Examining rates and risk factors for post-order adoption disruption in England and Wales through survival analyses |
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| Institution: | 1. University of California, San Francisco, Department of Psychiatry, Weill Institute for Neurosciences, United States;2. Zuckerberg San Francisco General Hospital, Division of Infant, Child, and Adolescent Psychiatry, United States;3. Rhode Island Hospital, Department of Psychiatry, United States;4. Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior, United States;5. Northeastern University, Department of Applied Psychology, United States;6. Roger Williams University, Department of Psychology, United States;1. Forensic Child and Youth Care Sciences, University of Amsterdam, Nieuwe Achtergracht 127, 1018, WS, Amsterdam, The Netherlands;2. Child and Adolescent Studies, Utrecht University, Heidelberglaan 1, 3584, CS, Utrecht, The Netherlands;1. School of Social Welfare, University of Kansas, 1545 Lilac Lane, Lawrence, KS 66045, United States;2. School of Social Work, Colorado State University, United States;1. School of Social Work, University of Minnesota – Twin Cities, MN, United States;2. School of Social Work, Portland State University, Portland, OR, United States;3. School of Social and Behavioral Health Sciences, Oregon State University – Cascades, Bend, OR, United States;4. Oregon Social Learning Center, Eugene, OR, United States |
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| Abstract: | 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. |
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