Abstract
BackgroundMental health problems are often transmitted from one generation to the next. However, transferring knowledge about interventions that reduce intergenerational transmission of disease to the field of parental mental illness has been very difficult. One of the most critical issues in mental health services research is the gap between what is generally known about effective treatment and what is provided to consumers in routine care.DiscussionIn this article we discuss several aspects of knowledge transfer in the field of parental mental illness. Effective strategies and implementation prerequisites are explored, and we also discuss indicators of success and sustainability.SummaryAltogether, this article presents a rationale for the importance of preventive strategies for children of mentally ill parents. Furthermore, the discussion shows how complex it is to change clinical practice.
Highlights
Mental health problems are often transmitted from one generation to the
To sum up, where do we stand in general on knowledge transfer in the field of parental mental illness? We know something about effective strategies, we have well defined objectives, we have a few effective interventions, and especially interventions that target parenting behavior have a good evidence base
The evidence base on interventions designed to address families affected by parental mental illness is growing, but more studies should be conducted in this area
Summary
There are several important aspects to discuss in terms of successfully implementing a child perspective within adult mental health services. Indicators of success in terms of client engagement and services for children and families (level 3 and 4, Figure 1) can be detected by studying the effects of the interventions This implies that in terms of the interventions one chooses to apply in the field of parental mental illness, one way of measuring success is to look at the outcomes for children and families. To keep track of the process it is important to evaluate the core variables that you want to change in the implementation strategy In our study, these have been linked to knowledge, attitudes, collaborative routines and clinical practice related to families with parental mental illness. Sustainability If the implementation process is successful, and we have successfully transferred knowledge about parental mental illness and about effective interventions to achieve the objectives of better outcomes for parents and children; how do we get it to stick? Sustaining interventions is reliant on core implementation personnel, and on-going routine evaluations to monitor the implementation activities
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