Cross-sector collaboration

The Family Team 

The Family Team is a network-based model, meant to strengthen collaboration and coordination across sectors. The model is targeted at children and young people with mental health problems as well as their families, and it aims to create a coherent course of treatment. This involves close collaboration between actors such as municipalities, regions, and general practitioners. A key element of the model is that children, young people, and their families are involved throughout the treatment process and are seen as crucial sources of knowledge. 

The Family Team is based on a series of key components: 

Network meetings: Efforts are planned, assessed, and adjusted in cooperation with the children, young people, and their relatives supported by a digital platform, which is developed in work package 3. 

Continuous monitoring: PROMs are used to continuously monitor daily functioning and quality of life, which permits an effective assessment of efforts and treatments across sectors. 

Flexible allocation of teams: The team is assembled continuously based on the specific issues and goals, which the team is working on. This ensures, that the right professional is present at the right times. Together with the family, it will be evaluated, who should participate in meetings to accommodate the present needs of the family in the best way. 

Peer support: The family receives support from persons with similar experiences to secure a holistic approach.

Co-creation

As part of the work package, a peer board of CYP and relatives will be established, which will play a central role in the processes of co-creation across the Best for Us project. 

The development and implementation of the Family Team will happen in continuation of greater work within the North Denmark Region across municipalities, regions, and general practitioners, based on a strong wish from the adolescents and their parents. It is meant to address the problems relating to lack of consistency in care and to ensure increased user involvement in coherence with the national decisions on the area. 

Responsible

The overall responsible for work package 2 is Malene Østergaard Terp, Ph.D. and head of Center for Recovery and Co-creation, Psychiatry – North Denmark Region.