Examining rates and risk factors for post-order adoption disruption in England and Wales through survival analyses

PurposeThis paper reports findings from two research studies that set out to calculate the rate and predictors of post-order adoption disruption in England and Wales.MethodsAll available national level administrative data on adopted children in England and Wales were analysed, supplemented by national surveys adoption managers. Complete national datasets were available 12 years in England and for 11 years in Wales.ResultsOf the 36,749 and 2,317 adoptions considered, 565 in England and 35 in Wales had disrupted over the follow up period. Kaplan-Meier analyses indicate that cumulative post-order adoption disruption rates were 3.2% and 2.6% respectively for England and Wales. Cox regression models indicate that being older than four years adoptive placement, adoptive parents taking longer than a year to legalise the adoption, being a teenager and previous multiple placements in care were risk factors for post-order adoption disruption.ConclusionThe post order adoption disruption rate is low. Implications for policy and practice are discussed.     

Ethical Considerations in Adoption Research: Navigating Confidentiality and Privacy Across the Adoption Kinship Network

Abstract

Adoption research often includes multiple members of the adoption network, each of whom has distinctive perspectives. Participants may include adopted individuals and their siblings as well as adoptive parents, birth parents, and adoption professionals. Due to these multiple informants and the sensitivity of the topics explored in adoption research, researchers encounter several unique ethical concerns when working with populations impacted by adoption. The current article addresses confidentiality and privacy issues that arise when conducting adoption research. Examples from a longitudinal study on openness in adoption are provided to highlight strategies that can be used to address these issues.     

Descriptive Analysis of Foster Care Adoptions in New South Wales,Australia

This paper describes the population of children in care in New South Wales, Australia, who were adopted by their foster families (N?=?372) from 2003 to 2014. Data pertaining to 370 of these adoptees were available and obtained from administrative records accompanying adoption applications. Most of these children had been placed with their subsequent adoptive family during infancy. However, adoption orders occurred much later in their lives. According to the available information at the time of adoption, these children did not suffer the high levels of mental health problems typically identified in populations of children in foster care. Though the data do not include follow-up to determine if the contact agreed upon at the time of adoption orders translated into practice, the most frequently postadoption arrangement recorded was face-to-face contact, four times a year with mother and siblings. The high levels of openness and face-to-face contact in Australian adoptions from care are a significant point of difference with other adoption models, and presents a need for research in the area.

IMPLICATIONS

• Following the change of legislation in New South Wales, Australia, that prioritises open adoption over foster care, social workers in the field of child protection are well placed to assist in this process.

• Social workers can assess children entering care to identify those who will benefit from adoption in a timely manner; undertake casework and administrative aspects of the adoption process; work closely with the child, and birth and adoptive families by delivering pre- and post-adoption supports; and conduct longitudinal research on the outcomes for children adopted from care.

     

Modelling Chinese manufacturers' technology adoption behaviour

Abstract

This paper uses firm-level survey data from Hong Kong to identify determinants of technology adoption. The data analysis was guided by proposing a new model that was built upon the Theory of Planned Behaviour and Technology Acceptance Model. Three types of determinants are considered. They are determinants controllable by the technology suppliers and technology buyers, respectively; an external determinant that is not controllable by both the technology suppliers and buyers. This paper reviews research in related areas and the proposed model suggests ways in which behavioural, environmental and organisational issues may be important to technology adoption. The result reveals that behavioural and organisational issues are relevant to technology adoption decision, whereas the relevance of environmental issues is questionable.     

Who Is Adopted?

ABSTRACT

There are several advantages of using large representative samples to study adoption-related issues, and existing databases are increasingly used for this purpose. Large scale surveys are often limited, however, in the number and type of questions that are asked regarding adoption. Conceptual and methodological issues in measuring adoption status are discussed, and a rich new database-the National Longitudinal Survey of Adolescent Health (Add Health)-is used to illustrate these complexities. In Add Health school survey data, adolescents were asked a direct question about whether or not they were adopted and whether they lived with biological parents. During home interviews, adolescents were not asked about adoption status per se, but they could be classified as adopted if they lived with adoptive rather than biological parents. Parents' and adolescents' reports of adoption status and living arrangements are compared in Add Health data to illustrate the complexities of measuring adoption status when using archival data. For research to be scientifically credible and to enhance the accumulation of knowledge, investigators need to be precise about the concepts and measures they use in studying adoption-related issues, particularly when using previously collected survey data.     

Computer Diffusion and Worker Empowerment

Abstract

Much anecdotal material describes various human impacts of computer adoption within the social work profession, however, there is scant research which confirms or challenges these assumptions. This article describes a study which investigates the diffusion of computers into the social work profession in terms of empowerment as an individual outcome for workers. A questionnaire returned by 520 social workers provided data on organizational computer diffusion, organizational centralization, and the Social Worker Empowerment Scale. Workers in organizations where computer diffusion was more advanced, and those in more decentralized decisionmaking environments were found to be more empowered.     

Key Issues in Adoption Legislation

SUMMARY

This paper examines the underlying assumptions associated with two key areas of adoption legislation where there is variation across jurisdictions and calls for change. These legislative issues are consent and openness. In each area, there is very little social research which might otherwise offer insight into how to best formulate legislation in a way that would serve the needs of various members of the adoption experience. The primary goal of this paper is to consider key legal issues associated with consent and openness and make recommendations for how research might provide important information that could serve as guides for a legislative reevaluation of these areas.     

The Adolescent Family Life Program and Adoption Research

Abstract

The Office of Population Affairs administers the Adolescent Family Life Program. Authorized in 1981, the Adolescent Family Life Act funds adolescent pregnancy prevention programs as well as care programs for pregnant and parenting teens. It also funds research into related issues, including adoption. A primary purpose of the Adolescent Family Life Program is to develop and test approaches that encourage adoption as an alternative to abortion. However, both abortion and adoption rates have dropped since the program was instituted. While existing research has answered some of the questions surrounding adoption, there is need for additional research into the factors associated with adoption. The Office of Population Affairs is actively seeking creative, well-conceived proposals that address some of the as yet unanswered questions.     

Promoting Computer-Mediated Communications in Community Coalitions

SUMMARY

Community coalition participants are adopting new communication tools. This article identifies issues involving adoption of one type of communication tool, computer-mediated communications (CMC), based on a review of relevant literature and a recent exploratory research study of CMC adoption by community coalitions. Suggestions for aiding adoption and anticipating problems are presented and some social justice and professional value issues are highlighted. Human service professionals whose work involves community coalitions may find the theoretical background and practical advice useful in anticipating and responding to CMC changes in coalitions.     

On Individual Difference,Choice, Selection,and Complexity in Adoption Research

Abstract

The silent confounds of the Main Effects Model as used in adoption research are individual difference driven self-selection and choice along with intermediary and birthparent selections. Two Chain-of-Choices Models -one for adoptive parents and one for birthparents and adoptees -are presented as possible frameworks within which to consider the role of individual differences, choices, and selections in understanding both the process of adoption and adoption outcomes. The article concludes with an extensive discussion of the research and practice implications which follow from the Chain-of-Choices Models and the emphasis on pre-existing individual differences.     

Coming to Terms with Adoption

Abstract

This article focuses on the development of personal identity of adopted individuals from adolescence into adulthood. For adopted persons, identity development involves exploration of alternative futures as well as coming to terms with the facts of one's adoption. Integration of adoption into one's overall sense of identity is discussed, as is evidence about adopted persons' construction of identity from the perspective of first-person accounts, reports from clinicians, and research on identity and adoption. A conceptual scheme regarding adoptive identity development is outlined, and implications for research and practice are discussed.     

Impact of the Adoption of Tobacco-Free Campus Policies on Student Enrollment at Colleges and Universities,North Carolina, 2001–2010

Abstract

Objective: College and university administrators have expressed concern that adoption of tobacco-free policies may reduce applications and enrollment. This study examines adoption and implementation of 100% tobacco-free campus policies by institutions of higher education on applications and enrollment. Participants: North Carolina private colleges and universities and public community colleges. Analysis was conducted in 2011. Methods: Student enrollment and application data were analyzed by campus type to determine (a) if there was a difference in student applications and enrollment before and after policy implementation, and (b) if there was a difference in student applications and enrollment for campuses with versus without a policy. Results: No significant differences were found in student enrollment or applications when comparing years prior to and following policy implementation or when comparing with institutions without 100% tobacco-free campus policies. Conclusions: The authors found no evidence that 100% tobacco-free policy adoption had an impact on student enrollment or applications.     

Choices,Challenges, and Tensions

ABSTRACT

No research has examined the challenges faced by lesbian women seeking to adopt from the perspective of lesbian couples themselves. The current qualitative study utilized data from 70 women (from 35 same-sex couples) who were in the process of adopting to explore how lesbian women experience and navigate the challenges they encounter during this critical life transition. Ecological, minority stress, and feminist perspectives informed our analysis. Results indicated that many women experienced tensions between their desire to be “out” in the adoption process and the legal and social realities of adoption. Based on their reports, women in this sample faced numerous barriers to adopting but engaged in multiple forms of resistance to legal and social inequities. Women also identified supportive practices by agencies that facilitated the adoption process. Findings suggest the importance of considering lesbian women's experiences as a starting point in understanding how heteronormative social practices shape the experiences of same-sex couples striving to adopt.     

Making and breaking families: a short essay on loss,hope and staying connected

ABSTRACT

The focus in this paper is on a specific time point in an adoption matching process. Empirical data from interviews, observations and group analytic processes are juxtaposed to hone in on emotional labor of the social work role. The author discusses the use of a ‘many minds’ research method to demonstrate how analytic practices can be enriched by collaborative thinking and group processes. This paper pays tribute to Claire Winnicott’s work by foregrounding the complexity and generative potential of the social work relationship.     

Adoptees' and Birth Parents' Therapeutic Experiences Related to Adoption

ABSTRACT

This study examined adoptees' and birth parents' experiences in therapy, including the perceived level of helpfulness and preparation by therapists relating to adoption issues as a function of the year these experiences occurred. Participants consisted of 152 adoptees and 66 birth parents, with the majority (78%) of the respondents being female. Overall, adoption inquiry, addressing adoption issues, helpfulness, and preparedness by therapists increased from 1965 though the 1990s. Therapists who inquired about adoption (54%) or addressed adoption (72%) were perceived as being significantly more prepared and helpful compared to those therapists who did not inquire about or address adoption issues.     

Minding the (Information) Gap: What Do Emerging Adult Adoptees Want to Know About Their Birth Parents?

Abstract

The formation of an adoption information gap was examined for a group of 169 emerging adults (M?=?25.0?years) who were adopted as infants. Participants completed interviews and questionnaires at adolescence and emerging adulthood (late teens to 20s). The Adoption Curiosity Pathway model guided research questions about formation of an adoption information gap, which exists when there is a difference between what an adopted person knows and what he or she desires to know regarding his or her adoption. In addition, specific issues were identified about which emerging adults were curious. Differences in these specific issues were examined across gender and openness arrangement with birth parents at emerging adulthood. The most frequently sought information was medical and health history. Logistic regression analyses revealed that the formation of an adoption information gap, which contains the specific items of curiosity, was more likely for those who were less satisfied with the amount of openness with birth parents during both adolescence and emerging adulthood. Implications for practice are presented.     

Recent Data on the Number of Adoptions of Foster Children

ABSTRACT

Public agency adoption programs require accurate and current data to identify trends, project caseloads and costs, revise practice and develop financial incentive systems. The federal government and advocacy groups also need accurate and current statistics on adoption to formulate and implement major policy initiatives. Collection of data to establish baselines for the federal Adoption Incentive Program resulted in a re-examination of recent underestimates of the number of adoptions. The underestimates were produced by a convergence of factors including under-reporting by states, use of inappropriate data as the basis for the estimates, and real increases in the number of adoptions.     

Ethical Adoption Practice

Abstract

Dr. Paul Denhalter completed his doctoral candidacy research on adoptive family attachment and entitlement. Nineteen parents were interviewed about what elements of adoptive family life contributed to a sense of entitlement. The act of care giving increased entitlement; negative comments from others about adoption tended to decrease it. In his social work practice, Dr. Denhalter counseled adoptive and birth families and advocated education, counseling and support for successful open adoption relationships. His positive perspective on adoption included his father's adoption at age five. Dr. Denhalter was critical of the current trends in adoption that have pathologized adoption for political purposes. He emphasized the results of the Search Institute's study that had positive conclusions about adopted children as well as a blueprint for successful adoptive families to follow.     

Deciding Not to Adopt: The Role of Normative Family Ideologies in Adoption Consideration

ABSTRACT

Americans view adoption favorably, yet few consider adopting or actually adopt a child. Using qualitative data from the representative National Survey of Fertility Barriers, we explored why women who had considered adoption decided not to pursue it as a pathway to parenthood. Our sample includes responses from 1,747 women who considered adoption at some point. Seven themes emerged: prioritization of biology, economic concerns, family building prerequisites, relationship barriers, barriers to adoption, family barriers, and change of heart. Findings highlight that barriers to adoption are not always the primary reasons women opt out of adoption; normative conceptualizations of “family” are also important.