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[The Interdisciplinary Family Consultation in Pediatrics - An Integrative Approach to Complex Burdened Families of
Franziska Zumbaum-Fischer1, Mechthild Hartmann1, Urania Kotzaeridou2
1Klinik für Allgemeine Innere Medizin und Psychosomatik, UniversitätsKlinikum Heidelberg.
Insights
Integrating child psychiatric specialists into pediatric care reduces psychosocial stress for families of chronically ill children. This model project shows successful implementation and positive outcomes, though funding remains a challenge.
Area of Science:
- Pediatric Psychology
- Child Psychiatry
- Systemic Family Therapy
Context:
- Families of chronically ill children often experience high psychosocial stress.
- Integrating mental health specialists into pediatric settings is crucial for comprehensive care.
Purpose:
- To evaluate the implementation and effectiveness of an interdisciplinary family consultation service within pediatric care.
- To address the psychosocial needs of families managing childhood chronic illness.
Summary:
- A family consultation model was implemented at Heidelberg University Pediatrics, involving child and adolescent psychiatric/psychosomatic specialists.
- The service demonstrated successful integration and regular utilization despite organizational demands, confirming high parental stress levels.
- Initial follow-up data show significant reductions in treatment-related concerns, uncertainty, and problems.
Impact:
- The model provides a valuable, positively assessed support service for families facing significant psychosocial challenges.
- Successful outcomes suggest a need for permanent integration of such consultations into pediatric care.
- Securing sustainable funding is critical for the long-term viability of this interdisciplinary approach.
Abstract:
For families of chronically ill children with a high level of psychosocial stress, it is necessary to involve child and adolescent psychiatric or psychosomatic specialists directly in the pediatric treatment process. For this purpose, a family consultation was set up in the Heidelberg University Pediatrics as part of a model project, which deals with these families in an interdisciplinary and systemic way. It shows that the implementation of the consultation works despite a high organizational effort and is regularly used. The first evaluation results confirm the already described high levels of psychosocial stress in the affected families. They indicate a positive assessment of the consultation and a desire for a permanent offer. First follow-up results indicate a significant decrease in treatment-related concerns, uncertainty and a reduction in treatment-related problems. The lack of a viable funding model poses a challenge for long-term implementation.
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