Giving parents a voice: A qualitative study of the challenges experienced by parents of children with disabilities.

BACKGROUND This study sought to examine the specific sources of challenges as identified by parents of children with disabilities. METHOD Focus groups were conducted with 40 parent caregivers. Data gathered were coded into themes which were then analyzed through an intentional process of data reduction that resulted in the cross site validation of four superordinate themes. RESULTS Four themes emerged as the most prominent barriers to positive parent wellbeing: (a) access to information and services, (b) financial barriers, (c) school and community inclusion, and (d) family support. These four themes are indicative of problems associated with a lack of match between caregiver needs and services, resources, or support available in the community to meet those needs. CONCLUSION Caring for a child with a disability can be challenging, but many of these challenges are likely due to a lack of necessary environmental supports. Future research should expand on these findings and policy makers, scientists and providers should give particular attention to the environmental support needs of parents in order to create policies and interventions that are more family-centered.

[1]  K. Laurence,et al.  Must a Family with a Handicapped Child be a Handicapped Family? , 1974, Developmental medicine and child neurology.

[2]  U. Bronfenbrenner Ecology of the family as a context for human development: research perspectives , 1986 .

[3]  M. Patton Qualitative evaluation and research methods, 2nd ed. , 1990 .

[4]  Margaret Anzul,et al.  Doing Qualitative Research: Circles Within Circles , 1991 .

[5]  M. Patton,et al.  Qualitative evaluation and research methods , 1992 .

[6]  R. J. Thompson,et al.  Psychological adaptation of mothers of children with spina bifida: association with dimensions of social relationships. , 1992, Journal of pediatric psychology.

[7]  K. Chwalisz Perceived stress and caregiver burden after brain injury: A theoretical integration. , 1992 .

[8]  Matthew B. Miles,et al.  Qualitative Data Analysis: An Expanded Sourcebook , 1994 .

[9]  Donald R. Atkinson,et al.  Counseling Diverse Populations , 1994 .

[10]  J. Stepanek,et al.  Excerpts from family-centered care for children needing specialized health and developmental services. , 1995, Pediatric nursing.

[11]  J. Agosta,et al.  Supporting Families Who Provide Care at Home for Children with Disabilities , 1995 .

[12]  R. Olkin The human rights of children with disabilities. , 1997 .

[13]  D. Morgan The Focus Group Guidebook , 1997 .

[14]  M. Seltzer,et al.  Families and Caregiving across the Life Course: Research Advances on the Influence of Context , 1997 .

[15]  J. Greenberg,et al.  Siblings of Adults with Mental Retardation or Mental Illness: Effects on Lifestyle and Psychological Well-Being , 1997 .

[16]  D. Mechanic,et al.  Public trust and initiatives for new health care partnerships. , 1998, The Milbank quarterly.

[17]  C Levine,et al.  The economic value of informal caregiving. , 1999, Health affairs.

[18]  Michael L. Wehmeyer,et al.  The State of the States in Developmental Disabilities (5th ed.) , 1999 .

[19]  Robert G. Frank,et al.  Handbook of rehabilitation psychology. , 2000 .

[20]  R. Shewchuk,et al.  Family caregiving in chronic disease and disability. , 2000 .

[21]  K. Scorgie,et al.  Transformational outcomes associated with parenting children who have disabilities. , 2000, Mental retardation.

[22]  R. Kane,et al.  Assessing older persons : measures, meaning, and practical applications , 2000 .

[23]  L. King,et al.  Stories of Life Transition: Subjective Well-Being and Ego Development in Parents of Children with Down Syndrome ☆ , 2000 .

[24]  R. Freedman,et al.  The power to choose: supports for families caring for individuals with developmental disabilities. , 2000, Health & social work.

[25]  S. Fisman,et al.  A Longitudinal Study of Siblings of Children with Chronic Disabilities , 2000, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[26]  Laura M. Stough The qualifying game: A search for services by individuals with disabilities. , 2000 .

[27]  J. Shearn,et al.  Maternal Employment and Family Responsibilities: the Perspectives of Mothers of Children with Intellectual Disabilities , 2000 .

[28]  J. Sigafoos,et al.  Does Respite Care Reduce Parental Stress in Families with Developmentally Disabled Children? , 2001 .

[29]  L. Fox,et al.  “We Can't Expect other People to Understand”: Family Perspectives on Problem Behavior , 2002 .

[30]  K. Donelan,et al.  Challenged to care: informal caregivers in a changing health system. , 2002, Health affairs.

[31]  Karen Donelan,et al.  When the caregiver needs care: the plight of vulnerable caregivers. , 2002, American journal of public health.

[32]  S. Green,et al.  "What do you mean 'what's wrong with her?'": stigma and the lives of families of children with disabilities. , 2003, Social science & medicine.

[33]  L. Wilgosh,et al.  Effective Life Management in Parents of Children with Disabilities: A Cross-National Extension , 2004 .

[34]  S. Darling,et al.  Needs of and Supports for African American and European American Caregivers of Young Children with Special Needs in Urban and Rural Settings , 2004 .

[35]  P. Newacheck,et al.  A national profile of health care utilization and expenditures for children with special health care needs. , 2005, Archives of pediatrics & adolescent medicine.

[36]  Parminder Raina,et al.  The Health and Well-Being of Caregivers of Children With Cerebral Palsy , 2005, Pediatrics.

[37]  N. Çağlar,et al.  Assessment of the Quality of Life of Mothers of Children with Cerebral Palsy (Primary Caregivers) , 2005, Neurorehabilitation and neural repair.

[38]  S. Konrad Posttraumatic Growth in Mothers of Children with Acquired Disabilities , 2006 .

[39]  A. Brannan,et al.  Caregiver, Child, Family, and Service System Contributors to Caregiver Strain in Two Child Mental Health Service Systems , 2006, The Journal of Behavioral Health Services & Research.

[40]  D. Yanow,et al.  Interpretation and Method : Empirical Research Methods and the Interpretive Turn , 2006 .

[41]  A. Warren,et al.  Why psychology is important in rehabilitation. , 2007 .

[42]  Ronda C. Talley,et al.  Framing the public health of caregiving. , 2007, American journal of public health.

[43]  P. Young,et al.  The health of caregivers for children with disabilities: caregiver perspectives. , 2007, Child: care, health and development.

[44]  M. Bayat,et al.  Evidence of resilience in families of children with autism. , 2007, Journal of intellectual disability research : JIDR.

[45]  S. Green,et al.  "We're tired, not sad": benefits and burdens of mothering a child with a disability. , 2007, Social science & medicine.

[46]  M. Sanders,et al.  Predictors of care-giver stress in families of preschool-aged children with developmental disabilities. , 2007, Journal of intellectual disability research : JIDR.

[47]  L. Serbin,et al.  Predictors of depressive symptoms in primary caregivers of young children with or at risk for developmental delay. , 2007, Journal of intellectual disability research : JIDR.

[48]  K. Chwalisz,et al.  Facilitating rigorous qualitative research in rehabilitation psychology. , 2008 .

[49]  Teresa M. Nesman,et al.  Giving Voice to Parents of Young Children with Challenging Behavior , 2008 .

[50]  D. Dunn,et al.  The Place and Promise of Theory in Rehabilitation Psychology. , 2008, Rehabilitation psychology.

[51]  D. Lollar Rehabilitation Psychology and Public Health: Commonalities, Barriers, and Bridges , 2008 .

[52]  Roderick A. Rose,et al.  Material Hardship in U.S. Families Raising Children with Disabilities , 2008 .

[53]  Kay E. Ketzenberger,et al.  American Association on Mental Retardation , 2008 .

[54]  L. Meyerson Physical Disability as a Social Psychological Problem , 2010 .