Moving Upstream to Improve Children’s Mental Health Through Community and Policy Change

Dopp, Alex R.; Lantz, Paula M.

doi:10.1007/s10488-019-01001-5

Cited by 32 publications

(33 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Making these children visible involves both direct support to children and parents focussing on improving behavioral outcomes; as well as a need to draw on strategies to promote motivation to change for those families deeply affected by systemic disempowerment (4,5,32,33). Whole of family approaches and integrated models need to be considered moving forward to address the multiple and complex needs of these families, and addresses the influences that affect generations with mental health challenges (13,(34)(35)(36)(37).…”

Section: Introductionmentioning

confidence: 99%

Development of an Evidence-Informed and Codesigned Model of Support for Children of Parents With a Mental Illness— “It Takes a Village” Approach

et al. 2022

View full text Add to dashboard Cite

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.

show abstract

Section: Introductionmentioning

confidence: 99%

Development of an Evidence-Informed and Codesigned Model of Support for Children of Parents With a Mental Illness— “It Takes a Village” Approach

et al. 2022

View full text Add to dashboard Cite

show abstract

“…In the past decade, a trend toward implementing the "health in all policies" (HiAP) framework has opened the door for more sustained public health impact from the psychological knowledge base that is ready to be deployed. HiAP target determinants that extend beyond traditional notions of health, including housing, employment and tax credits, and are coming to be recognized as important drivers of population mental health (Dopp & Lantz, 2019;Purtle, Nelson, Counts & Yudell, 2020).…”

mentioning

confidence: 99%

Aligning dissemination and implementation science with health policies to improve children’s mental health.

Purtle

Spandorfer

Peth-Pierce

et al. 2020

American Psychologist

View full text Add to dashboard Cite

The prevalence of mental health problems among children (ages 0 -21) in the United States remains unacceptably high and, post-COVID-19, is expected to increase dramatically. Decades of psychological knowledge about effective treatments should inform the delivery of better services. Dissemination and implementation (D&I) science has been heralded as a solution to the persistent problem of poor quality services and has, to some extent, improved our understanding of the contexts of delivery systems that implement effective practices. However, there are few studies demonstrating clear, population-level impacts of psychological interventions on children. Momentum is growing among communities, cities, states, and some federal agencies to build "health in all policies" to address broad familial, social, and economic factors known to affect children's healthy development and mental health. These health policy initiatives offer a rare opportunity to repurpose D&I science, shifting it from a primary focus on evidence-based practice implementation, to a focus on policy development and implementation to support child and family health and well-being. This shift is critical as states develop policy responses to address the health and mental health impacts of the COVID-19 pandemic on already-vulnerable families. We provide a typology for building research on D&I and children's mental health policy. Public Significance StatementThe prevalence of mental health problems among children remains unacceptably high. Communities, cities, states, and some federal agencies are building "health in all policies" initiatives that address broad familial, social, and economic factors known to affect children's healthy development. These initiatives offer a rare opportunity to repurpose D&I science and shift it from a primary focus on evidence-based practice implementation, to a focus on policy dissemination and implementation.

show abstract

“…The high association between migration and mental illness may explain why mental illness was excluded in multivariate analyses, as two highly associated variables do not simultaneously exist in regression models. However, previous studies has proved that mental illness indirectly links to physical health impairment and accelerating progression of pre-existing diseases (41), and then cause hospitalization. The mental illness among migrants should be a concern.…”

Section: Potential Reasons For the Association And Policy Implicationmentioning

confidence: 99%

The positive association between internal migration and hospitalization among the older adults in China: Regional heterogeneity and chronic disease management

Zhong

Yang

Zhao

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

BackgroundPost-retirement migrants are rapidly increasing in China, but the impact of internal migration on hospitalization among older adults remains under-researched. Understanding this impact is essential for health policies development and improvement. This study aims to identify the most vulnerable population, evaluate the association between migration and hospitalization, and discuss potential causes of the association.Methods14,478 older adults were extracted from the 2018 to 2019 Chinese Longitudinal Healthy Longevity Survey (CLHLS) database and divided into four groups according to migration experience and age at migration: non-migrants, pre-adulthood migrants, pre-retirement migrants, and post-retirement migrants. Post-retirement migrants were key research subjects. We employed Pearson's chi-square test to compare group differences in outcome and covariates, and multivariate logistic regression analysis to examine the association between migration and hospitalization by regions and chronic conditions.ResultsSignificant intergroup differences were observed in demographic characteristics, socioeconomic factors, health habits, and health-related factors. Post-retirement migrants displayed following characteristics: female predominance (61.6%; 1,472/2,391), tending toward urban areas (80.9%; 1,935/2,391), and the highest prevalence rate of chronic disease (46.7%; 1,116/2,391). Urban migrants in eastern China were more likely to be hospitalized (OR = 1.65; 95% CI: 1.27–2.15), especially those who were diagnosed with chronic disease (OR = 1.51; 95% CI: 1.04–2.19) or with unconfirmed chronic conditions (OR = 1.98; 95% CI: 1.36–2.89).ConclusionsInternal migration is associated with the hospitalization of post-retirement migrants moving to eastern China. Improved chronic disease management and early interventions might lower the hospitalization. Effective policies should be formulated to reduce the disparity in primary care services across China, thereby facilitating the access of migrants to these services.

show abstract

Moving Upstream to Improve Children’s Mental Health Through Community and Policy Change

Cited by 32 publications

References 47 publications

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

Aligning dissemination and implementation science with health policies to improve children’s mental health.

The positive association between internal migration and hospitalization among the older adults in China: Regional heterogeneity and chronic disease management

Contact Info

Product

Resources

About