process (gatekeeping) are evaluated. Methods We identified all outpatient general and specialist practices (n = 2828) in the regional care areas of the psychiatric specialist clinics that provided the new CHIMPS-NET form of care. Practices in the intervention group (n = 946) received information about the new intervention, while practices in the control group (n = 1882) did not. Before and after the information was sent postal, all participants were asked about their knowledge of family-centered intervention and its importance for the vulnerable target group of children of mentally ill parents by means of a questionnaire at intervals of three months. Results Regardless of group affiliation, reaching out to gatekeepers had no influence on knowledge of a new form of care, such as the CHIMPS-NET. The allocation criteria and prevalence estimates for the vulnerable target group have not changed either. However, awareness of family-centered health interventions increased fourfold if the gatekeeper had a psychological professional background. Conclusion Following the PRISM implementation framework, three barriers were identified in the provision of information gatekeepers in outpatient care: 1) the external environment, 2) the perspective of patients and gatekeepers and 3) the perspective of recipients. The postal intervention was not effective at communicating information or reaching outpatient referrers. Knowledge of family-centered health interventions was four times higher among the group of specialists and therapists with a psychological background. We therefore suggest that general (somatic) practitioners, who make up most of the gatekeeper population, need to be approached more intensively than psychologically trained professionals. It is also recommended that clinics address their regional care sector more intensively and directly.

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Section: Methodsmentioning

confidence: 99%

Outpatient referrers as a pathway to care for a new family-centered health intervention in psychiatric clinics and how to reach them: Evaluation of an implementation strategy

Kaczmarek,

Laser,

Wiegand-Grefe

et al. 2024

Preprint

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“…Process implementation incorporates new procedures into an organization, and performance implementation provides content and tools to practitioners, so that new procedures and processes have functional components for change. Ci-chimps belongs to the performance implementations by giving the clinical centers new tools like the screening ( 15 ).…”

Section: Introductionmentioning

confidence: 99%

“…The first questionnaire called “Children-Screening” ( 15 ) was developed specifically for children of mentally ill parents and piloted in the clinic for child and adolescent psychiatry of Charité. It records in short all potential mental health problems of a child.…”

Section: Introductionmentioning

confidence: 99%

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Clinical Implementation and Evaluation of Three Implementation Interventions for a Family-Oriented Care for Children of Mentally Ill Parents (ci-chimps): Study Protocol for a Randomized Controlled Multicenter Trial

et al. 2022

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BackgroundIn Germany, approximately three million children under the age of eighteen have a mentally ill parent. These children are at an increased risk of developing a mental illness themselves (1) as well as a physical illness (2). While research has identified numerous evidence-based family-oriented interventions, little is known about how to implement such interventions effectively and efficiently in clinical practice in Germany. This implementation study (ci-chimps) evaluates three clinical implementation projects with three different implementation interventions for the optimal implementation of the tailored family-oriented preventive and therapeutic interventions in the CHIMPS-NET (children of mentally ill parents—research network) with an implementation model for children of mentally ill parents.MethodsA two-group randomized controlled multicenter trial will examine changes in family-oriented practice and aspects of implementation at baseline as well as at 12- and 24-months follow-up. The CHIMPS-Network consists of 20 clinical centers. The centers in the intervention group receive the support of all of the three implementation interventions: (1) optimal pathways to care, (2) education and a training program for professionals, and (3) systematic screening for children. The centers in the control group do not receive this specific implementation support.DiscussionWhile we know that children of mentally ill parents are an important target group to be addressed by preventive and therapeutic interventions, there is often a lack of structured implementation of family-oriented interventions in clinical practice in Germany. Using a randomized controlled multicenter trial design with a large and wide-ranging sample (clinics for adult psychiatry and clinics for child and adolescent psychiatry, university clinics and clinics at the real health care) will provide a robust understanding of implementing family-oriented changes in German clinical practice.Trial RegistrationThe CHIMPS-NET-study was registered with the German Clinical Trials Register on 2019-12-19 (DRKS00020380) and with Clinical Trials on 2020-4-30 (NCT04369625), the ci-chimps-study was registered with the German Clinical Trials Register (DRKS00026217) on 2021-08-27, the Clinical Trials registration is in review process.

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Möglichkeiten der Diagnostik bei Verdachtsfällen von Emotionaler Gewalt – Darstellung der interdisziplinären Perspektive einer Kinderschutzambulanz

Bentz,

Mantilla,

Winter

2024

Praxis der Kinderpsychologie und Kinderpsychiatrie

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Screening zur frühen Identifizierung des psychosozialen Unterstützungsbedarfs bei Kindern psychisch erkrankter Eltern

Cited by 3 publications

References 20 publications

Outpatient referrers as a pathway to care for a new family-centered health intervention in psychiatric clinics and how to reach them: Evaluation of an implementation strategy

Outpatient referrers as a pathway to care for a new family-centered health intervention in psychiatric clinics and how to reach them: Evaluation of an implementation strategy

Clinical Implementation and Evaluation of Three Implementation Interventions for a Family-Oriented Care for Children of Mentally Ill Parents (ci-chimps): Study Protocol for a Randomized Controlled Multicenter Trial

Möglichkeiten der Diagnostik bei Verdachtsfällen von Emotionaler Gewalt – Darstellung der interdisziplinären Perspektive einer Kinderschutzambulanz

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