[The Interdisciplinary Family Consultation in Pediatrics - An Integrative Approach to Complex Burdened Families of Chronically ill Children].

Pub Date : 2023-12-01 Epub Date: 2023-09-14 DOI:10.1055/a-2136-7397
Franziska Zumbaum-Fischer, Mechthild Hartmann, Urania Kotzaeridou, Anne Mondry, Franz Resch, Georg Friedrich Hoffmann, Hans-Christoph Friederich
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Abstract

For families of chronically ill children with a high level of psychosocial stress, it is necessary to involve child and adolescent psychiatric or psychosomatic specialists directly in the pediatric treatment process. For this purpose, a family consultation was set up in the Heidelberg University Pediatrics as part of a model project, which deals with these families in an interdisciplinary and systemic way. It shows that the implementation of the consultation works despite a high organizational effort and is regularly used. The first evaluation results confirm the already described high levels of psychosocial stress in the affected families. They indicate a positive assessment of the consultation and a desire for a permanent offer. First follow-up results indicate a significant decrease in treatment-related concerns, uncertainty and a reduction in treatment-related problems. The lack of a viable funding model poses a challenge for long-term implementation.

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[儿科跨学科家庭咨询-慢性病儿童复杂负担家庭的综合方法]。
对于患有高水平心理社会压力的慢性病儿童的家庭,有必要让儿童和青少年精神病学或心身专家直接参与儿科治疗过程。为此目的,在海德堡大学儿科设立了一个家庭咨询,作为一个示范项目的一部分,该项目以跨学科和系统的方式处理这些家庭。这表明,尽管组织付出了很大的努力,但咨询的实施还是有效的,并且经常被使用。初步评估结果证实了已经描述的受影响家庭的高度心理社会压力。它们表明对协商的积极评价和对永久提议的渴望。第一次随访结果表明,治疗相关的担忧、不确定性和治疗相关问题显著减少。缺乏可行的筹资模式对长期执行构成挑战。
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