After meeting in Prato the collaborative was expanded to engage with other International change agents (e.g. family members, parents, clinicians, service providers, policy makers and funders) with the aim of improving parental and family mental health and wellbeing across the world. As a consequence the two organisational foci include the Prato Research Collaborative who meet every 2 years at Prato and an expanding group of International change agents, who with the input of research evidence, seek to improve parental and family mental health internationally.