Introduction

Parenthood is a valued social role. People with mental illness have the same aspirations for parenthood and face the same challenges associated with this role as do other community members (Sand, 1995). The parenting experience varies enormously from person to person; for those parents with the added dimension of mental illness this remains true. For some it results in improved social networks, a greater sense of identity, a meaningful work role and reduced stigma (Schwab et al., 1991). For others, the parenting experience may be associated with grief, loss and frustration (Human Rights and Equal Opportunity Commission, 1993). For many people with a mental illness, particularly women, the parenting role preceded the onset of mental illness.

In this chapter we will provide a brief overview of the literature about the needs of parents with a psychotic disorder. A case example will be used to illustrate some of the practical issues in delivering services to these families. Based on two recent surveys undertaken by the authors, we will summarize our findings regarding the needs of parents with psychotic disorders, from the perspective of both the consumer and of the service provider. Finally, we will address the challenge of closing the gap between optimal and current services.

First, what is the scope of the problem? Parenthood has not always been seen as an option for many people with psychotic disorders.