title: Parenting and psychiatric rehabilitation: can parents with severe mental illness benefit from a new approach?
abstract: OBJECTIVE
  The aim of this pilot implementation study was to explore the initial experiences with and impact of Parenting with Success and Satisfaction (PARSS), a psychiatric rehabilitation and recovery-based, guided self-help intervention, for parents with severe mental illnesses.
  
  
  METHODS
  Changes in the PARSS intervention group were compared with changes in a control group in a nonequivalent control group design. Outcome measures included: parenting satisfaction reported by parents; parenting success reported by mental health practitioners and family members; empowerment as reported by parents, practitioners and family members; and parents' reported quality of life. Additional process data were obtained on relationship with practitioner, quality of contact, satisfaction with the intervention and fidelity.
  
  
  RESULTS
  Parenting satisfaction increased after 1 year for the PARSS group, but not for the control group. Parents' reports of empowerment did not change for either group. The scores of parents' empowerment reported by practitioners and family members increased in the control group, with no such change in the PARSS group. Quality of life improved significantly for the intervention group. Process measures showed that, although PARSS was not always implemented as intended, both parents and practitioners expressed satisfaction with the intervention.
  
  
  CONCLUSIONS
  The first experiences with PARSS were mixed. This intervention, implemented by mental health practitioners, has the potential to function as a useful tool for supporting parents. Attention must be paid to enhancing intervention implementation and fidelity.
authors.affiliation: Hanze University of Applied Sciences.
authors.forename: Peter C
authors.initials: PC
authors.lastname: van der Ende
authors.affiliation: Department of Psychiatry, University Medical Centre.
authors.forename: Jooske T
authors.initials: JT
authors.lastname: van Busschbach
authors.affiliation: Dartmouth Psychiatric Research Center, The Geisel School of Medicine at Dartmouth.
authors.forename: Joanne
authors.initials: J
authors.lastname: Nicholson
authors.affiliation: Hanze University of Applied Sciences.
authors.forename: Eliza L
authors.initials: EL
authors.lastname: Korevaar
authors.affiliation: Department of Social and Behavioral Science, Tranzo Scientific Center for Care and Welfare, Tilburg University.
authors.forename: Jaap
authors.initials: J
authors.lastname: van Weeghel
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation*; D008875:Middle Aged; D016487:Parenting / Q000523:psychology*; D010290:Parents / Q000523:psychology*; D017060:Patient Satisfaction; D010865:Pilot Projects; D011209:Power, Psychological; D011613:Psychotherapy / Q000379:methods*; D011788:Quality of Life / Q000523:psychology; D016896:Treatment Outcome; D055815:Young Adult