Children as next of kin are at a significantly increased risk to affect negatively when they are involved in incomprehensible situations in life, such as anxiety and unpredictable incidents. Family economy, social relationships, and division of roles can changes negatively. This can in turn lead to socio-economic problems, poor school performance and mental illness. Swedish health and social care services, and non-profit organizations provide support for this group. Although, there is little knowledge of the results of the support given. Therefore, a national project was conducted aiming to implement or develop systematic follow-up of supportive activities for children as next of kin,

Managers and professionals from 24 organizations, within Swedish health and social care services and non-profit organizations, participated. Initially, participants were interviewed to explore how these organizations work with support activities for children as next of kin and how they follow up to obtain results. After, the work began to develop or implement systematic follow-up in the participating organizations. The results show differences regarding organizations' conditions and how they worked with systematic follow-up. But also many similarities on how they experienced the children who participated in their support activities, but also their incentives to implement systematic follow-up.