The focus of both the family and the care provider should be on strengthening the self-esteem of parents and children and rebuilding family harmony. They may blame themselves for their child's behavior. Teachers, doctors, friends, even strangers may offer advice that is confusing, contradictory, and often insulting. Feelings of failure and helplessness can manifest themselves as anger toward the child, which can then lead to feelings of guilt for the parents. Not all families will want or need the same services.
Successful programs are versatile and creative in their approach to programming for families.
Parent involvement is important in improving social, psychological, and educational outcomes for all children. It is important to remember that parents can become even more frustrated if they are not notified about their child's development unless the news is bad or after the child has fallen so far behind that catching up seems impossible. Good communication will ensure the most effective collaboration of services. Care providers also need to recognize that not all parents will be able or willing to become actively involved in the respite program. Some respite workers are comfortable caring for several siblings at a time.