Supporting children who have a parent with a mental illness in Tyrol: A situational analysis for informing co-development and implementation of practice changes

Zechmeister‐Koss, Ingrid; Goodyear, Melinda; Tüchler, Heinz; Paul, Jean

doi:10.21203/rs.2.15578/v3

Cited by 2 publications

(3 citation statements)

References 14 publications

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“…The results from the Tyrolean mapping and situational analysis are currently summarized in a separate paper (61). Our preliminary evidence suggests that a variety of services are available both for parents who have a mental illness as well as for families and individual family members.…”

Section: Methodsmentioning

confidence: 99%

Improving Identification and Child-Focused Collaborative Care for Children of Parents With a Mental Illness in Tyrol, Austria

et al. 2019

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Background: Children of parents with a mental illness (COPMI) are more likely to experience negative long-term adversities. However, interventions to support their needs early can significantly enhance adjustment and reduce negative outcomes. Approximately one in four children currently lives with a parent with mental illness worldwide. The lifelong impact for individuals, governments, and broader society is likely to be substantial. There are significant workforce barriers to the early identification of COPMI and addressing their needs, particularly within the adult mental health care system. The current study aims to reduce such barriers and to improve identification of COPMI in the current health care systems. Objectives: The project “The Village” is a multidisciplinary health and social care policy intervention and seeks to improve child development and well-being outcomes for children of parents with a diagnosed mental illness. This will be achieved through the co-development, implementation, and evaluation of a practice approach to the early identification and collaborative care for COPMI, through establishing child-focused support networks. This will be done with open innovation science (OIS) approaches engaging the public in Tyrol, a geographical region of Austria, throughout 4 years. As part of the co-development process, we will work with stakeholders to co-develop the practice approaches based on evidence-based approaches and determine the most appropriate study design to evaluate those, as well as the implementation processes we will undertake. Methods: The project is underpinned by theories from different disciplines (i.e., public health, psychology, sociology, linguistics, economic sciences) as well as drawing on different approaches (i.e., co-development, implementation science, symbolic interactionism, and realist evaluation). It is based on the seven content work packages (WPs): 1) management, 2) focusing on children and methods to understand their “voice,” 3) scoping, 4) co-development, 5) implementation, 6) evaluating the practice approaches, and 7) knowledge dissemination. “Scoping” will involve exploring the existing evidence, practice, and current state of identification and collaborative care in Tyrol, Austria. “Co-development” involves the co-design of practice approaches to identify and support children in partnership with key stakeholders and service providers working in Tyrol. The “implementation” of practice approaches will be based on the results of the co-development phase and will involve working with organizations to develop support strategies that draw on known organizational drivers from the field of implementation science to support the rollout of the practice approaches. In “Evaluation” we will follow principles of a realist approach; this includes developing program theories and logic models for the practice approaches. Those will set out the outcomes hypothesized to achieve and the processes that are expected ...

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Section: Methodsmentioning

confidence: 99%

Improving Identification and Child-Focused Collaborative Care for Children of Parents With a Mental Illness in Tyrol, Austria

et al. 2019

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“…The name 'Village project' stems from the African proverb 'It takes a Village to raise a child' and reflects the project's goal to mobilize a network of formal and informal support around the children. It runs over 4.5 years covering the following phases: Firstly, a scoping phase including reviews on international evidence and a situational analysis in Tyrol (e.g., Bauer et al 2021;Zechmeister-Koss et al 2019;Zechmeister-Koss et al 2020); secondly, a co-design phase with local stakeholders to develop a practice approach to identify and support children, and thirdly, an implementation phase where the designed practices are piloted. The entire process is being evaluated based on a realist approach using mixed-methods (Christiansen et al 2019).…”

Section: Introductionmentioning

confidence: 99%

“…However, the children are often 'invisible' from the existing service system. Furthermore, families face difficulties in accessing support and in many cases, needs-based care is lacking (Zechmeister-Koss et al 2020). Based on this evidence and linked to the results from a public crowdsourcing process, an Austrian research funder has awarded funding to the project 'Village'.…”

Section: Introductionmentioning

confidence: 99%

Practices to support co‐design processes: A case‐study of co‐designing a program for children with parents with a mental health problem in the Austrian region of Tyrol

Zechmeister‐Koss

Aufhammer²,

Bachler

et al. 2022

Int J Mental Health Nurs

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Forms of collaborative knowledge production, such as community-academic partnerships (CAP), have been increasingly used in health care. However, instructions on how to deliver such processes are lacking. We aim to identify practice ingredients for one element within a CAP, a 6-month co-design process, during which 26 community-and 13 research-partners collaboratively designed an intervention programme for children whose parent have a mental illness. Using 22 published facilitating and hindering factors for CAP as the analytical framework, eight community-partners reflected on the activities which took place during the co-design process. From a qualitative content analysis of the data, we distilled essential practices for each CAP factor. Ten community-and eight research-partners revised the results and co-authored this article. We identified 36 practices across the 22 CAP facilitating or hindering factors. Most practices address more than one factor. Many practices relate to workshop design, facilitation methods, and relationship building. Most practices were identified for facilitating 'trust among partners', 'shared visions, goals and/or missions', 'effective/frequent communication', and 'wellstructured meetings'. Fewer practices were observed for 'effective conflict resolution', 'positive community impact' and for avoiding 'excessive funding pressure/control struggles' and 'high burden of activities'. Co-designing a programme for mental healthcare is a challenging process that requires skills in process management and communication. We provide practice steps for delivering co-design activities. However, practitioners may have to adapt them to different cultural contexts. Further research is needed to analyse whether co-writing with community-partners results in a better research output and benefits for participants.

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Supporting children who have a parent with a mental illness in Tyrol: A situational analysis for informing co-development and implementation of practice changes

Cited by 2 publications

References 14 publications

Improving Identification and Child-Focused Collaborative Care for Children of Parents With a Mental Illness in Tyrol, Austria

Improving Identification and Child-Focused Collaborative Care for Children of Parents With a Mental Illness in Tyrol, Austria

Practices to support co‐design processes: A case‐study of co‐designing a program for children with parents with a mental health problem in the Austrian region of Tyrol

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