A systems approach to enhance global efforts to implement family-focused mental health interventions

Adrian Falkov, Melinda Goodyear, Clemens M H Hosman, Kathleen Biebel, Bjørg Eva Skogøy, Nick Kowalenko, Toni Wolf, Edoardo Re

Research output: Contribution to journalArticleResearchpeer-review

28 Citations (Scopus)


This paper acknowledges progress over the last 20 years in addressing intergenerational risks to the mental health of children whose parents experience mental illness (COPMI-Children of Parents with a Mental Illness and FaPMI-Families Where a Parent Has a Mental Illness) and emphasises ongoing challenges to implement evidence informed family focused interventions. Challenges include variability in practice at individual, regional, and cross-national service system levels and the gap between implementation science and practice. This article begins to address this gap with descriptions of key systems approaches and implementation strategies from around the world to illustrate variability and common themes. A multifaceted, integrated systems approach is proposed as a way forward. Learnings and experience from initiatives, expertise and evidence targeting other vulnerable groups and successful change implementation will enhance existing (COPMI/FaPMI) efforts to facilitate systems change and improve the lives and futures of these children and families around the world.

Original languageEnglish
Pages (from-to)175-193
Number of pages19
JournalChild & Youth Services
Issue number2
Publication statusPublished - 2 Apr 2016


  • implementation
  • mental illness
  • parenting
  • systems approach
  • workforce development

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