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Clinical Implementation and Evaluation of Three Implementation Interventions for a Family-Oriented Care for Children
Carolin Laser1, Anna Modarressi1, Bjørg Eva Skogøy2
1Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Insights
This study evaluates implementation strategies for family-oriented interventions for children of mentally ill parents in Germany. It aims to improve clinical practice and support for this vulnerable population.
Area of Science:
- Psychiatry
- Clinical Psychology
- Public Health
Background:
- Millions of children in Germany have a parent with a mental illness, increasing their risk for mental and physical health issues.
- Evidence-based family-oriented interventions exist, but their effective implementation in German clinical practice is not well understood.
- The CHIMPS-NET (children of mentally ill parents-research network) aims to address this gap through tailored preventive and therapeutic interventions.
Purpose of the Study:
- To evaluate the effectiveness of three distinct implementation interventions for family-oriented care within the CHIMPS-NET.
- To assess the optimal implementation model for interventions targeting children of mentally ill parents in Germany.
- To improve the structured delivery of family-oriented interventions in clinical settings.
Main Methods:
- A two-group randomized controlled multicenter trial involving 20 clinical centers.
- Intervention group centers received support via optimal pathways to care, professional training, and systematic child screening.
- Control group centers did not receive specific implementation support; data collected at baseline, 12, and 24 months.
Main Results:
- The study is designed to provide a robust understanding of implementation processes.
- Analysis will focus on changes in family-oriented practice and implementation aspects.
- Results will inform best practices for integrating these interventions into routine care.
Conclusions:
- Structured implementation of family-oriented interventions is crucial for children of mentally ill parents in Germany.
- This trial design will yield significant insights into overcoming barriers to effective implementation.
- Findings will contribute to improving care models for this at-risk population.
Background:
In 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.
Methods:
A 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.
Discussion:
While 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 Registration:
The 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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