“…Furthermore, by reducing intensity and cost of therapist involvement, public systems can distribute scarce resources to benefit more parents. Within such care models, however, parents are being asked to be involved earlier, often close to diagnosis, when emotional (Davis & Carter, 2008;Osborne, McHugh, Saunders, & Reed, 2008) and work-related (Singh, 2016) burdens are known to be especially high. Insisting on high levels of engagement for all parents at this early stage may have unintended consequences on a subset of those who are not ready to meet the additional demands placed on them, exacerbating parenting stress, which can in turn reduce intervention effectiveness (Osborne, McHugh, Saunders, & Reed, 2007 and be a barrier to achieving optimal outcomes for the family and child (Prilleltensky & Nelson, 2000;Reed & Osborne, 2012).…”