The effects of adoption openness and type on the mental health,delinquency, and family relationships of adopted youth

ABSTRACT

Analyzing the 2007 National Survey of Adoptive Parents, this study examines the impact of open adoption, demographics, and other factors on adopted children’s mental health, delinquent behavior, and family relationships. Specifically, we compare findings for youth in private and public (i.e., foster care) adoptions and identify key similarities and differences between predictors of children’s well-being across these two types of adoption. We find that youth in open foster care adoptions are more likely to receive an attachment disorder diagnosis than those in closed foster care adoptions but are also more likely to have family relationships characterized by trust and adoptive parents’ willingness to recommend adoption to others. Further, we find children in both public and private adoptions who are older at placement are more likely to have posttraumatic stress disorder diagnoses. For children in private adoptions, no statistically significant predictors affected youths’ delinquency outcomes or family relationships, with the exception of parents of private adoptees in households characterized by lower levels of poverty indicating they would be more likely to recommend adoption to others. The implications of the key findings are discussed with regard to service provision for multiple types of adoptive families.     

Adoption and Family Therapy

The aim of this article is to sensitise family therapists to adoption. A major assertion of the paper is that adoptive families are different from biological families. The family therapy context is a natural framework for examining these issues, as adoption affects and alters both birth and adoptive families, and adoption‐related problems occur within the context of the extended family system. The differences between intra‐racial (socially‐motivated) and inter‐racial adoptions are discussed, as well as the differences between closed and open adoptions. The study of families affected by adoption provides a model for other family forms, such as stepfamilies, foster families and families who form through new birth technologies.     

Open Adoptions of Children From Foster Care in New South Wales Australia: Adoption Process and Post-Adoption Contact

In Australia, adoptions from care are infrequent and mostly conducted in New South Wales (NSW) despite being legislated in other states. This qualitative study explored the experiences of the adoption process and post-adoption contact of eight foster parents adopting children in their care through the public welfare agency in NSW. The interviews were analyzed following a structured approach, by means of thematic networks. The study revealed that adoption processes and maintenance of birth family relationships depend on a number of factors (e.g., the behavior of the professionals, adoptive and birth parents, children's reactions, policy and practice contexts). However, the adoptive parents' experience of the adoption process was largely determined by the system, and in most cases this appeared to subsequently influence post-adoption connection in the families. The findings and the adoptive parents' recommendations are likely to apply beyond specific geographical jurisdictions. In addition, the reported complexities regarding connections through open adoptions at times resemble those tensions faced by children living in other family types such as those referred to in the foster care literature. Further research on some of these commonalities may expand in some countries the debate regarding adoption as an inherently contestable practice.     

The Postadoption Needs of Adoptive Parents of Children With Disabilities

Adoptions of children with disabilities are considered special needs, due to the higher level of support needed pre- and postadoption by families and children for adoptions to succeed. Despite this fact, very few studies examine the specific postadoption experiences of families with children with disabilities. Using secondary analysis of a national survey of adoptive parents, as well as interviews and a focus group with adoptive parents in one state, this study examines families’ with adopted children with disabilities challenges and unmet needs after adoption, as well as the postadoption needs and experiences of adoptive families with children with developmental and intellectual disabilities and adoptive families of children with emotional, behavioral, and mental health disabilities. Findings indicate that families with children with disabilities do report higher rates of challenges and barriers to service access, and that this is particularly true in families with adopted children with emotional, behavioral, and mental health disabilities. Implications for research and practice are discussed.     

Predicting adoption dissolutions for children involved in the child welfare system

While the majority of foster care adoptions are stable and secure, some dissolve, resulting in the return of children to the system. The purpose of this study was to identify factors associated with children’s reentry into the foster care system after adoptions are formally finalized. Using case records from the Los Angeles Department of Children and Family Services’ (DCFS) Bureau of Information Systems (BIS), we compared 123 dissolved adoptions to 74 successful ones. We found that children’s gender, history of physical abuse, exposure to drug use, and the number of foster care placements prior to adoption are associated with greater odds of dissolution. Furthermore, the odds of dissolution were higher for relative adoptive parents and for adoptive parents with prior substantiated Child Welfare cases. Implications for practice include ongoing targeted training and supportive services for families and improved screening procedures that address the unique needs of adoptive parents.     

Why Are So Many U.S. Families Adopting Internationally?

Abstract

This paper uses social exchange theory to explain the increase by which U.S. families are adopting internationally, compared to domestically. Benefits of adopting internationally appear associated with a preference for infants, confidential adoptions, race/ethnic similarity and shorter waits. Costs are related to generally higher expenses and a greater likelihood of developmental and other health risks among the children. While international adoptions can be expected to increase on this basis, trends may be slowed as a result of social context factors (for example, recent policies governing international adoptions) and greater awareness of inequity in power relations within the adoptive family triad. Implications for practice related to policy advocacy are discussed.     

Contact with birth family in adoptive families headed by lesbian,gay male,and heterosexual parents

In this study, we examined the extent and type of contact with birth family in adoptive families headed by sexual minority and heterosexual parents prior to or at the time of placement, following placement, and currently. Data were drawn from the Modern Adoptive Families project, a nationwide, non-random survey of adoptive parents' beliefs and experiences that was conducted from 2012 to 2013. The current sample consisted of 671 families headed by heterosexual parents, 111 families headed by lesbian parents, and 98 families headed by gay male parents whose oldest adopted child was less than 18 years old and who was placed domestically either from the public child welfare system or from a private agency or independent adoption facilitator. For child welfare adoptions, sexual minority parents reported higher levels of contact and tended to have more positive relationships with birth family compared to heterosexual parents. Fewer differences by family type were found for private agency adoptions. Higher rates of contact and more positive relationships with birth family were found for private domestic placements compared to those from foster care. Secondary analyses suggest that family demographic and adoption placement differences between sexual minority- and heterosexual-parent families do not account for family type differences in contact with birth family. Policy and practice implications are discussed.     

Openness in International Adoptions

ABSTRACT

Along with the increasing numbers of international adoptions, there is a developing trend toward openness. In this study, the authors examined the experiences of U.S. adoptive parents who adopted children from the Republic of Marshall Islands. The surveys addressed their initial motivations, the facilitation process for openness, the terms and conditions and the level of understanding of them by birth and adoptive parents, and insights gained from their experiences. The results suggest that in general, this group of parents embraced openness from the onset, they have had difficulty maintaining contact with birth parents, and still would recommend open international adoptions to prospective adoptive parents. Policy and research implications are discussed.     

The Role of Worker Support and Religious Support in African American Special Needs Adoption: The Bennett Chapel Experience

Between 1998 and 2003 members and friends of Bennett Chapel Missionary Baptist Church in rural East Texas adopted 70 African American special needs children. Data from surveys of 113 Texas and Louisiana adoptive families, including 14 Bennett Chapel families, found that the amount of anticipated worker support influenced the decision to adopt, particularly for Bennett Chapel families, and actual worker support was significantly related to positive adoption impact on the family. Comparisons of Bennett Chapel with other families highlight the uniqueness of this initiative. Findings underscore the importance of worker support for facilitating adoptions in faith and rural communities and increasing adoptions of African American children.     

Some theoretical considerations on confidential adoptions part III: The adopted child

In all cases of newborn adoption where placement is made directly into the permanent adoptive home, the adoptive parents become the psychological parents for that child. While adopted children do have separate psychological and genetic parents, the capacity for intimacy, identity, and a cohesive sense of self develops through the consistent empathic attachment between the adoptive parents and the child. We discuss the adopted child's psychological development through infancy, pre-oedipal, oedipal, latency, and adolescence and focus on the child's intrapsychic tasks at each developmental phase. We note how development is different for the adopted child and how this development would be diminished or enhanced by the direct or subtle indirect involvement in an open or confidential adoption. Open adoptions appear to have the risk of serious interference at each developmental phase. Confidential adoptions appear to provide the child with the psychological protection for the unfolding of development. There is a new trend in the field of child welfare toward openness in adoption, which purports to change traditional confidential adoptions. We discuss the crucial aspects of the intrapsychic difference for an adopted child experiencing an open or confidential adoption.And so they wrangled before the King... Kings II, Ch. VThis paper was presented to the National Committee for Adoption Convention, October, 1982; the First International Conference on Pediatric Social Work, August, 1982; and to the Child Care Association of Illinois Convention, April, 1982. All authors have the M.A. degree     

Grief Resolution of Birthmothers in Confidential,Time-Limited Mediated,Ongoing Mediated,and Fully Disclosed Adoptions

Abstract

This study examines grief resolution issues for 75 birthmothers who placed infants for adoption four to twelve years ago in confidential, time-limited mediated, ongoing mediated, or fully disclosed adoptions. Interview data from sets of birthmothers and adoptive families were analyzed. Birthmothers in each of the four adoption arrangements exhibited the continuum of grief resolution, from “very poor” to nearly “very good” resolution. However, birthmothers in fully disclosed adoptions had significantly better grief resolution than those with confidential and time-limited mediated adoptions, and those in ongoing mediated had better grief resolution than those with time-limited mediated adoptions. Implications of these findings for pre-placement planning as well as pre- and post-adoption services are discussed.     

Support for Openness in Adoption Placements-What can we learn from New Zealand?

SUMMARY: The placement for adoption of older children and those with special needs brings into focus the practice of open adoption whereby there is some form of continuing contact, including face to face contact, between birth and adoptive families. This in turn raises issues about the support needed to maintain such links. The paper discusses the progress made in New Zealand towards open adoption. The views of social workers, birth and adoptive families on face to face contact are reported and arguments for and against post-adoption support for open adoption are examined.     

Transracial adoption: families identify issues and needed support services

The gap between the number of children of color in care and the recruitment of minority foster and adoptive homes has triggered growing support for transracial adoption, culminating in the Multi-Ethnic Placement Act (MEPA) and the Interethnic Adoption Provisions (IEP) legislation. Although MEPA and IEP focus on eliminating barriers to transracial placements, they do not address support for families that choose to adopt transracially. A lack of professional literature exists in this area. This study explores a number of trans-racial placements and adoptions, with the goal of identifying, from the perspective of the families interviewed, potential services that would enhance such placements and adoptions.     

An Assortative Adoption Marketplace: Foster Care,Domestic, and Transnational Adoptions

Among sociologists of the family, there has been relatively little attention paid to child adoption. When it is mentioned, many characterize the process as a universal family form. The goal of this review is to complicate this subject by disaggregating adoption into three different market segments: foster care, domestic, and transnational. Specifically, the paper argues that adoption is an assortative process that stratifies parents and children. Of the members of the adoption triad (e.g. the birthmother, adoptive parent(s), and adopted child), prospective adoptive parents possess the greatest degree of choice when deciding which market segment to pursue. However, their options are often tempered by strict eligibility requirements and financial restraints. Drawing broadly on the extant sociological and child welfare literature, the bulk of the review is devoted to identifying and analyzing how these social forces funnel parents and children into forever families. I pay particular attention to the demographic profiles of children and adoptive parents, including how transracial adoption factors into foster care, domestic, and intercountry adoptions.     

Parents' views of adoption disruption

In-depth, semi-structured interviews were carried out with 12 couples and 3 single adoptive parents whose adoptions of special needs children, aged 4 to 17, had disrupted, that is, terminated prior to legal finalization. The disruption was highly stressful and painful for most parents. Six themes emerged in the interviews: (a) the inability of the children to attach to the adopting families, (b) the childrens' difficulties in letting go of birth families, (c) the parents' expectations of a less difficult child, (d) the impacts of unresolved infertility issues on the adoptive process, (e) gaps in information and child history and (f) the importance of worker expertise and support. The benefits of long-term foster care for some children are discussed.     

Transnational Adoption Challenges: Through the Eyes of Eastern European Youth

Between 1990 and the early 2000s, thousands of children were adopted into families in the United States from Eastern Europe. While most adoptions are successful, some children have difficulties. This qualitative study of 26 youth between the ages of 12 and 21 who were sent by their parents to an educational alternative setting or left their adoptive home prior to completing high school were interviewed regarding their experiences of adoption. The study found that the youth were appreciative of their adoptive parents, but saw the world through a different lens due to their lived experiences. Conclusions may assist prospective adoptive parents and professionals.     

Influence of Age on Transracial Foster Adoptions and Its Relation to Ethnic Identity Development

In the United States, ethnic minorities are disproportionately represented in the foster care system and underrepresented among potential adoptive parents. The need to find permanent homes for foster children has led to an increase in the controversial practice of transracial adoption (TRA), wherein ethnic minority children are placed in adoptive homes with Caucasian parents. While many child welfare scholars and dependency stakeholders support TRA as a positive alternative to foster care, others are concerned that such adoptions may inhibit the ethnic identity development of transracially adopted children. This article documents the large number of ethnic minority children who are adopted through TRA prior to the onset of ethnic identification and how age influences which children are adopted out of foster care. The findings indicate that young ethnic minorities are significantly more likely to be adopted through TRA compared to older children, an effect especially prominent among African Americans. Implications for the child welfare system are discussed.     

Adoption Preparation

ABSTRACT

A sizable proportion of special needs adoptions result in a disruption/dissolution or a displacement. Researchers emphasize the importance of comprehensive preparation to support adoption adjustment. This article examines the differential receipt of preparatory services based upon child and family characteristics and the child's risk history. Analyses of three types of preparatory services identified through factor analysis, including general, biological, and behavioral information/services, confirm differential preparation of adoptive families. However, three variables were predictive of receipt of all types of preparation, including type of adoption, kinship status, and pre-adoptive risk history. Implications for practice and research are presented.     

The intersection of home study assessments and child specific recruitment: the performance of home studies in practice

Child specific recruitment efforts are designed to facilitate permanent placements for children in foster care by finding them potential adoptive families among people already known to the child. This process relies heavily on gathering thorough and accurate information about prospective families, and much of this information is often contained in families’ home study assessments. Yet, little is known in the research literature about the way that home studies operate in conjunction with the recruitment of adoptive families. The purpose of this study is to explore how home studies are perceived and used in the context of child specific recruitment. Findings suggest that home studies perform best in gathering general family information, but poorly in capturing sensitive information, which may be one of the most critical dimensions to capture. These findings highlight important practice changes needed in current adoption practice.     

Factors Influencing African American Adoptive Parents' Attitudes Toward Open Adoption

Abstract

This study explores the attitudes toward open adoption among 83 African American families adopting children through two private California agencies. Independent t-tests compared families who would and would not consider some level of open adoption. Findings reveal that the majority of families were quite hesitant about open adoptions, based primarily on the fear that birth parents would want the child back. Those with attitudes that are more positive were more likely to be in two-parent families and to have had personal experience with informal adoption.