title: [Health Care Situation and Barriers for Working with Children of Mentally Ill Parents from the Perspective of Adult Psychiatry in Germany - A Nationwide Survey].
abstract: ObjectiveThe aim of the present study was to assess the health care situation and barriers to support minor children of mentally ill parents from the perspective of adult psychiatry in Germany.MethodsBased on the German Hospital Register mental health practitioners of all psychiatric clinics in Germany were asked to answer a 37-item questionnaire. Overall, 441 practitioners of 239 psychiatric clinics participated in the cross sectional study.ResultsMost important barriers were high workload, scarce resources, patient-focused treatment, missing expertise as well as insufficient awareness.ConclusionsMore resources, training, clear declaration of competence and coordination of services are necessary to implement family sensitive services in psychiatric clinics.
authors.affiliation: Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf.
authors.forename: Olga
authors.initials: O
authors.lastname: Wlodarczyk
authors.affiliation: Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf.
authors.forename: Franka
authors.initials: F
authors.lastname: Metzner
authors.affiliation: Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf.
authors.forename: Silke
authors.initials: S
authors.lastname: Pawils
mesh_terms: D000328:Adult; D000368:Aged; D002648:Child; D016241:Child of Impaired Parents / Q000523:psychology* / Q000706:statistics & numerical data; D015897:Comorbidity; D003430:Cross-Sectional Studies; D005260:Female; D005858:Germany; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data / Q000639:trends*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D008875:Middle Aged; D019964:Mood Disorders / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D010819:Physician's Role; D011570:Psychiatry / Q000639:trends*; D012307:Risk Factors; D012559:Schizophrenia / Q000453:epidemiology / Q000628:therapy; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D011795:Surveys and Questionnaires