Parental perceptions of childhood anxiety and mental health support needs in Czechia using the consolidated framework for implementation research

Background Childhood mental health problems, particularly anxiety, present a significant global challenge, affecting many young people worldwide. In Czechia, concerning rates of mental health problems are observed in children, yet access to specialised care remains limited. This paper addresses the urgent need for comprehensive support systems in Czechia by focusing on parental roles in promoting children's mental health. Methods This study employs a situational analysis and needs assessment using the Consolidated Framework for Implementation Research to explore parental perceptions of mental health, self-efficacy, stigma, and experiences with professional support. It also examines available resources and services for children, emphasising the prevalence and severity of anxiety symptoms. Results Parents prioritised improved access to affordable, evidence-based mental health programmes, reporting barriers such as lack of available care, long wait times, stigma related to service use. Parents reported that these barriers resulted in feelings of despair and helplessness regarding their child's mental health problems. Conclusions Addressing the identified barriers requires sustainable support structures and evidence-based interventions, provided through public health insurance coverage. These findings lay the groundwork for participatory development of services with families and stakeholders to meet Czech parents’ needs.