Parents with BD find that the ups and downs of mood that they experience make parenting very
challenging particularly regarding provision of consistent support and guidance for their children. Parents with BD want parenting support, but worry they might lose access to their children if they disclose this to their clinicians. Accessible, flexible, and confidential online parenting support is a way to provide this without adding to worries parents already have. Children of parents with BD often have emotional and behavioural problems, which can lead to severe mental health problems, including BD, as they grow up. Parents need support to help their children flourish, which may help parents themselves feel better as well, with wider benefits for society. This talk will briefly review work by our team in demonstrating the feasibility of online support for these parents and will introduce the current Integrated Bipolar Parenting Intervention (IBPI) study. This is a national NIHR funded definitive clinical and cost-effectiveness study. We are recruiting parents with bipolar with children aged 4-10 and comparing IBPI with treatment as usual at 24 and 48 weeks. The primary clinical outcome is child emotional and behavioural problems at 24 weeks with additional outcomes exploring parenting, parental mood and family coherence. Economic measures will assess cost effectiveness from the perspective to both child and parent outcomes. The talk will describe the rationale for this study, the updating of the intervention in partnership with parents with bipolar and will report on trial progress through the recruitment period.