Clinical Implementation and Evaluation for the Family-oriented Care CHIMPS-NET

Summary

Despite the knowledge, that children of mentally ill parents are an important target group to be addressed by preventive and therapeutical 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 examine changes in family-oriented practice and aspects of implementation to get a robust understanding of implementing family-oriented interventions in German clinical practice.

Conditions

• Mental Health Issue

Interventions

BEHAVIORAL

Optimal pathways to care

The first implementation measure focuses on optimal ways of caring for mentally ill patients who are also parents with children living in the household. The main goals of this intervention are the specific information of the referring physician, the indicated referral of mentally ill parents and the consideration of underage children living in the household in the inpatient referral. The two main components are the evaluation of the attitudes of the medical and psychotherapeutic referrers towards the target group and the intervention as well as the development and implementation of an optimal care pathway. The optimization of the allocation is organized by Silke Pawils (University Medical Center Hamburg-Eppendorf).

BEHAVIORAL

Education and training program for the professionals

The second implementation intervention concerns the improvement of the professionals' attitudes, knowledge and skills. The two main components here being the assessment of the current state in all institutions within the clinical centers and the development and implementation of an education and training program. The employees of the randomized clinical centers in the intervention group will get a three-hour training. This intervention is organized by Svenja Taubner (University Hospital Heidelberg, Germany).

BEHAVIORAL

Systematic screening

The third implementation intervention includes a systematic screening process to improve detection of mentally ill parents with affected children. Employees of the clinical centers fill out two short questionnaires with the parents. This intervention project is organized by Sibylle M. Winter (Charité, Berlin, Germany).

OTHER

TAU

No Intervention: Treatment as usual These clinical centers will be the control group and will not get a specific implementation support during the implementation of CHIMPS.

Sponsors & Collaborators

• Evangelisches Klinikum Bethel

  collaborator UNKNOWN

• Charite University, Berlin, Germany

  collaborator OTHER

• Universitätsklinikum Leipzig

  collaborator OTHER

• University Hospital, Saarland

  collaborator OTHER

• Immanuel Klinik Rüdersdorf

  collaborator UNKNOWN

• LWL Klinik Gütersloh

  collaborator UNKNOWN

• University Hospital, Aachen

  collaborator OTHER

• University of Ulm

  collaborator OTHER

• Universitätsklinikum Köln

  collaborator OTHER

• University Hospital Freiburg

  collaborator OTHER

• University Hospital Augsburg

  collaborator OTHER

• University Medical Center Rostock

  collaborator OTHER

• University Hospital Tuebingen

  collaborator OTHER

• Helios Kliniken Schwerin

  collaborator OTHER

• University of Magdeburg

  collaborator OTHER

• Universitätsklinikum Koblenz - Landau

  collaborator UNKNOWN

• HELIOS Hospital, Erfurt, Germany

  collaborator OTHER

• Goethe University

  collaborator OTHER

• Universitätsklinikum Hamburg-Eppendorf

  lead OTHER

Principal Investigators

• Silke Wiegand-Grefe, Prof. Dr. · Universitätsklinikum Hamburg-Eppendorf

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2020-01-01

Primary Completion

2023-05-01

Completion

2023-09-01

Countries

• Germany

Study Locations