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Among those who do enroll, average attendance ranges from 34 to 50 percent of sessions (Breitenstein et al., 2012; Coatsworth et al., 2006; Scott et al., 2010).

It has been estimated that between 20 and 80 percent of families drop out of mental health prevention and intervention programs prematurely with many of them receiving less than one-half of the intervention (Armbruster and Kazdin, 1994; Ingoldsby, 2010; Masi et al., 2003).

Lower participation and retention rates limit program reach and dilute program benefits for parents and families.

Throughout the discussion in this chapter of elements of effective parenting programs, therefore, approaches that have shown success in increasing parents’ participation and retention in such programs are noted.

Research has found that treating parents as partners enhances the quality of interactions between parents and providers and increases parents’ trust in providers (Jago et al., 2013). Very few programs have undergone multiple evaluations using such designs. Other parenting interventions have been assessed through smaller studies, observational research, and case-control studies. Meaningful Differences in the Everyday Experiences of Young American Children. As discussed in Chapter 1, many children are raised by a same-sex couple or a sexual minority parent. Outcomes of a randomized study of a peer-taught family-to-family education program for mental illness. Few studies have explored the parenting experience of sexual minority adults.

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