The journey to adopt a child who has special needs: Parents' perspectives

Many of the children eligible for adoption from the public child welfare system are considered to have special needs. Given the importance of securing adoptive families for these children, knowing more about the adoption process as it is experienced by prospective parents who complete (or are in the process of completing) their adoption pursuit and those who discontinue it are critical. Using qualitative inquiry, prospective adoptive parents in nine families were studied in an effort to learn more about their motivations, expectations, preparation, and experiences. Although the adoption outcome (continued versus discontinued) was different, the process, including negative experiences, was quite similar. Programming implications and suggestions for future research are offered.     

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.     

Post-adoption service need and access: Differences between international,kinship and non-kinship foster care

Post-adoption services are important to bolster a family's commitment to their adopted children, thus avoiding potential problems following adoption finalization. It is vitally important to assess post-adoption services in an effort to ensure families are provided with effective supports for successful family functioning. Few investigators have assessed service needs and access according to adoptive family type. This study focuses on international, foster care kin and foster care non-kin adoption types. Utilizing the National Survey of Adoptive Parents, this research investigated twelve post-adoption services. Two comparisons were made with respect to whether, according to the adoptive parents, post-adoption services were received or not received: 1) international and foster care non-kin adoptive families; and 2) foster care kin and foster non-kin adoptive families. International non-kin families were more likely to indicate they discussed post-adoption services than foster care non-kin families, particularly among those who were white, had adopted boys, had no other children in the home, and whose socio-economic background was lower. When comparing foster care non-kin families with kinship families, non-kin families tended to receive more desired services than kinship families, with kinship families indicating less need for services. Policy efforts and program design need to focus on reaching out to families and developing effective post-adoption services based on the expressed needs of families.     

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.     

Supply and Demand

Abstract

The adoption of infants and very young children will be affected in the future by a range of forces that affect the supply and demand sides of adoption. Demographic trends and social, technological, and economic factors bearing on adoption seeking and relinquish-ment will be critical factors. These forces will have important implications for adoption policy and practice and warrant careful consideration in relation to both infant adoption and the adoption of other children whose needs for adoptive families will continue into the future.     

Adoption Preparedness,Cultural Engagement,and Parental Satisfaction in Intercountry Adoption

We explored factors that influence parental involvement in adoption dialogues in 66 internationally adoptive, heterosexual couples with 4- to 7-year old children. Correlates of adoption involvement varied by parent sex. Mothers were more involved in talking about adoption than fathers, but adoption involvement was also correlated within couples. Emphasis on the difference between biological versus adoptive parenting, quality of the marital relationship, and child characteristics were differentially associated with maternal and paternal involvement. Findings suggest an intricate interplay between the marital and co-parental dynamics that shape the early communication process within adoptive families.     

The Effect of Parental Gender Roles on Students' Attitudes Toward Lesbian,Gay, and Heterosexual Adoptive Couples

All of Canada's provinces and territories legally recognize the right of gay and lesbian couples to adopt children; however, widespread acceptance of this practice has not been documented. Using an experimental design, with 506 university students, the present study assessed (1) attitudes toward gay, lesbian, and heterosexual adoptive couples; (2) the sex of the child to be adopted; (3) gender role characteristics of the adoptive couple; and (4) predictors of attitudes toward adoption by same-sex couples. Using vignettes describing potential adoptive couples, the results revealed that gay and lesbian couples were rated significantly less favorably than heterosexual couples when asked about outcomes for the adoptive child. Participants were more likely to approve of child placements with lesbian adoptive couples whose gender role characteristics emulated the traditional masculine/feminine dyad as compared to lesbian couples in which both partners displayed feminine characteristics. Statistically significant predictors of negative attitudes toward adoption by lesbian couples were religiosity and non-essentialist beliefs about homosexuality as well as endorsement of modern homonegative attitudes predicted negative attitudes toward adoption by gay male couples. Targeted education for social workers and adoption agency workers should be developed to ensure objective assessments of prospective same-sex adoptive couples regardless of their gender role characteristics.     

Interjurisdictional placement of children in foster care

As the population of children in foster care has increased and more children are freed for adoption, foster and adoptive families are needed in ever increasing numbers. One avenue for expanding the pool of families is through placement of children with families in other counties and states. This article considers the policy and practice implications of interjurisdictional placement in the context of foster care, adoption, and kinship care and suggests directions for interjurisdictional adoption practice and policy.     

A Study of Australian Intercountry Adoption: Choosing Applicants to Parent

Abstract

Australian families are changing and parenthood is increasingly being seen as an individual choice. One important arena for exercising such choice is adoption, which today takes place across national boundaries in the form of intercountry adoption. This is now the predominant type of adoption in Australia. In order to reach their goal of parenthood, individuals choosing intercountry adoption must undergo an education and assessment process. This paper presents the findings from research undertaken as part of a larger doctoral study, with prospective intercountry adoptive parents, intercountry adoptive parents, adoption professionals, and support group representatives living in Australia. Three groups were found to exist in relation to the intercountry adoption assessment process: embracers, acceptors, and pragmatists. Factors influencing each group are discussed and suggestions for strengthening the role and efficacy of education and assessment in the selection of Australian intercountry adoptive parents are recommended.     

Meeting the needs of the adoption triangle through Open Adoption: The adoptive parent

Open adoption enables the adoptive parents to participate more fully in the adoption. It allows them to make decisions regarding the amount of openness they wish to have. By means of seminars, readings, and panels the adoptive parents learn more about adoption and birthparents. By experiencing openness, the adoptive parents come to know the birthparents as real people. The birthparents are no longer perceived as a threat. The adoptive parents gain a feeling of entitlement to parent from the birthparent(s).     

A Comparative Analysis of Adoptive Family Functioning with Gay,Lesbian, and Heterosexual Parents and Their Children

Abstract

The objectives of this comparative study were to examine adoptive family functioning with a sample of gay, lesbian, and heterosexual adoptive parents and their children. The results suggested that parent sexual orientation is not a significant predictor of adoptive family functioning, adopted child's behavior, and parent's perceptions of helpfulness from family support networks. Furthermore, a regression analysis suggested the following variables were associated with higher levels of family functioning: adoptive parents who were previously foster parents and children who had more previous placements prior to adoption. Lower family functioning was associated with children adopted through CPS; with children who had mental health diagnoses, learning disorders, or other handicapping conditions; and with children who were in a higher grade in school. The results of this comparative study of adoptive families support the need for more methodologically rigorous research that includes gay and lesbian adoptive parents along with heterosexual parents.     

Openness in Korean Adoptions: From Family Line to Family Life

Since about 2000, a limited number of adoption organizations and parent groups in the Republic of Korea have been exploring how to increase communicative openness between adoptive parents and their children and between adoptive families and their neighbors. At least one agency has also developed structures to facilitate contact between the adoptive family and birth mother. The effort to increase openness is tied to a philosophy that challenges widespread assumptions in Korean society by centering its aims on family life rather than the continuity of the family line. The growth of openness has not been accompanied by a rise in domestic adoption numbers, but it has contributed to broader efforts to liberalize family relationships in Korea.     

From Adoption to Residential Treatment Centers

Although children who have been adopted are referred for mental health services more often than their non-adopted peers and might be overrepresented within residential treatment centers (RTCs), little is known about adoptive families' experiences with RTCs. The present study sought to understand the experiences of families whose children were placed in residential treatment facilities after a finalized adoption. Qualitative interviews were conducted with a total of ten families who had adopted 21 children. Of these, 13 children had been placed in an RTC after the finalized adoption. Most of the children in the sample were between zero and five years of age at placement. Adoptive families reported the need for in-the-trenches training and community-based services that could provide ongoing support post-adoption. Implications from these findings include increasing in-home services and other options within the adoptive families' own communities. Future research could incorporate a larger sample to assess whether the experiences of families in this study are similar to other adoptive families.     

Families by Adoption and Birth: I. Mother-Infant Socioemotional Interactions

The role of adoptive family dynamics in the etiology of both resilient and adverse developmental outcomes is not well understood. In this study, socioemotional aspects of the mother-infant relationship were examined in families by adoption and by birth. Matched groups of mothers and their 5-month-old first babies were observed in the home setting. Dyads in the two groups were comparable in the frequency and ranking of a full array of age-appropriate behaviors. Group differences emerged for selected infant and maternal behaviors; infants by birth were in an alert state and smiled more often than infants by adoption, and adoptive mothers nourished and caressed their infants more than did mothers by birth. While the structure of the infant's behavior repertoire was similar for both groups, there were twice as many significant correlations among maternal behaviors for the birth group than for the adoptive group. There were also more correlations between maternal and infant behaviors for dyads by birth than for dyads by adoption, and the nature of the correlations differed for the two groups. It is argued that both groups of mothers and babies were functioning in the adaptive, healthy range and that observed differences between them reflect subtle differences in behavioral emphasis, possibly related to the unique paths to parenthood represented by adoption and birth.     

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.     

Direct and modifying influences of selected risk factors on children's pre-adoption functioning and post-adoption adjustment

Child adoption outcomes are influenced by child's behavior and parents' expectations (Haugaard & Hazan, 2003). Pre-adoption risk factors, such as prenatal alcohol, tobacco and/or other drug (ATOD) exposure, male sex, sexual abuse, and multiple out-of-home placements have been linked to increased externalizing (acting out) behaviors that are difficult to manage and are most closely associated with adoption disruption (Barth, 1991, 2001 Rosenthal & Groze, 1991; Smith & Howard, 1999). However, adoption researchers have found that positive outcomes (fewer externalizing behaviors) are possible for children who have been exposed to pre-adoption risk factors, suggesting that adoptive families provide protective environments that allow healing (Barth, 1991, 1993; Barth & Brooks, 2000). The current study sought to increase understanding of the influence of these pre-adoption risk factors on adoption outcome with attention to the influence of prenatal alcohol, tobacco, and/or other drug (ATOD) exposure. Results indicated that pre-adoption functioning was significantly influenced by prenatal ATOD exposure, but post-adoption adjustment was not. Structural equation modeling then was used to analyze both the direct and moderating influences of the identified risk factors on the relationship between the child's pre-adoption functioning and post-adoption adjustment. Negative influences of the risk factors on the child's externalizing behavior, individually and additively, in both direct effects and moderation analyses, were not found, with one exception. The only model to have a statistically significant effect was the moderation analysis containing the interaction of all four risk factors. Child development, child welfare, addiction professionals, and adoptive families will find this information to be of value in their quest to facilitate successful adoptions and growth of healthy children and families.     

Foster Care to Kinship Adoption: The Road Less Traveled

ABSTRACT

Although a rather extensive literature concerning informal kinship care and kinship foster care has emerged over the past 30 years, much less is known about the children and families involved in kinship adoption. This article pays particular attention to recent research that investigates placement decisions and outcomes for former foster children adopted by relatives. This review suggests conclusions similar to broader reviews, in that kinship placement tends to show some consistently favorable outcomes across a range of study populations and methods. Financial need may be the greatest concern for relatives who adopt. The Fostering Connections to Success and Increasing Adoptions Act of 2008 expands adoption subsidies and provides states with the option of providing ongoing subsidies to certain relatives who take guardianship of family members from the foster care system. However, relative caregivers often are not well informed about financial supports afforded them by federal and state policies. Specialized programs for kinship adoptive families are still limited. Much of the growth of kinship placement has been due to the absence of other placement options for many children and value-based decision making that places a premium on kinship, rather than on evidence of the advantages of kinship adoption.     

Attachment,Affective Responsiveness,and Cohesion in Adoptive Families: Child and Parent Perspectives

Some adoptive families are at risk for problems in family functioning. This study investigated the extent to which attachment to parents and affective responsiveness of the family predicted family cohesion and satisfaction with the adoptive family from both the child's and the parent's perspectives. Using a sample of 50 adopted children and their parents, our findings indicated that attachment to mother was salient in predicting children's perceptions of family cohesion and satisfaction with their adoptive family. Parental ratings of affective responsiveness of the family predicted parents' evaluation of family cohesion and their satisfaction with the adoption. As hypothesized, children and parents differed in their ratings of the cohesion and affective responsiveness of their family, with children reporting lower levels of these constructs than parents. Implications for practitioners and directions for future research are discussed.     

Socializing Children About Family Structure: Perspectives of Lesbian and Gay Adoptive Parents

Despite increasing numbers of lesbian- and gay- (LG-) parent families, little research on LG-adoptive-parent families has examined parental beliefs and perceptions related to discussing their sexual minority status with their children. This study assessed 266 LG adoptive parents (160 lesbian mothers, 106 gay fathers) from the Modern Adoptive Families (MAF) study, a nationwide survey (2012–2013) of adoptive parents' pre- and post-placement experiences. A cultural socialization lens provided the framework for examining LG parenting beliefs and practices. Two measurement scales were developed to examine parents' perceptions and self-efficacy related to socializing their child about being in a sexual-minority-parent family. Results indicate that LG parents endorse the importance of unique socialization practices and generally feel confident engaging in these practices. Parent education, transracial adoption, endorsement of racial socialization, and socialization self-efficacy were positively associated with endorsement of socialization practices. Excellent reliability suggests the 2 scales have the potential of being psychometrically sound instruments with which to measure parental endorsement and related self-efficacy of socialization practices for families headed by sexual minority parents. Findings contribute to a deeper understanding of socialization and communication patterns in LG-headed families, especially those formed through adoption. Research, policy, and practice implications are discussed.     

The future of adoption for children in foster care: Demographics in a changing socio-political environment

As the next century unfolds, adoption will be influenced by economic, social, and political factors that will influence the number of children needing adoption and the number of families seeking to adopt. For children in foster care who need adoption, these forces are likely to challenge current policy and practice and place greater demands on the child welfare system to respond to the needs of a growing number of children who cannot be reunited with their birth families. Demographic data and the sociopolitical factors impacting the adoption of children in foster care suggest that adoption demand will increase dramatically in the near future, far outstripping the current, already inadequate supply of adoptive families. While demand is not likely to be amenable to any significant level of change given the poverty-related forces already at work, supply can be more readily effected by policy and practice that embrace creative strategies to recruit and support adoptive families. The dynamics of supply and demand can provide the conceptual framework to support resource reallocation and shape a positive future for the adoption of children in foster care