Your new experience awaits. Try the new design now and help us make it even better

ORIGINAL RESEARCH article

Front. Psychiatry

Sec. Public Mental Health

Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1678134

ParentingWell: Adapting a Family-Focused Practice for Parents with Mental Illness

Provisionally accepted
  • 1Brandeis University Heller School for Social Policy and Management, Waltham, United States
  • 2University of Delaware Biden School of Public Policy & Administration, Newark, United States

The final, formatted version of the article will be published soon.

Introduction. The ParentingWell Practice Approach is a family-focused practice approach for adults who are parents receiving mental health services. The ParentingWell Learning Collaborative (PWLC) was originally developed and tested within the Massachusetts behavioral health service system to prepare and support mental health practitioners in implementing ParentingWell. The purpose of the current study was to systematically adapt ParentingWell, including the PWLC, for further implementation and scaling-out in a new setting with a diverse target population, and address the following question: What are the essential considerations in adapting ParentingWell resources to a diverse, vulnerable, at-risk target population in an urban service delivery context? Methods. We used a participatory approach, developmental evaluation design and mixed methods to document the adaptation process, and to assess preliminary acceptability, fit, and feasibility. The adaptation process included (1) establishment of an Adaptation Team consisting of a diverse and multi-disciplinary team of policy makers and practitioners; (2) review of ParentingWell content by community stakeholders; and (3) piloting of the PWLC model in the new context, with local agency personnel. Results. The Adaptation Team provided guidance related to enhancing the acceptability of ParentingWell and the PWLC, including considerations related to the training format and evaluation methods. Community stakeholders provided suggestions to strengthen the fit of ParentingWell resources, including the creation of plain language resources. Data from PWLC participants indicated that they benefitted from participation in the Learning Collaborative. Discussion. This study provides preliminary evidence for the acceptability, fit, and feasibility of ParentingWell in an urban service context. Future research should include longitudinal data collection with both providers and parents to identify how providers use ParentingWell tools and strategies, and to evaluate the impact of ParentingWell on parents served and their children.

Keywords: parents with mental illness, Family-focused practice, Intervention adaptation, behavioralhealth services, Implementation evaluation

Received: 01 Aug 2025; Accepted: 02 Sep 2025.

Copyright: © 2025 Nicholson, Heyman, Escobar and Kaplan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Joanne Nicholson, Brandeis University Heller School for Social Policy and Management, Waltham, United States

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.