Development of an Evidence-Informed and Codesigned Model of Support for Children of Parents With a Mental Illness- "It Takes a Village" Approach.
Development of an Evidence-Informed and Codesigned Model of Support for Children of Parents With a Mental Illness- "It Takes a Village" Approach.
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DOI：
10.3389/fpsyt.2021.806884
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发表时间：
2021
影响因子：
4.7
通讯作者：
Paul JL
中科院分区：
文献类型：
--
作者：
Goodyear M;Zechmeister-Koss I;Bauer A;Christiansen H;Glatz-Grugger M;Paul JL
向父母及其子女提供支持，以帮助处理精神疾病代际影响的循环，并减少对儿童的负面影响，这是公共精神卫生方面选择性预防办法的一个重点。然而，对于父母患有精神疾病的孩子来说，一个关键问题是在需要的时候缺乏获得早期干预和预防支持的机会。他们不容易被识别（直到他们自己出现严重的精神健康问题），也不容易获得必要的支持，以解决家庭中父母精神疾病的复杂相互作用。早期识别这些儿童存在重大障碍，特别是在精神卫生保健方面。此外，缺乏可能加强识别以及为这些家庭提供服务和支持的协作性护理。“需要一个村庄”项目旨在通过共同制定、实施和评价一种合作做法的方法来改善儿童的心理健康结果，这种做法涉及确定父母一方患有精神疾病的家庭，并建立一种服务模式，以促进奥地利以儿童为重点的支助网络。在这里，我们描述了“一个村庄”项目的服务提供方法的发展，该项目旨在通过增强现有服务系统和非正式支持来改进对这些儿童的识别和支持。本文描述了协同设计和其他实施策略的使用，应用于研究设置，目的是影响劳动力改革的可持续性，以实现持久的社会影响。结果突出了将循证成分、当地实践智慧和生活经验转化为奥地利蒂罗尔“全村”实践模式所涉及的步骤。我们通过这篇论文强调，在重新设计满足父母患有精神疾病的儿童的复杂需求的护理模式时，区域特定情境的解决方案是至关重要的。与当地和经验丰富的利益攸关方共同制定服务体系和政策，对于确保解决方案为实施做好准备也至关重要，特别是在引入依赖于组织变革的新实践模式和针对弱势家庭的新实践方式时。这也为评价奥地利对父母患有精神疾病的子女采取的“全村行动”办法奠定了坚实的基础。
Providing support to parents and their children to help address the cycle of intergenerational impacts of mental illness and reduce the negative consequences for children is a key focus of selective prevention approaches in public mental health. However, a key issue for children of parents with a mental illness is the lack of access to early intervention and prevention support when needed. They are not easily identifiable (until presenting with significant mental health issues of their own) and not easily accessing the necessary support that address the complex interplay of parental mental illness within families. There are significant barriers to the early identification of these children, particularly for mental health care. Furthermore, there is a lack of collaborative care that might enhance identification as well as offer services and support for these families. The “It takes a Village” project seeks to improve mental health outcomes for children through the co-development, implementation and evaluation of an approach to collaborative practice concerned with the identification of families where a parent has a mental illness, and establishing a service model to promote child-focused support networks in Austria. Here we describe the development of service delivery approach for the “It takes a Village” project that aims to improve identification and support of these children within enhancements of the existing service systems and informal supports. The paper describes the use of codesign and other implementation strategies, applied to a research setting, with the aim of impacting the sustainability of workforce reform to achieve lasting social impact. Results highlight the steps involved in translating evidence-based components, local practice wisdom and lived experience into the “It takes a Village” practice model for Tyrol, Austria. We highlight through this paper how regional context-specific solutions are essential in the redesign of care models that meet the complex needs of children of parents with a mental illness. Service system and policy formation with local and experienced stakeholders are also vital to ensure the solutions are implementation-ready, particularly when introducing new practice models that rely on organizational change and new ways of practice with vulnerable families. This also creates a solid foundation for the evaluation of the “It take a Village” approach for children of parents with a mental illness in Austria.
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影响因子：
--
作者：
Bird M;McGillion M;Chambers EM;Dix J;Fajardo CJ;Gilmour M;Levesque K;Lim A;Mierdel S;Ouellette C;Polanski AN;Reaume SV;Whitmore C;Carter N
通讯作者：
Carter N
影响因子：
0.7
作者：
Falkov, Adrian;Goodyear, Melinda;Re, Edoardo
通讯作者：
Re, Edoardo
影响因子：
5.6
作者：
Foster, Kim;Goodyear, Melinda;Nicholson, Joanne
通讯作者：
Nicholson, Joanne
影响因子：
3.6
作者：
Allchin, Becca;O'Hanlon, Brendan;Goodyear, Melinda
通讯作者：
Goodyear, Melinda
影响因子：
2.7
作者：
Allchin, Becca;Goodyear, Melinda;Weimand, Bente M.
通讯作者：
Weimand, Bente M.