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Erschienen in: neuropsychiatrie 2/2020

18.11.2019 | original article

Reaching families where a parent has a mental disorder: Using big data to plan early interventions

verfasst von: Ingrid Zechmeister-Koss, Heinz Tüchler, Melinda Goodyear, Ingunn Olea Lund, Jean Lillian Paul

Erschienen in: neuropsychiatrie | Ausgabe 2/2020

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Summary

Background

Children who grow up with a parent who has a mental health problem (25%) are at increased risk of developing (health) problems themselves. One approach to reach those children for early intervention supports is through their parents seeking treatment within the adult mental healthcare system. We aimed to gain information on the users of adult mental health services in Tyrol, Austria in order to understand more about the identification of these families to provide support.

Methods

We descriptively analysed administrative claims data from the Tyrolean health insurance. Uptake of mental health services (hospital inpatient and day-care services, rehabilitation, outpatient psychiatrist and psychotherapy services), prescription medication and sick leave in persons aged 19–64 in 2017 were analysed.

Results

The vast majority (82%) of an overall number of 49,494 patients were prescribed medication for their mental health issues. Half of them only received medication as their form of treatment. A quarter had contacted an outpatient psychiatrist and 13% received psychotherapy. Five percent were treated in psychiatric inpatient or day-care. The median length of hospital stay was 15 days. More women than men used mental health benefits.

Conclusions

Most parents may be reached via the general practitioner (via drug prescriptions) and low numbers were found accessing services in a psychiatric hospital. The latter may, however, have higher needs for support given their greater acuity of illness. How to get into contact with their children requires thoughtful and sensitive preparation, given the stigmatisation of accessing support for mental health issues. Administrative data are a useful source for planning such early intervention strategies.
Fußnoten
1
For further information on the project see www.​village.​lbg.​ac.​at.
 
Literatur
1.
Zurück zum Zitat Test MA, Burke SS, Wallisch LS. Gender differences of young adults with schizophrenic disorders in community care. Schizophr Bull. 1990;16(2):331–44. CrossRef Test MA, Burke SS, Wallisch LS. Gender differences of young adults with schizophrenic disorders in community care. Schizophr Bull. 1990;16(2):331–44. CrossRef
2.
Zurück zum Zitat Fraser C, James EL, Anderson K, Lloyd D, Judd F. Intervention programs for children of parents with a mental illness: A critical review. Int J Ment Health Promot. 2006;8:9–20. CrossRef Fraser C, James EL, Anderson K, Lloyd D, Judd F. Intervention programs for children of parents with a mental illness: A critical review. Int J Ment Health Promot. 2006;8:9–20. CrossRef
4.
Zurück zum Zitat Maybery D, Reupert A, Goodyear M, Ritchie R, Brann P. Investigating the strenghts and difficulties of children from families with a parental mental illness. Australian E‑Journal for the Advancement of Mental. Health. 2009;8(2):1–10. Maybery D, Reupert A, Goodyear M, Ritchie R, Brann P. Investigating the strenghts and difficulties of children from families with a parental mental illness. Australian E‑Journal for the Advancement of Mental. Health. 2009;8(2):1–10.
5.
Zurück zum Zitat Pretis M, Dimova A. Vulnerable children of mentally ill parents: towards evidence-based support for improving resilience. Support Learn. 2008;23:152–9. CrossRef Pretis M, Dimova A. Vulnerable children of mentally ill parents: towards evidence-based support for improving resilience. Support Learn. 2008;23:152–9. CrossRef
6.
Zurück zum Zitat Power J, Goodyear M, Maybery D, Reupert A, O’Hanlon B, Cuff R, et al. Family resilience in families where a parent has a mental illness. J Soc Work. 2016;16(1):66–82. CrossRef Power J, Goodyear M, Maybery D, Reupert A, O’Hanlon B, Cuff R, et al. Family resilience in families where a parent has a mental illness. J Soc Work. 2016;16(1):66–82. CrossRef
7.
Zurück zum Zitat Kowalenko NM, Mares SP, Newman LK, Sved Williams AE, Powrie RM, van Doesum KTM. Family matters: Infants, toddlers and preschoolers of parents affected by mental illness. MJA Open. 2012;1 (Suppl 1, 16 April 2012). Kowalenko NM, Mares SP, Newman LK, Sved Williams AE, Powrie RM, van Doesum KTM. Family matters: Infants, toddlers and preschoolers of parents affected by mental illness. MJA Open. 2012;1 (Suppl 1, 16 April 2012).
8.
Zurück zum Zitat Reupert A, Maybery D. Families affected by parental mental illness: A multiperspective account of issues and interventions. Am J Orthopsychiatry. 2007;77(3):362–9. CrossRef Reupert A, Maybery D. Families affected by parental mental illness: A multiperspective account of issues and interventions. Am J Orthopsychiatry. 2007;77(3):362–9. CrossRef
9.
Zurück zum Zitat Reupert A, Maybery D, Kowalenko NM. Children whose parents have a mental illness: Prevalence, need and treatment. Medical Journal of Australia. 2013;199(3 Suppl):7–9. Reupert A, Maybery D, Kowalenko NM. Children whose parents have a mental illness: Prevalence, need and treatment. Medical Journal of Australia. 2013;199(3 Suppl):7–9.
10.
Zurück zum Zitat Hosman CMH, van Doesum KTM, van Santvoort F. Prevention of emotional problems and psychiatric risks in children of parents with a mental illness in the Netherlands: The scientific basis to a comprehensive approach. Aust E‑journal Adv Ment Health. 2009;8(3):250–63. CrossRef Hosman CMH, van Doesum KTM, van Santvoort F. Prevention of emotional problems and psychiatric risks in children of parents with a mental illness in the Netherlands: The scientific basis to a comprehensive approach. Aust E‑journal Adv Ment Health. 2009;8(3):250–63. CrossRef
12.
Zurück zum Zitat Falkov A, Goodyear M, Hosman CMH, Biebel K, Skogøy BE, Kowalenko N, et al. A systems approach to enhance global efforts to implement family-focused mental health interventions. Child Youth Serv. 2016;37((2):175–93. CrossRef Falkov A, Goodyear M, Hosman CMH, Biebel K, Skogøy BE, Kowalenko N, et al. A systems approach to enhance global efforts to implement family-focused mental health interventions. Child Youth Serv. 2016;37((2):175–93. CrossRef
13.
Zurück zum Zitat Goodyear M, Hill TL, Allchin B, McCormick F, Hine R, Cuff R, et al. Standards of practice for the adult mental health workforce: Meeting the needs of families where a parent has a mental illness. Int J Ment Health Nurs. 2015;24(2):169–80. CrossRef Goodyear M, Hill TL, Allchin B, McCormick F, Hine R, Cuff R, et al. Standards of practice for the adult mental health workforce: Meeting the needs of families where a parent has a mental illness. Int J Ment Health Nurs. 2015;24(2):169–80. CrossRef
15.
Zurück zum Zitat Goodyear MJ, Obradovic A, Allchin B, Cuff R, McCormick F, Cosgriff C. Building capacity for cross-sectorial approaches to the care of families where a parent has a mental illness. Adv Ment Health. 2015;13(2):153–64. CrossRef Goodyear MJ, Obradovic A, Allchin B, Cuff R, McCormick F, Cosgriff C. Building capacity for cross-sectorial approaches to the care of families where a parent has a mental illness. Adv Ment Health. 2015;13(2):153–64. CrossRef
18.
Zurück zum Zitat Lund IO, Bukten A. Harm to Others from Substance Use and Abuse: The Underused Potential in Nationwide. Regist Subst Abus Res Treat. 2015;9(S2):33–8. Lund IO, Bukten A. Harm to Others from Substance Use and Abuse: The Underused Potential in Nationwide. Regist Subst Abus Res Treat. 2015;9(S2):33–8.
19.
Zurück zum Zitat Lund IO, Skurtveit S, Handal M, Bukten A, Ystrom E, Burdzon A, et al. Association of Constellations of Parental Risk With Children’s Subsequent Anxiety and Depression Findings From a HUNT Survey and Health Registry Study. Jama Pediatr. 2019;173(3:251–9. CrossRef Lund IO, Skurtveit S, Handal M, Bukten A, Ystrom E, Burdzon A, et al. Association of Constellations of Parental Risk With Children’s Subsequent Anxiety and Depression Findings From a HUNT Survey and Health Registry Study. Jama Pediatr. 2019;173(3:251–9. CrossRef
20.
Zurück zum Zitat Kendler KS, Ohlsson H, Sundquist K, Sundquist J. Sources of Parent-Offspring Resemblance for Major Depression in a National Swedish Extended Adoption Study. Jama Psychiatry. 2018;75(2):194–200. CrossRef Kendler KS, Ohlsson H, Sundquist K, Sundquist J. Sources of Parent-Offspring Resemblance for Major Depression in a National Swedish Extended Adoption Study. Jama Psychiatry. 2018;75(2):194–200. CrossRef
21.
Zurück zum Zitat Zechmeister-Koss I, Tüchler H. Prevalence of mental disorders and uptake of mental health services in Tyrol. LBI-HTA Projektbericht Nr. 113b. Vienna: Ludwig Boltzmann Institute for Health Technoloy Assessment; 2018. Zechmeister-Koss I, Tüchler H. Prevalence of mental disorders and uptake of mental health services in Tyrol. LBI-HTA Projektbericht Nr. 113b. Vienna: Ludwig Boltzmann Institute for Health Technoloy Assessment; 2018.
22.
Zurück zum Zitat Hauptverband der Österreichischen Sozialversicherungsträger. Handbuch der österreichischen Sozialversicherung 2018. Wien: Hauptverband der österreichischen Sozialversicherungsträger 2018. Hauptverband der Österreichischen Sozialversicherungsträger. Handbuch der österreichischen Sozialversicherung 2018. Wien: Hauptverband der österreichischen Sozialversicherungsträger 2018.
27.
Zurück zum Zitat Lenz A. Materialen zu Frühen Hilfen. Handreichung: Eltern mit psychischen Erkrankungen in den Frühen Hilfen. Köln: Nationales Zentrum Frühe Hilfen; 2017. Lenz A. Materialen zu Frühen Hilfen. Handreichung: Eltern mit psychischen Erkrankungen in den Frühen Hilfen. Köln: Nationales Zentrum Frühe Hilfen; 2017.
28.
Zurück zum Zitat Roscoe JN, Lery B, Chambers JE. Understanding child protection decisions involving parents with mental illness and substance abuse. Child Abuse Negl. 2018;81:235–48. CrossRef Roscoe JN, Lery B, Chambers JE. Understanding child protection decisions involving parents with mental illness and substance abuse. Child Abuse Negl. 2018;81:235–48. CrossRef
30.
Zurück zum Zitat Eaton NR, Keyes K. M, Krueger RF, Balsis S, Skodol AE, Markon KE et al. An invariant dimensional liability model of gender differences in mental disorder prevalence: Evidence from a national sample. J Abnorm Psychol. 2012;121(1):282–8. CrossRef Eaton NR, Keyes K. M, Krueger RF, Balsis S, Skodol AE, Markon KE et al. An invariant dimensional liability model of gender differences in mental disorder prevalence: Evidence from a national sample. J Abnorm Psychol. 2012;121(1):282–8. CrossRef
31.
Zurück zum Zitat Ramchandani P, Psychogiou L. Paternal psychiatric disorders and children’s psychosocial development. Lancet. 2009;374(9690):646–53. CrossRef Ramchandani P, Psychogiou L. Paternal psychiatric disorders and children’s psychosocial development. Lancet. 2009;374(9690):646–53. CrossRef
32.
Zurück zum Zitat Ramchandani PG, O’Connor TG, Evans J, Heron J, Murray L, Stein A. The effects of pre- and postnatal depression in fathers: a natural experiment comparing the effects of exposure to depression on offspring. J Child Psychol Psychiatry. 2008;49(10):1069–78. CrossRef Ramchandani PG, O’Connor TG, Evans J, Heron J, Murray L, Stein A. The effects of pre- and postnatal depression in fathers: a natural experiment comparing the effects of exposure to depression on offspring. J Child Psychol Psychiatry. 2008;49(10):1069–78. CrossRef
34.
Zurück zum Zitat Christiansen H, Anding J, Donath L. Interventionen für Kinder psychisch kranker Eltern. In: Kölch M, Ziegenhain U, Fegert JM (Ed.) Kinder Psych Kranker Eltern Herausford Für Eine Interdiszip Koop Betreu Versorgung. Weinheim Basel: Beltz Juventa; 2004. Christiansen H, Anding J, Donath L. Interventionen für Kinder psychisch kranker Eltern. In: Kölch M, Ziegenhain U, Fegert JM (Ed.) Kinder Psych Kranker Eltern Herausford Für Eine Interdiszip Koop Betreu Versorgung. Weinheim Basel: Beltz Juventa; 2004.
35.
Zurück zum Zitat Stelzig-Schöler R, Hasselbring L, Yazdi K, Thun-Hohenstein L, Stuppäck C, Aichhorn W. Incidence and risk factors for mental abnormalities in children of psychiatric inpatients. Neuropsychiatrie. 2011;25:192–8. PubMed Stelzig-Schöler R, Hasselbring L, Yazdi K, Thun-Hohenstein L, Stuppäck C, Aichhorn W. Incidence and risk factors for mental abnormalities in children of psychiatric inpatients. Neuropsychiatrie. 2011;25:192–8. PubMed
36.
Zurück zum Zitat Raitasalo K, Holmila M, Autti-Rämö I, Martikainen JE, Sorvala V‑M, Mäkelä P. Benzodiazepine use among mothers of small children: a register-based cohort study. Addiction. 2014;110:636–43. CrossRef Raitasalo K, Holmila M, Autti-Rämö I, Martikainen JE, Sorvala V‑M, Mäkelä P. Benzodiazepine use among mothers of small children: a register-based cohort study. Addiction. 2014;110:636–43. CrossRef
Metadaten
Titel
Reaching families where a parent has a mental disorder: Using big data to plan early interventions
verfasst von
Ingrid Zechmeister-Koss
Heinz Tüchler
Melinda Goodyear
Ingunn Olea Lund
Jean Lillian Paul
Publikationsdatum
18.11.2019
Verlag
Springer Vienna
Erschienen in
neuropsychiatrie / Ausgabe 2/2020
Print ISSN: 0948-6259
Elektronische ISSN: 2194-1327
DOI
https://doi.org/10.1007/s40211-019-00323-y