Attachment Behavior of Children Adopted Internationally at Six Months Post Adoption

The purpose of this pilot study was to describe attachment behavior in children adopted internationally at 6 months post adoption. Twenty-two children and their adoptive mothers were observed at home for completion of an attachment measure. Mothers also completed a questionnaire on their child's preadoption care. Comparisons of children low and high in attachment security suggested that low secure children showed predominantly ambivalent attachment behavior or that they were still in the process of forming an attachment. Children having foster versus orphanage care prior to adoption differed in quality of preadoption care and in certain attachment behaviors, but not in overall attachment security.     

Internationally Adopted Children

ABSTRACT

The main aims of this study were to compare the prevalence and the developmental course of problem behaviors in a large sample of 1,538 internationally adopted children with the prevalence and developmental course of nonadopted children across adolescence. The higher levels of problem behaviors in adopted versus nonadopted children as reported by their parents, were confirmed by the results based on the children's self-reports of problem behaviors. The higher levels of problem behaviors in the adopted versus the nonadopted sample even increased across the 3-year study interval from ages 11-14 years to ages 14-17 years. It was concluded that despite the much higher levels of problems in adopted versus nonadopted children, the majority of adopted children seem to function quite well as adolescents.     

Attachment Disturbances Delay Language Acquisition in Internationally Adopted Children

Cross-sectional research on internationally adopted children has indicated an association between early attachment disturbances and language deficits. Raaska et al. (2013 Raaska, H., Elovainio, M., Sinkkonen, J., Stolt, S., Jalonen, I., Matomäki, J., … Lapinleimu, H. (2013). Adopted children's language difficulties and their relation to symptoms of reactive attachment disorder: FinAdo study. Journal of Applied Developmental Psychology, 34(3), 152–160.[Crossref], [Web of Science ®] , [Google Scholar]) have speculated that this relationship is likely bidirectional. In an attempt to elucidate the causal relationship between these two risk factors, the attachment disturbances and language skills of 44 internationally adopted children were assessed in a cross-lagged structural equation model. Greater attachment disturbances at wave 1 predicted less gain in language by wave 2. In contrast, language at wave 1 was not predictive of attachment disturbances at wave 2. These results suggest that early attachment problems may present an important risk for later language development and should be an immediate and primary focus of post-adoptive intervention for families adopting internationally.     

Developmental Outcomes of Internationally Adopted Children

This study followed 106 international adoptees over an 18-month period. Mothers completed the Ages and Stages Questionnaire (ASQ) at 6, 12, and 24 months post-adoption, assessing their children's development in multiple domains. Results revealed that the sample overall demonstrated linear improvement over time in most domains, but children with initially low scores remained significantly lower than others at the 18-month follow-up. ASQ scores were unrelated to age at adoption, but significant differences by birth country emerged. Across most domains, children from Eastern Europe had generally lower scores than children from other birth regions.     

A Preliminary Investigation of the Effectiveness of Attachment Therapy for Adopted Children with Reactive Attachment Disorder

The purpose of this preliminary investigation was to examine the effectiveness of attachment therapy for adopted children diagnosed with Reactive Attachment Disorder (RAD). Although attachment therapy is widely utilized in the practice community, outcomes of such therapy have not been well documented. In this study a pretest–posttest one-group design was used with a sample of 24 adopted children who received attachment therapy from trained, licensed therapists. Therapy was funded by the Georgia Office of Adoptions under a contract with a non-profit adoptive parent advocacy group which provided training of therapists and direct services to families. RAD was measured with the Randolph Attachment Disorder Questionnaire (RADQ), Third Edition; functional impairment was measured with the Child and Adolescent Functional Assessment Scale (CAFAS). Statistically significant decreases in scores on the RADQ and CAFAS from pretests to posttests indicate improvement for the children who received therapy. In spite of methodological limitations, the current study adds to the limited knowledge about effective treatment for RAD.     

Internationally Adopted Children After Arrival: Temperament,Behavior Problems,and Age at Adoption as Predictors of Early Motor and Communication Competence

The temperament dimensions activity, emotionality, and shyness, together with behavior problems, gender, country of birth, and age at adoption, were explored in relation to early motor and communication competence among internationally adopted children in Norway (N = 106, gender: 55 girls and 51 boys, age at adoption: M = 9.99 months, SD = 4.29 months). Based on reports from adoptive mothers, regression analysis including all the variables showed that 56% of the variance in motor competence and 64% in communication competence were explained. Age at adoption explained most of the variance in both areas, while increased level of activity showed a significant correlation with improved motor competence.     

Preparing and Partnering with Families to Support the Adoption of Children from Foster Care

ABSTRACT

This investigation evaluated the effectiveness of a pre-placement education and preparation curriculum (PREP) for prospective foster/adoptive parents in improving attitudes toward children with prenatal substance exposure and their substance-using birth parent and increasing willingness to adopt these children. Participants included 1,836 prospective parents seeking adoption through foster care who received three 3-hour sessions of PREP. Prospective parents completed questionnaires assessing their knowledge about important issues involved in adopting a child from foster care, attitudes, and willingness to adopt children with a variety of characteristics. Changes from pre- to post-intervention were examined. Results indicated significant increases in self-reported knowledge; significantly more positive attitudes toward substance-abusing parents and children with prenatal substance exposure; and significantly increased willingness to adopt children with a variety of potential difficulties, including children with serious behavior problems, attention deficit hyperactivity disorder, and a biological history of mental illness. In sum, findings suggest that prospective adoptive parents who attended the PREP sessions felt better prepared by the end of training with regard to issues related to adoption of high-risk foster children with special needs, particularly those with prenatal substance exposure.     

School Performances Among Internationally Adopted Children in Norway

ABSTRACT

A sample of 193 internationally adopted children from Colombia and Korea and a matched sample of 193 Norwegian-born children were tested for school competence. The results showed that as a group, adopted children had lower school performances than Norwegian-born children. The disparity within the adopted group's performances was considerable. Most of the disparity was explained by the adopted children's language skills, especially the ability to use the language at a higher cognitive level (school language), and a high frequency of hyperactive behavior. However, while country of origin also contributed significantly, the children's age of adoption did not explain much of the variance.     

Factors Affecting Attachment in International Adoptees at 6 Months Post Adoption

This pilot study examined the effect of five child and maternal factors on the attachment security of international adoptees at 6 months post adoption. Results from the sample of 22 adoptive mother-infant dyads showed that age at adoption, developmental status, length and quality of preadoption care, and maternal attachment representations were not significant predictors of child attachment status. The number of preadoption placements and the child's stress level did significantly predict attachment status, accounting for approximately 40% of the variance in attachment security. Number of preadoption placements uniquely contributed 14% of that variance (p = .007) while stress level uniquely contributed 12% (p = .01). Children who had fewer preadoption placements had higher attachment security; similarly, children who had lower stress levels had higher attachment security. Results suggest that consistency of preadoption care was more important than its length or quality. Further, the relationship between stress level and attachment security raises the possibility that a lower stress level functions as a protective factor for the developing attachment with the adoptive mother.     

Interventions for Internationally Adopted Children and Families: A Review of the Literature

Internationally adopted (IA) children are at increased risk for health-related, developmental, and behavioral difficulties. This article reviews the literature on various interventions currently used with IA populations; including health-related interventions provided by medical specialists, preparation programs provided by adoption agencies and other social service organizations, treatments for attachment and behavioral disorders, psychoeducational services, programs designed to improve children’s care prior to adoption, and parent-based initiatives. Surprisingly, very little systematic information exists regarding the effectiveness of interventions designed to prevent and remediate these difficulties in IA children. Recommendations for future research activity and for best practice approaches to intervention are discussed.     

Parental Perceptions of Adopted Children's Educational Outcomes

Adoption and foster care are assumed to be safer options for children than remaining in the care of their family of origin, yet the media reports murders of these children with alarming frequency. These deaths not only are tragic but profoundly violate the public understanding of adoption and foster care. Despite the possibility of an increasing occurrence of such filicides, few states have procedures to systematically collect information on incidents of serious harm or deaths of adopted children or children in foster care. To fill this gap, this paper endeavors to illuminate characteristics of these deaths by using media accounts as an information source. The importance of such an inquiry—and its inherent limitations—calls for more attention and methods directed toward capturing data on the murders, serious abuse, and other deaths of children under governmental care. Some states and other countries (most notably the United Kingdom) have developed mechanisms for aggregating and reviewing serious harm cases to prevent such tragic and unacceptable outcomes. Several options are forwarded for use in the United States.     

Psychosocial Differences in Post-Institutionalized,Internationally Adopted Children and Other Groups of Children Referred for Clinical Services

Thousands of children are adopted into the United States each year, many of whom have spent a significant portion of their pre adoptive lives in an institutional setting. Post-institutionalized (PI) children adopted into the United States are often referred for mental health services at higher rates than other groups of children. There is a lack of research examining differences in clinically referred PI children and other groups. The purpose of this study was to address this gap in knowledge. Results from multiple analysis of covariance and follow-up pairwise contrast analyses found significant differences only between PI and domestic adoptees (DA). Specifically, DA exhibited poorer functioning in the areas of attention problems and social problems. Mean scores were above the 85th percentile for all indicators for all groups, indicating the severity of psychosocial problems for the sampled group of clinical referrals. More research is needed that compares the psychosocial problems of PI children to other adopted youth.     

Open Adoption and Post-Adoption Birth Family Contact: A Comparison of Non-Relative Foster and Private Adoptions

This study used data from the National Survey of Adoptive Parents (NSAP) to compare post-adoption contact in families with non-relative private domestic and foster care adoptions. This study is the first to use a nationally representative sample to examine and compare the extent of post-adoption contact in both private and foster adoptions. The results suggest that children adopted from foster care were less likely to experience post-adoption contact with their birth families than children adopted privately despite the fact that they were more likely to have lived with their birth families.     

Approaching Adoption and Foster Care in Brazil

Adoption and foster care have recently undergone various changes in Brazil. Nonetheless, there is a lack of official research data on children who have been adopted or have been living in foster families or institutions. In this paper, after a brief account of the historical aspects of adoption and foster care in Brazil, we focus our discussion on two major points: (1) the difficulties in promoting a “new culture of adoption,” which would develop in “the child's best interest,” and (2) the meanings and prejudices related to late adoption that increase the number of children who remain for many years in institutions.     

Historical Analysis of the Adoption and Safe Families Act of 1997

Congress enacted the Adoption and Safe Families Act (ASFA) in 1997 in an attempt to provide safety, stability, and permanency for maltreated children. To help provide a historical context, child welfare legislation preceding ASFA is reviewed. In this historical analysis, the precipitating events that led to the creation of ASFA are assessed. In addition, a detailed review of congressional hearings related to this Act is given. The key components and goals of this policy are outlined. Finally, revisions made to ASFA are discussed, and its influence on proceeding legislation is presented.     

Ethnic and Racial Identity of Internationally Adopted Adolescents and Young Adults

Abstract

Results of studies to determine how well children who have been adopted internationally have adjusted consistently raise a concern about identity issues. This paper reports the results of interviews about their sense of racial and ethnic identity with 155 adolescent and young adults who were adopted internationally in Canada during the 1970s and 1980s. The findings are discussed in relation to the rights conferred on these children through the U.N. Convention on the Rights of the Child, the Hague Convention on Protection of Children and Cooperation in Respect of Intercountry Adoption and the Canadian Multiculturalism Act.     

The Value of Adoption

ABSTRACT

Recent work shows that the governmental cost of adoption is about half the cost of long-term foster care for children whose birth parents' rights have been terminated. Because adoption is also associated with greater accumulation of human and social capital, the total savings to government in areas such as special education and criminal justice is of the same magnitude as the child welfare savings. The private benefit to adopted children in terms of additional income earned over their working lives is similarly large. In all, a dollar spent on the adoption of a child from foster care yields about three dollars in benefits.     

Foster Parents' Understanding of Children's Problematic Attachment Strategies

ABSTRACT

Foster mothers and biological mothers were interviewed regarding their understanding of children's insecure attachment strategies and their knowledge of foster care issues. In addition, parent sensitivity was assessed and case workers in the foster care system reported on foster mothers' effectiveness. As expected, foster mothers reported significantly more attachment-related difficulties with their foster children than biological mothers reported with their natural children. Foster mothers were not significantly different from biological mothers in their understanding of attachment strategies, knowledge about foster care issues, or sensitivity. Case workers' reports of foster parent effectiveness were significantly related to foster parents' knowledge about foster care issues but were not significantly related to parents' understanding of attachment strategies. We discuss the importance of sensitivity to attachment issues among foster parents.     

The Role of Parenting and Family Factors in the Developmental Catch-Up for Children Adopted Internationally

Internationally adopted children are at greater risk for cognitive difficulties. While age at adoption is an established significant predictor of cognitive outcomes, considerable variation persists. The present study focused on whether parenting and family factors explain additional variance in cognitive and linguistic catch-up in this group of children. In total, 46 children were examined at two time points, approximately 12 months apart. Cognitive and linguistic abilities were measured at both time points, with parenting and family factors examined at follow-up, using hierarchical linear regression. Age at adoption and baseline cognitive abilities were the best predictors of cognitive and linguistic catch-up; parenting and family factors generally did not account for a significant increase in explained variance.     

Exploring Birth Countries: The Mental Health Implications of Heritage Travel for Children/Adolescents Adopted Internationally

Heritage trips are increasingly recognized as beneficial for children adopted internationally for myriad reasons. For example, a large percentage of adults adopted transracially during childhood report birth country travel to be a critical aspect to their ultimate development of positive racial identity. Although generally perceived to be a helpful experience for youth and families, heritage travel is not always without psychological distress. This article describes the theoretical basis for heritage travel, reviews the emerging literature on the mental health impact of heritage trips, and provides anecdotal vignettes to highlight mental health considerations and implications for heritage travel.