A1 Refereed original research article in a scientific journal

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




AuthorsKuehne F, Haagen M, Baldus C, Diareme S, Grether A, Schmitt F, Stanescu D, Stoeckl M, Thastum M, Moeller B, Romer G

PublisherELSEVIER SCIENCE INC

Publishing placeNEW YORK; 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA

Publication year2013

JournalGeneral Hospital Psychiatry

Journal name in sourceGeneral hospital psychiatry

Journal acronymGen.Hosp.Psychiatry

Number in series2

Volume35

Issue2

First page 147

Last page153

Number of pages7

ISSN0163-8343

DOIhttps://doi.org/10.1016/j.genhosppsych.2012.10.005


Abstract
Objective: Parental physical disease is a family issue, but families' 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. Method: Implementation protocols of seven European partner centers collaborating in a joint research project were analyzed by Mayring'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. Results: Satisfaction with counseling was rather high. Mentioned problems referred to aspects related to liaison partners, family-related aspects and physicians' 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. 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. (C) 2013 Elsevier Inc. All rights reserved.



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