A systems approach to enhance global efforts to implement family-focused mental health interventions
A systems approach to enhance global efforts to implement family-focused mental health interventions
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DOI：
10.1080/0145935x.2016.1104104
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发表时间：
2016-01-01
影响因子：
0.7
通讯作者：
Re, Edoardo
中科院分区：
文献类型：
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作者：
Falkov, Adrian;Goodyear, Melinda;Re, Edoardo
本文承认了过去20年来在解决父母患有精神疾病的儿童的心理健康代际风险方面取得的进展（copmi -父母患有精神疾病的儿童和fapmi -父母患有精神疾病的家庭），并强调了实施证据知情的以家庭为中心的干预措施的持续挑战。挑战包括个人、区域和跨国服务系统层面的实践差异以及实施科学与实践之间的差距。本文通过描述来自世界各地的关键系统方法和实现策略来解决这一差距，以说明可变性和共同主题。提出了一种多方面的综合系统方法作为前进的方向。从针对其他弱势群体的倡议、专业知识和证据中获得的经验和经验以及成功的变革实施将加强现有的（COPMI/FaPMI）努力，促进系统变革，改善世界各地这些儿童和家庭的生活和未来。
This paper acknowledges progress over the last 20 years in addressing intergenerational risks to the mental health of children whose parents experience mental illness (COPMI-Children of Parents with a Mental Illness and FaPMI-Families Where a Parent Has a Mental Illness) and emphasises ongoing challenges to implement evidence informed family focused interventions. Challenges include variability in practice at individual, regional, and cross-national service system levels and the gap between implementation science and practice. This article begins to address this gap with descriptions of key systems approaches and implementation strategies from around the world to illustrate variability and common themes. A multifaceted, integrated systems approach is proposed as a way forward. Learnings and experience from initiatives, expertise and evidence targeting other vulnerable groups and successful change implementation will enhance existing (COPMI/FaPMI) efforts to facilitate systems change and improve the lives and futures of these children and families around the world.