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

Kühne, Franziska; Haagen, Miriam; Baldus, Christiane; Diareme, Stavroula; Grether, Andrea; Schmitt, F.; Stănescu, Dan Florin; Stöckl, Margit; Thastum, Mikael; Möller, Birgit; Romer, Georg

doi:10.1016/j.genhosppsych.2012.10.005

Cited by 4 publications

(15 citation statements)

References 31 publications

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“…We identified eight interventions involving parents and children [ 15 , 27 – 44 ], seven child-centred interventions [ 16 , 18 , 45 – 49 ] and four interventions mainly focussing on working with parents [ 13 , 50 – 58 ]. The major part of the interventions was conducted in the USA or in Europe.…”

Section: Resultsmentioning

confidence: 99%

“…Interventions mainly aimed at improving the communication between family members [ 29 , 31 , 33 – 36 , 39 , 42 – 44 , 47 , 50 , 53 ] and at supporting children’s adjustment to and understanding of cancer [ 13 , 15 , 18 , 32 – 36 , 39 , 43 – 49 , 52 , 54 – 57 ] ( Table 1 ). Interventions were conducted in order to support children and families in their coping strategies [ 15 , 18 , 32 – 36 , 47 , 48 , 53 ] and to reassure parents in their parenting skills [ 13 , 33 – 38 , 41 , 43 , 44 , 52 , 53 ]. Other aims were to improve the attachment of children and parents [ 38 , 51 ], to improve parental mood [ 13 , 39 , 50 , 52 ] or to support grieving processes [ 31 , 33 – 36 , 40 , 43 , 44 , 54 – …”

Section: Resultsmentioning

confidence: 99%

“…Interventions were conducted in order to support children and families in their coping strategies [ 15 , 18 , 32 – 36 , 47 , 48 , 53 ] and to reassure parents in their parenting skills [ 13 , 33 – 38 , 41 , 43 , 44 , 52 , 53 ]. Other aims were to improve the attachment of children and parents [ 38 , 51 ], to improve parental mood [ 13 , 39 , 50 , 52 ] or to support grieving processes [ 31 , 33 – 36 , 40 , 43 , 44 , 54 – 57 ].…”

Section: Resultsmentioning

confidence: 99%

“…Firstly, studies reported about practical difficulties for the families. Due to treatment and other obligations [ 13 , 44 , 53 ] parents had little time and therefore difficulties to commit to regular sessions. Moreover, living too far from the location of the intervention prevented families from using psychosocial support [ 41 , 48 ].…”

Section: Resultsmentioning

confidence: 99%

“…Another study suggested that families may fear psychosocial support as an inference with their own coping [ 41 ]. Fear of stigma can also be a barrier for using psychosocial support [ 34 , 38 , 41 , 44 ]. Families may have prejudices towards psychiatry [ 41 ] or mistrust psychosocial support services [ 29 , 30 ].…”

Section: Resultsmentioning

confidence: 99%

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Psychosocial Interventions for Families with Parental Cancer and Barriers and Facilitators to Implementation and Use – A Systematic Review

et al. 2016

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BackgroundParental cancer has a significant impact on minor children and families. Psychosocial interventions for affected families can provide support where necessary. This systematic review aims at providing an overview of existing interventions and support programs and focuses on the systematic investigation of barriers and facilitators for using psychosocial interventions for families affected by parental cancer (PROSPERO; registration number CRD42014013020).MethodsA search of five electronic databases (EMBASE, MEDLINE, PsycInfo, Psyndex, CINAHL) was conducted in June 2014, and updated in September 2015. We included any kind of studies reporting psychosocial support services or interventions for families affected by parental cancer. Study quality was assessed using the Mixed Method Assessment Tool. Narrative synthesis and thematic analyses were undertaken to examine the included interventions and to identify barriers and facilitators for use and implementation.ResultsA total of 36 studies covering 19 interventions and support services were included in the systematic review. Interventions focused on children, parents or several family members and analyses revealed a broad picture of theoretical background and primary aims. Several studies focused on developmental or implementation phases or descriptions of interventions. Other included studies reported results of evaluations using qualitative and quantitative methods. Results suggest that interventions are helpful and that participants improved in various outcomes. The thematic analyses indicate that barriers for use of support services refer to aspects concerning the patients and families, such as practical difficulties, perceived need for support or fear of stigma. Cancer patients who understood the need and benefit of support services may have used them more often. Additionally, intervention characteristics such as a flexible structure and accessibility were important to reach families affected by parental cancer. Disease characteristics and complications in collaborations were identified as potential barriers. The provision of information about interventions by clinicians and understanding the support as part of routine care seem to be key issues for implementation and use of psychosocial support.ConclusionThis review identified a broad number of intervention concepts for families with minor children affected by parental cancer. Findings provide a basis for existing or future psychosocial interventions to anticipate potential barriers and facilitators to implementation and use and can help to reach a wider range of families in need for support.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Psychosocial Interventions for Families with Parental Cancer and Barriers and Facilitators to Implementation and Use – A Systematic Review

et al. 2016

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Interventions to support children after a parental acquired brain injury: a scoping review

Dawes,

Simpson,

Lines

et al. 2024

Brain Injury

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Predictors of family focused practice: organisation, profession, or the role as child responsible personnel?

Skogøy

Ogden

Weimand

et al. 2019

BMC Health Serv Res

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BackgroundHealth professionals in Norway are required by law to help safeguard information and follow-up with children of parents with mental or physical illness, or who have substance abuse problems, to reduce their higher risk of psychosocial problems. Knowledge is lacking regarding whether organisation and/or worker-related factors can explain the differences in health professionals’ ability to support the families when patients are parents.MethodsEmploying a translated, generic version of the Family Focused Mental Health Practice Questionnaire (FFPQ), this cross-sectional study examines family focused practice (FFP) differences in relation to health professionals’ background and role (N = 280) along with exploring predictors of parent, child, and family support.ResultsWhile most health professions had begun to have conversations with parents on children’s needs, under one-third have had conversations with children. There were significant differences between nurses, social workers, psychologists, physicians, and others on seven of the FFP subscales, with physicians scoring lowest on five subscales and psychologists providing the least family support. Controlling for confounders, there were significant differences between child responsible personnel (CRP) and other clinicians (C), with CRP scoring significantly higher on knowledge and skills, confidence, and referrals. Predictors of FFP varied between less complex practices (talking with parents) and more complex practices (family support and referrals).ConclusionThe type of profession was a key predictor of delivering family support, suggesting that social workers have more undergraduate training to support families, followed by nurses; alternately, the results could suggest that that social workers and nurses have been more willing or able than physicians and psychologists to follow the new legal requirements. The findings highlight the importance of multidisciplinary teams and of tailoring training strategies to health professionals’ needs in order to strengthen their ability to better support children and families when a parent is ill.

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

Cited by 4 publications

References 31 publications

Psychosocial Interventions for Families with Parental Cancer and Barriers and Facilitators to Implementation and Use – A Systematic Review

Psychosocial Interventions for Families with Parental Cancer and Barriers and Facilitators to Implementation and Use – A Systematic Review

Interventions to support children after a parental acquired brain injury: a scoping review

Predictors of family focused practice: organisation, profession, or the role as child responsible personnel?

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