Bundesweite Befragung zur Versorgungssituation und -hindernissen von Kindern psychisch kranker Eltern aus Sicht der Erwachsenenpsychiatrie

Wlodarczyk, Olga; Pawils, Silke

doi:10.1055/s-0042-115824

Cited by 13 publications

(8 citation statements)

References 22 publications

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“…Taken together, parental mental illness, e.g., parental personality disorders such as BPD and the related changes in parenting behavior constitute an important factor in the intergenerational continuity of mental disorders besides genetic heritability of the individual diagnostic entities [ 36 , 40 ]. Thirty-eight percent of physicians in German psychiatric hospitals report their patients to exhibit deficits in parenting behavior and roughly every second physician considers children’s mental health at risk due to those deficits [ 41 ]. As approximately three million German children live in families with at least one mentally ill parent, there is a high number of parents who may require additional support in dealing with their parental role [ 42 ].…”

Section: Introductionmentioning

confidence: 99%

Parental Mental Illness, Borderline Personality Disorder, and Parenting Behavior: The Moderating Role of Social Support

Seeger

Neukel

Williams

et al. 2022

Curr Psychiatry Rep

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Purpose of Review Parental mental disorders, particularly borderline personality disorder (BPD), impair parenting behavior. Consequently, the children exhibit an elevated risk for psychopathology across their lifespan. Social support for parents is thought to moderate the relationship between parental mental illness and parenting behavior. It may dampen negative effects and serve as starting point for preventive interventions. This paper provides a literature overview regarding the impact of social support on the sequelae of parental mental illness and BPD for parenting behavior. Recent Findings Current literature highlights the increased burden of families with a mentally ill parent and associated changes in parenting behavior like increased hostility and affective dysregulation, especially in the context of parental BPD. Literature further demonstrates the powerful impact of social support in buffering such negative outcomes. The effect of social support seems to be moderated itself by further factors like socioeconomic status, gender, or characteristics of the social network. Summary Social support facilitates positive parenting in mentally ill parents and may be particularly important in parents with BPD. However, social support is embedded within a framework of influencing factors, which need consideration when interpreting scientific results.

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Section: Introductionmentioning

confidence: 99%

Parental Mental Illness, Borderline Personality Disorder, and Parenting Behavior: The Moderating Role of Social Support

Seeger

Neukel

Williams

et al. 2022

Curr Psychiatry Rep

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“…Personal attitudes like self-reported skills and knowledge, beliefs about job role, and perceptions of workplace support seem to have a notable impact in supporting a successful and sustainable implementation (11,(16)(17)(18)(19)(20). Furthermore, organizational factors, such as reporting systems, meeting structures, leadership and supervision, are closely associated with satisfaction with the implementation process (11,17,(19)(20)(21).…”

Section: Implementation Research For Interventions For Children Of Me...mentioning

confidence: 99%

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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“…Dies arbeiteten auch Franz et al 2012 [9] heraus, die Mehrheit der befragten Psychiater wusste, ob ihre Patienten Kinder haben, konnte differenzierte Fragen zur Lebenssituation der Kinder und deren Unterstützungsmöglichkeiten aber nicht beantworten. In dem Zusammenhang interessant ist die Studie mit einem konträren Ergebnis dazu von Wlodarczyk et al, die 2017 [17] in ihrer bundesweiten Befragung von Therapeuten zu dem Ergebnis kam, dass 81,4 % der Fachkräfte angaben, die Versorgungslage der Kinder während des stationären Aufenthalts der Eltern erhoben zu haben.…”

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Erfassung des familienmedizinischen Interventionsbedarfs durch eine direkte Befragung von Patienten mit einer psychischen Störung

2020

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Zusammenfassung Hintergrund Die Belastung von Familien psychisch Kranker, besonders von deren Kindern, wird in der Literatur wenig beleuchtet. Gerade die Versorgungssituation Minderjähriger während eines stationären Aufenthalts eines Elternteils und die damit verbundenen Sorgen der Eltern sind wenig erforscht. Anliegen Erfassung der Versorgungssituation von Kindern und des familiären Interventionsbedarfs stationär behandelter Eltern mit psychischer Erkrankung. Methodik Im Rahmen einer prospektiven Studie wurden 100 Patienten mit den Hauptdiagnosen affektive Störung, psychische und Verhaltensstörung durch psychotrope Substanzen und Persönlichkeitsstörung mittels eines standardisierten Interviews und Fragebogens näher untersucht. Ergebnisse In der Mehrheit der Fälle haben die behandelnden Psychiater kein Wissen über die Versorgungssituation der Kinder ihrer Patienten. Der Großteil der Patienten gibt Sorgen um die Versorgung der Kinder während ihres stationären Aufenthalts an und wünscht sich eine Verbesserung der Hilfsmaßnahmen seitens der Klinik. Schlussfolgerung Die Arzt-Patienten-Interaktion und Kommunikation sollte optimiert werden, damit Interventionsbedarfe gezielt erfasst und individuelle Hilfsmaßnahmen angeleitet werden können.

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Bundesweite Befragung zur Versorgungssituation und -hindernissen von Kindern psychisch kranker Eltern aus Sicht der Erwachsenenpsychiatrie

Cited by 13 publications

References 22 publications

Parental Mental Illness, Borderline Personality Disorder, and Parenting Behavior: The Moderating Role of Social Support

Parental Mental Illness, Borderline Personality Disorder, and Parenting Behavior: The Moderating Role of Social Support

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

Erfassung des familienmedizinischen Interventionsbedarfs durch eine direkte Befragung von Patienten mit einer psychischen Störung

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