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Research article
Jean Lillian Paul
Medical University of Innsbruck
Corresponding Author
ORCiD: https://orcid.org/0000-0003-0891-7035
License:
This work is licensed under a CC BY 4.0 License. Read Full License
The most recent version of this article is available here.
Background: A research project aimed to improve the situation of children of parents with a mental illness (COPMI) is underway in the Austrian region of Tyrol. The project aims to strengthen formal and informal support structures around the child, through enhancing their village of collaborative support. Understanding the current situation in the region is vital for implementing practice change. This paper aims to gain knowledge on the Tyrolean societal and service provision context.
Methods: We collected qualitative (e.g. interviews) and quantitative data (e.g. administrative data from the health insurance) on overall societal characteristics, epidemiology of mental illness in Tyrol, current services within adult mental healthcare and for supporting children, parents and families, uptake of services, and current practices and challenges of identifying and supporting COPMIs. We analysed data along several external context dimensions: 1) professional influences, 2) political support, 3) social climate, 4) local infrastructure, 5) policy and legal climate, 6) relational climate, 7) target population, and 8) funding and economic climate.
Results: We identified that there is awareness of challenges related to COPMIs at professional and planning level, however there is a lack of installed support processes and standards to meet these children’s needs across Tyrol. A variety of services are available both for unwell parents, and families and individual family members. Yet, only one small service addresses COPMIs directly. Services fall into different sectors (education, health, social affairs) and are funded from different sources, making coordination difficult. Access varies from universal to rather restricted (i.e. through referral). The potential number of parents which could be reached in order to identify their children via adult mental health differs considerably by setting. Societal structures indicate that the informal and voluntary sector may be a realistic source for supporting COPMIs in Tyrol.
Conclusions: Societal structures and current services provide a rich resource for improving identification and supporting of COPMIs, however considerable coordination and behaviour change effort will be required due to the fragmentation of the system and professional cultures. Insights into the context of supporting COPMIs have been of high value for developing and implementing practice changes in local organizations.
Keywords
mental illness, children, situational analysis, context analysis, implementation science
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CURRENT STATUS: Under Review
No community comments so far
Editor assigned
On 30 Mar, 2020
Submission checks complete
On 29 Mar, 2020
Editor invited
On 29 Mar, 2020
Version 2
Posted 21 Feb, 2020
No comments provided
Editorial decision: Minor revision
On 02 Mar, 2020
Review #1 received
Received 01 Mar, 2020
Reviewer #1 agreed
On 26 Feb, 2020
Reviewers invited
Invitations sent on 26 Feb, 2020
Editor assigned
On 20 Feb, 2020
Submission checks complete
On 19 Feb, 2020
Editor invited
On 19 Feb, 2020
No comments provided
Editorial decision: Major revision
On 17 Dec, 2019
Review #2 received
Received 16 Dec, 2019
Review #1 received
Received 06 Nov, 2019
Reviewer #1 agreed
On 28 Oct, 2019
Reviewer #2 agreed
On 28 Oct, 2019
Reviewers invited
Invitations sent on 09 Oct, 2019
Editor assigned
On 01 Oct, 2019
Submission checks complete
On 30 Sep, 2019
Editor invited
On 26 Sep, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
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This preprint is under consideration at BMC Health Services Research. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Jean Lillian Paul
Medical University of Innsbruck
Corresponding Author
ORCiD: https://orcid.org/0000-0003-0891-7035
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
No community comments so far
Editor assigned
On 30 Mar, 2020
Submission checks complete
On 29 Mar, 2020
Editor invited
On 29 Mar, 2020
Version 2
Posted 21 Feb, 2020
No comments provided
Editorial decision: Minor revision
On 02 Mar, 2020
Review #1 received
Received 01 Mar, 2020
Reviewer #1 agreed
On 26 Feb, 2020
Reviewers invited
Invitations sent on 26 Feb, 2020
Editor assigned
On 20 Feb, 2020
Submission checks complete
On 19 Feb, 2020
Editor invited
On 19 Feb, 2020
No comments provided
Editorial decision: Major revision
On 17 Dec, 2019
Review #2 received
Received 16 Dec, 2019
Review #1 received
Received 06 Nov, 2019
Reviewer #1 agreed
On 28 Oct, 2019
Reviewer #2 agreed
On 28 Oct, 2019
Reviewers invited
Invitations sent on 09 Oct, 2019
Editor assigned
On 01 Oct, 2019
Submission checks complete
On 30 Sep, 2019
Editor invited
On 26 Sep, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
The most recent version of this article is available here.
Background: A research project aimed to improve the situation of children of parents with a mental illness (COPMI) is underway in the Austrian region of Tyrol. The project aims to strengthen formal and informal support structures around the child, through enhancing their village of collaborative support. Understanding the current situation in the region is vital for implementing practice change. This paper aims to gain knowledge on the Tyrolean societal and service provision context.
Methods: We collected qualitative (e.g. interviews) and quantitative data (e.g. administrative data from the health insurance) on overall societal characteristics, epidemiology of mental illness in Tyrol, current services within adult mental healthcare and for supporting children, parents and families, uptake of services, and current practices and challenges of identifying and supporting COPMIs. We analysed data along several external context dimensions: 1) professional influences, 2) political support, 3) social climate, 4) local infrastructure, 5) policy and legal climate, 6) relational climate, 7) target population, and 8) funding and economic climate.
Results: We identified that there is awareness of challenges related to COPMIs at professional and planning level, however there is a lack of installed support processes and standards to meet these children’s needs across Tyrol. A variety of services are available both for unwell parents, and families and individual family members. Yet, only one small service addresses COPMIs directly. Services fall into different sectors (education, health, social affairs) and are funded from different sources, making coordination difficult. Access varies from universal to rather restricted (i.e. through referral). The potential number of parents which could be reached in order to identify their children via adult mental health differs considerably by setting. Societal structures indicate that the informal and voluntary sector may be a realistic source for supporting COPMIs in Tyrol.
Conclusions: Societal structures and current services provide a rich resource for improving identification and supporting of COPMIs, however considerable coordination and behaviour change effort will be required due to the fragmentation of the system and professional cultures. Insights into the context of supporting COPMIs have been of high value for developing and implementing practice changes in local organizations.
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
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