Externalizing Behavior Among Adopted Boys with Preadoptive Histories of Child Sexual Abuse

This study examined the severity of externalizing symptomology among adopted boys with preadoptive histories of child sexual abuse, physical abuse, neglect/abandonment, or no abuse. The study was based on data collected across a three-year period from parents who adopted children from Florida's child welfare system. The sample consisted of 1,136 adopted boys aged 6 to 18 years. In repeated cross-sectional multivariate analyses, the results revealed that adopted boys with preadoptive child sexual abuse were prone to significantly higher levels and clinically severe externalizing symptomotology as compared to adopted boys without such histories. The findings highlight the need for postadoption services and empirically validated interventions for families adopting boys with preadoptive child sexual abuse.     

Preparing Parents for Adoption: An Agency Experience

To prepare for the complexities of family formation, 78 prospective adoptive parents participated in Pre-Adopt, a psychosocial educational orientation program offered by one private nonprofit agency. The five-session curriculum included an overview of adoption policies and procedures, discussion of the child placement process, exploration of couples' adoption concerns and expectations about child characteristics, information about adoption laws and birth-parent/child searches, and examination of anticipatory fantasies about birth parents. Program evaluation yielded statistically significant and clinically meaningful findings about changes in emotional readiness to adopt, parenting knowledge, and satisfaction with group participation, adoption policies and agency practices. Practice implications are considered.     

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.     

Adoptions by Single Parents

Adoptions by single parents are thought by the public and by adoption professionals to be a plan for children needing adoption which is less advantageous for the child than a two parent adoption. For this reason, children who are difficult to find homes for are often placed with single parents; these are usually older children whose experiences have led to emotional and behavioral problems. Single persons who wish to parent an infant often adopt a child from another country. A review of the literature concerning single parent adoptions, and examination of the findings of a longitu- dinal study, indicate that the single persons who adopt are well able to carry out the responsibilities of parenting. They handle the special issues of adoption competently. Because children placed with single parents are frequently children with complex needs, and because single parents do not have a partner to share the responsibilities of parenting, continuing support from family and friends, the commu- nity, and from the adoption agency are important. Children adopted by single parents are as well adjusted as children adopted into two parent homes. There is some evidence that single parent homes may have unique strengths and be the placement of choice for some children.     

Caucasian Parents and Korean Adoptees

Abstract

This study explored the transracial adoption experiences of Caucasian parents who adopted children from Korea. Self-report data from parents of 117 adoptive families were used to compare mothers and fathers' perceptions in three key areas: parent reasons for adopting, family adjustment related to the adoption, and racial identity of adoptees. On the topic of adoptee's racial identity, parents' perceptions were compared over a seven-year period. Overall, mothers and fathers' perceptions were more similar than different, and parents appear to downplay their Korean children's race. The findings have implications for post-adoption training for transracial adoptive families.     

Supporting Post-Adoption Contact for Children Adopted From Care: A Study of Social Workers' Attitudes

New legislation in England and Wales requires adoption agencies to specify the contact adopted children will have with their birth families and obliges agencies to offer all parties support to maintain such contact. This study, based on responses from 112 adoption social workers in England and Wales, used a case vignette methodology to explore workers' attitudes towards supporting post-adoption contact. The findings suggest that social workers think primarily about the child's needs and about providing services to or on behalf of the child. In contrast, adults' needs, especially the relationship between birth parents and adoptive parents, were less often considered. Workers were least orientated toward supporting birth parents. Workers from different agencies had very different attitudes towards the case vignette. This study suggests that supporting post-adoption contact is a complex professional task likely to be influenced by workers' own attitudes. Implications for training, support and supervision are discussed.     

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.     

Factors affecting post-permanency adjustment for children in adoption or guardianship placements: An ecological systems analysis

Despite a growing body of research on post-permanency adjustment for children adopted from public child welfare agencies, many studies lack a systematic review using a theoretical framework. To develop promising post-permanency services for adopted children with special needs and their families, the first step is to examine risk and protective factors affecting adoption or guardianship adjustment. This study systematically reviews and synthesizes current empirical studies investigating post-permanency outcomes using an ecological systems analysis, with an integration of family theories. A search of five electronic databases and relevant child welfare books identified 36 empirical studies on post-permanency adjustment. Risk factors include some individual factors such as caring for a child with special needs, raising children with a multiple placement or maltreatment history and involving parents with no parenting experience. Living in a family experiencing boundary ambiguity and lacking social support are also risk factors. Protective factors include having adoption preparation and having a child living with married parents, as well as a high level of adoption openness and the availability of formal and informal social support. Implications for child welfare practice and policy also 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.     

Social competence in Russian post-institutionalized children: A comparison of adopted and non-adopted children

The study examined the social skills of 92 Russian children (males = 64) adopted by Italian families. The children, aged between 8 and 14 years, were compared with a control group of children who grew up with the biological family. Evaluation by both parents and children of the children's social competence were investigated. The results showed that, according to the parents' reports, the adopted children had more problems in social functioning than peers in the control group, along with a greater propensity to use maladaptive behaviors such as Oppositive Behavior, Rule-Breaking Behavior, Aggressive Behavior and Externalization. By contrast, according to the children's assessments, the adopted children were less aggressive and used prosocial behaviors to a greater extent than children raised in the biological family. The views of the parents and the children about the children's aggressive behavior were mutually conflicting.Finally, the influence of adoption related variables on the social competence of children was examined. Contrary to our expectations, there were no significant relationships between social competence and age of adoption, the duration of institutionalization and the time spent in the adoptive family.     

Perceived Needs for Support Program for Family With Child Sexual Abuse Victim in South Korea: Focus Group Interview With Therapists and Mothers

This study assessed perceived needs for psychological support program for family with victim of child sexual abuse in South Korea. We conducted two separate focus group interviews with five therapists who served child sexual abuse victims and families as well as four mothers of a child sexual abuse victim. Consensual qualitative research analysis revealed four domains: Emotional support for parents, psychoeducation, family therapy, and tailored and flexible service delivery. Core ideas of the four domains were identified. The results were consistent with the family support program contents developed in Western countries and suggested culture-specific contents and culturally sensitive service delivery. Clinical implications for developing family support program in South Korea were discussed.     

Behavioral and Socioemotional Adjustment in International Adoptees: A Comparison Between Italian and Spanish Adoptive Parents’ Reports

Dominated by intracultural comparisons between adopted and nonadopted children, adoption research has until now paid little attention to cross-cultural differences in the adoptees’ behavioral and socioemotional adjustment. The present study is aimed at comparing children adopted in two different countries—Italy and Spain—and at verifying, through their parents’ perceptions, the extent to which cultural context may contribute to shaping children's emotional and behavioral problems. A sample of 207 international adoptees (127 Italian and 80 Spanish) aged between 6 and 14 years was studied. The children's adjustment was assessed using the Child Behavior Checklist, which was filled out by the adoptive parents. Results indicated the presence of more similarities than differences between Italian and Spanish subjects: children adopted both in Italy and Spain between 3 and 5 years old were more likely to exhibit behavior problems than were children who entered the adoptive family at any other age. Some differences related to the birth country also emerged.     

Contributors to adjustment problems of adoptees: A review of the longitudinal research

Retrospective studies of adoptive families have identified ways in which members of the adoptive family may be at risk of behavior and adjustment problems, but it is prospective research which can link those difficulties to factors which exist early in the placement. This review of prospective adoption research finds that most studies, but not all, report that adopted children are indeed at increased risk of behavior problems and decreased selfesteem. These studies, taken in sum, caution that unrealistic parental expectations and other parental misconceptions about the child, particularly regarding academic achievement, often lead to these difficulties in adjustment. Implications for practive are discussed.     

Different Storks for Different Folks

SUMMARY

When gay and lesbian couples decide to become parents, they are unique as a group in always requiring the involvement of a facilitating other: a donor, surrogate, or (in the case of adopted or foster children) birth parents. This clinical paper explores common psychological and social challenges gay and lesbian couples face when using alternative reproductive technologies to attain parenthood. Between the wish and the actuality of being at home with their baby, gay and lesbian parents travel a long and winding road of choices and chances taken. The parenting partners often consist of one biological and one non-biological parent. Issues of psychological/emotional parenthood as opposed to merely biological parenthood (including assumptions of potential inequality or differential legitimacy) must be reconciled in the minds, couple relationships, family of origin relationships, and friendship support systems of the partners before and after the child's birth. The family must also navigate others' questions and assumptions as they venture ever further beyond their intimate circle and as their growing child forms relationships with peers. Specific guidelines are offered for helping couples surmount these psychosocial challenges.     

Social support needs of families adopting special needs children

A grounded theory begins to explain parental practices in seeking social support. Interviews with 20 parents who had adopted children with special needs and 5 health care providers indicated that parents lacked awareness of available resources; preferred informal support systems; sought help only when "failing" to solve problems; and perceived that health care providers lacked knowledge of adoption issues, family dynamics, and common health issues. Parents preferred informal to formal supports, and felt upset when formal supports were judged ineffective or non-existent.     

Psychological Functioning Through the First Six Months in Mothers Adopting from China: Special Needs Versus Non–Special Needs

ABSTRACT

This paper describes research investigating maternal adjustment to parenthood via special needs and non–special needs adoption from China. China's adoption system has a program for adoption of children with special needs and those without and both have remained top sources for intercountry adoption. Participants were 46 women who were surveyed at six weeks before, six weeks after, and six months after adopting a child. The psychological functioning of mothers adopting from China was assessed using the Beck Depression Index, the Brief Symptom Inventory, and the Edinburgh Postnatal Depression Scales. Mothers adopting children without special needs reported higher levels of depression, anxiety, and adjustment problems at clinical levels six weeks following the adoption. Mothers adopting children with special needs reported positive adjustment and low psychological dysfunction at all three time points. These results suggest that mothers pursuing a non–special needs adoption route are at greater risk for adjustment and psychological difficulties post-adoption. Mothers adopting special needs children may be better prepared prior to the adoption and may receive more support after returning home.     

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.     

Findings from a UK Based Study of Late Permanent Placements

ABSTRACT

This prospective, UK based adoption study examined the first year of placement of 61 boys and girls who joined permanent unrelated families during middle childhood. Most of the children had experienced abuse, neglect and discontinuity in their lives prior to this placement. The psycho-social functioning of the children and the development of family relationships were assessed by means of in-depth interviews with the new parents. High levels of behaviour problems were found in the children initially. About a third of the children showed a diminution of problems after placement, the remainder showed little change or a deterioration. At the end of the first year, 72% of the surviving placements were considered stable. An active rejection by birth parents stood out as a particular risk to placement stability, especially when accompanied by over active behaviour and where new parents had difficulty in maintaining warmth and sensitivity in their responses to the child in the early months of placement.     

Parent perspectives on adoption preparation: Findings from the Modern Adoptive Families project

Preparing prospective adoptive parents for receiving a child into their family is an important task for child and family professionals. This study uses data from the recent Modern Adoptive Families survey to understand parent perspectives on their preparation for adoption. Logistic regression (n = 917) and qualitative thematic analysis of adoptive parents' comments about their adoption preparation were conducted to understand aspects of the preparatory experience that were satisfactory (n = 623) or dissatisfactory (n = 283). Child emotional and behavioral problems significantly predicted parent dissatisfaction with adoption preparation. Major themes for satisfactory aspects of preadoption services included receiving information about adoption in general and, more specifically, about clinical and special populations, and parenting tools and strategies. In addition, parents identified opportunities to connect with others touched by adoption and access to specialized post-adoption services as helpful. Conversely, parents expressed dissatisfaction when information was lacking or withheld, when they had quality concerns with the worker or agency, and when there was a dearth of services and supports following adoption. Implications of these findings include the need for adoption mental health competent training for adoption professionals to better support families preparing for or experiencing adoption.