Authors' objectives: Different approaches can be followed for the early identifying and supporting of children with mentally ill parents. One is to get into contact with the children via the parents in the adult mental health care settings. To explore this strategy further, information on the prevalence of both mental disorders and the usage of mental health benefits in Tyrol are analysed.

Authors' results and conclusions: Robust epidemiological data for Tyrol are lacking. Based on mental health service uptake in 2011 it was estimated that 3% of the Austrian population suffers from severe mental disorder which would roughly affect 22,500 persons in Tyrol. Overall, almost 86,000 TGKK-insured patients received at least one type of mental health benefit in 2017. This represents 14.5% of all insured. Five percent of patients were younger than 19 years, almost 60% were between 19 and 64 years old and the remainder was older than 64 years. Two third of recipients were females. In patients who are potential parents of dependent children (age group 19-64 years old), the vast majority (80%) were prescribed medication and half of the patients received medication only. A quarter had contacted an outpatient psychiatrist and 13% received psychotherapy. Five percent were treated in psychiatric inpatient or day care. The most frequently occurring ICD-10 diagnoses were F1, F4 and F3. The median length of hospital stay was 15 days. The overall number of benefit recipients has risen between 2012 and 2017; however the percentage of insured persons who received benefits remained almost stable. More persons had contact with outpatient psychiatrists, received psychotherapy or were on sick leave in 2017 compared to 2012, while those who received inpatient or day care decreased. The number of patients who were prescribed medication rose between 2012 and 1014 and has slightly decreased since then. Conclusion: The proportion of mentally ill parents that one may be able to reach via adult mental health care differs considerably according to the setting chosen. Additionally, severity and type of illness differ by setting. Each setting involves different organisational challenges for implementing and evaluating support. Administrative data are a useful piece of information for assisting planning but cannot replace robust epidemiological data.

Project Status: Completed

URL for project: https://aihta.at/page/how-to-raise-the-village-to-raise-the-child-unterstuetzung-von-kindern-mit-psychisch-erkrankten-eltern-kurztitel-village/en

Year Published: 2018

URL for published report: http://eprints.aihta.at/1181/1/HTA-Projektbericht_Nr.113b.pdf

URL for additional information: http://eprints.aihta.at/1181/

English language abstract: An English language summary is available

Publication Type: Full HTA

Country: Austria

Organisation Name: Ludwig Boltzmann Institute for Health Technology Assessment

Contact Address: Ludwig Boltzmann Institute for fuer Health Technology Assessment (LBI-HTA), Garnisongasse 7/rechte Stiege Mezzanin (Top 20), 1090 Vienna, Austria. Tel: +43 1 236 8119 - 0 Fax: +43 1 236 8119 - 99

Contact Name: tarquin.mittermayr@aihta.at

Contact Email: office@aihta.at