Supporting healthy relationships among parents of children with behaviours that challenge: A practical guide

Legacy Content

This project or publication was produced before or during the merger of What Works for Children’s Social Care (WWCSC) and the Early Intervention Foundation (EIF).

Currently, little attention is paid to how parental conflict affects the lives of children with special educational needs and disabilities (SEND) in the UK. This practical guide for local areas has been developed to improve understanding of how risk factors among parents of children with behaviours that challenge can impact on parental conflict and in turn on child outcomes, how to effectively engage these parents, what evidence-based support can be offered, and how to appropriately assess progress for these families.

The most recent official statistics show that in 2012 there were 0.8 million disabled children and young people aged 0–18 in the UK, 6% of all children. Children with neurodevelopmental disabilities (such as Autism, ADHD, and Tourette’s Syndrome) are the largest group of disabled children and young people in the UK, making up an estimated 3–4% of children in England, and more recent studies suggest that over 2% of children and young people in the UK are autistic.

This guide focuses on children with neurodevelopmental difficulties or diagnosed neurodevelopmental conditions who manifest behaviours that challenge. Research suggests that parents of children with behaviours that challenge might experience higher levels of parental stress. Parental stress, in turn, is associated with a higher risk of relationship distress and conflict, which in turn can affect outcomes for children. The scale and impact of this is likely to vary for children with different conditions and with different levels of support.

We use the expression behaviours that challenge to refer to persistent behaviours that children can demonstrate in a number of ways and in various settings, from becoming withdrawn (internalising behaviours) to acting aggressively (externalising behaviours). Sometimes, these are described as ‘challenging behaviours’. We recognise that these behaviours, which are often caused by distress and are unintentional, can be manifested by children with and without neurodevelopmental difficulties and disabilities. However, children with neurodevelopmental difficulties and diagnosed neurodevelopmental conditions might face additional barriers in having their individual needs met when compared to other children. For more about language and definitions see page 6 of the guide.

This guide has been developed for local leads, commissioners and practitioners to improve understanding of the factors that increase the risk of parental conflict among parents of children with behaviours that challenge, how to engage parents, what evidence-based support can be offered, and how to assess progress for these families.

The guide includes:

  • An overview of the research evidence of the factors that can increase the risk of parental conflict among parents of children with behaviours that challenge, and the impact of parental conflict on child outcomes.
  • Advice on how research evidence can be put into practice to inform your local strategy.
  • Recommendations on how to engage parents of children with behaviours that challenge.
  • A summary of evidence-based healthy relationship and parenting interventions that can be used with parents of children with behaviours that challenge.
  • A summary of measurement tools that can be used to measure parental conflict, parental stress and co-parenting with parents of children with behaviours that challenge.

Appendix

Download

Looking to speak to us about something?

Contact Foundations

Related TOols

March 17, 2025

This resource explores the role of police professionals in responding to parental conflict and how their involvement can help mitigate its negative effects on children and families. Drawing on police perspectives from our exploratory project commissioned by DWP, it highlights practical approaches to identification, response, and collaboration with other services.

Keep Up to Date

Sign up to receive our newsletter for the latest news, events and research from from Foundations

You can unsubscribe at any time by clicking the link in the footer of our emails. For information on how we process your personal data please review our privacy policy.

Cost ratings:

Rated 1: Set up and delivery is low cost, equivalent to an estimated unit cost of less than £100.

Rated 2: Set up and delivery is medium-low cost, equivalent to an estimated unit cost of £100–£499.

Rated 3: Set up and delivery is medium cost, equivalent to an estimated unit cost of £500–£999.

Rated 4: Set up and delivery is medium-high cost, equivalent to an estimated unit cost of £1,000–£2,000.

Rating 5: Set up and delivery is high cost. Equivalent to an estimated unit cost of more than £2,000.

Set up and delivery cost is not applicable, not available, or has not been calculated.

Click here for more information.

Child Outcomes:

Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus.

Supporting children’s mental health and wellbeing: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Preventing child maltreatment: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Enhancing school achievement & employment: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Preventing crime, violence and antisocial behaviour: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Preventing substance abuse: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Preventing risky sexual behaviour & teen pregnancy: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Preventing obesity and promoting healthy physical development: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Evidence ratings:

Rated 2: Has preliminary evidence of improving a child outcome from a quantitative impact study, but there is not yet evidence of causal impact.

Rated 2+: Meets the level 2 rating and the best available evidence is based on a study which is more rigorous than a level 2 standard but does not meet the level 3 standard.

Rated 3: Has evidence of a short-term positive impact from at least one rigorous study.

Rated 3+: Meets the level 3 rating and has evidence from other studies with a comparison group at level 2 or higher.

Rated 4: Has evidence of a long-term positive impact through at least two rigorous studies.

Rated 4+: Meets the level 4 rating and has at least a third study contributing to the Level 4 rating, with at least one of the studies conducted independently of the intervention provider.

Rating has a *: The evidence base includes mixed findings i.e., studies suggesting positive impact alongside studies, which on balance, indicate no effect or negative impact.

Click here for more information.