@graham2009,
'it' equals 'being the parent of a child with special needs'. Let's do a couple of paraphrases, even some rather convoluted ones should help.
... and
being the parent of a child with special needs often carries extra stress for those who are the parent of a child with special needs.
... and
being the parent of a child with special needs often causes extra stress for that person who is the parent of a child with special needs.
Handy little word, that 'it' is, isn't it?