Clinical implementation and evaluation of three implementation interventions for a family-oriented care for children of mentally ill parents (ci-chimps): study protocol for a randomized controlled multicenter trial

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-ori...

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Main Authors: Laser, Carolin (Author) , Modarressi, Anna (Author) , Skogøy, Bjørg Eva (Author) , Reupert, Andrea (Author) , Daubmann, Anne (Author) , Höller, Alexandra (Author) , Zapf, Antonia (Author) , Pawils, Silke (Author) , Taubner, Svenja (Author) , Winter, Sibylle (Author) , Maybery, Darryl (Author) , Wiegand-Grefe, Silke (Author)
Format: Article (Journal)
Language:English
Published: 28 February 2022
In: Frontiers in psychiatry
Year: 2022, Volume: 13, Pages: 1-9
ISSN:1664-0640
DOI:10.3389/fpsyt.2022.823186
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.3389/fpsyt.2022.823186
Verlag, lizenzpflichtig, Volltext: https://www.frontiersin.org/articles/10.3389/fpsyt.2022.823186
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Author Notes:Carolin Laser, Anna Modarressi, Bjørg Eva Skogøy, Andrea Reupert, Anne Daubmann, Alexandra Höller, Antonia Zapf, Silke Pawils, Svenja Taubner, Sibylle Winter, Darryl Maybery and Silke Wiegand-Grefe

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520 |a 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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