Implementation of preventive mental health services for children of physically ill parents: experiences in seven European countries and health care systems

作者：Kuehne Franziska; Haagen Miriam; Baldus Christiane; Diareme Stavroula; Grether Andrea; Schmitt Florence; Stanescu Dan; Stoeckl Margit; Thastum Mikael; Moeller Birgit; Romer Georg^*

来源：General Hospital Psychiatry, 2013, 35(2): 147-153.

DOI：10.1016/j.genhosppsych.2012.10.005

• Dissemination of innovation
• Implementation
• Child of impaired parents
• Family mental health
• Service development studies

Objective: Parental physical disease is a family issue, but families%26apos; minor children are seldom considered. The current study analyzed experiences with implementation of counseling for families with physically ill parents and minor children during a European multisite pilot project. %26lt;br%26gt;Method: Implementation protocols of seven European partner centers collaborating in a joint research project were analyzed by Mayring%26apos;s qualitative content analysis. Both an inductive approach and a deductive approach were chosen. Satisfaction of families and therapists was considered based on information from three partner centers. %26lt;br%26gt;Results: Satisfaction with counseling was rather high. Mentioned problems referred to aspects related to liaison partners, family-related aspects and physicians%26apos; concerns. Recommendations related to contacting families, liaising with other professions, implementing counseling together with a research project, and training. Results are integrated in the current dissemination literature. %26lt;br%26gt;Conclusion: Successful implementation was mostly determined by aspects of interdisciplinary cooperation and communication, perceived relative advantage and organizational premises. With regard to this kind of innovative child-centered family mental health services, top-down and bottom-up implementation strategies should be combined, and strategies of maintenance and sustainability should be considered from the very beginning.

• 出版日期2013-4