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Open adoption of infants: adoptive parents' feelings seven years later.

Adoptions today increasingly include contact between adoptive and birth families. What do these "open adoptions" look like? How do the participants feel about them? This article, based on part of a longitudinal study that first examined adoptive parents' perceptions of their infants' open adoptions seven years ago, explores the parents' reactions now that their children are school age. This qualitative descriptive research revealed changes in the openness in the adoptions over time and identified four dimensions along which open adoptions vary. Findings showed parents' enthusiasm for the openness in their adoptions, regardless of the type and extent of openness. Implications for social work practice, education, and policy are explored.

Adoption↗

ASHG activities relative to education. Heredity and adoption: a survey of state adoption agencies.

A subcommittee of The Social Issues Committee of The American Society of Human Genetics (ASHG), aware of the growing interest in the implications of inheritance and adoption, in 1987 began surveying the 50 states' and Washington DC's public adoption agencies regarding this issue, and it completed the survey in 1988. In 1987, two surveys obtained data on each state's legal requirements for obtaining genetic information and on what each public adoption agency collected as genetic history. These results were presented in a poster at the 1987 ASHG annual meeting in San Diego. In 1988, a questionnaire was sent to the same agencies to elicit opinions as to whether adoption agencies should systematically collect genetic information to share with the adoptive family and adoptee, whether legislation should be mandated to collect such information, and whether genetic education programs should be developed and implemented for adoption-agency staff. On the basis of responses to the 1988 questionnaire, it was concluded that there is an interest in developing a uniform set of genetic information which should be part of a child's adoption record and that there is a need for genetic education programs for adoption workers. Responses to the desirability of mandating legislation for this purpose were less consistent.

Adoption↗

Adolescent adjustment in a nationally collected sample: identifying group differences by adoption status, adoption subtype, developmental stage and gender.

The current study investigated group differences in adolescent adjustment by adoption status and adoption subtype in a national sample, in contrast to group differences based on developmental stage or gender. Secondary analyses of the National Longitudinal Study of Adolescent Health were performed to describe group differences in a broad range of adjustment measures (a) between adoptees and non-adoptees, (b) between different-race adoptees and same-race adoptees and, (c) across adolescent developmental stage and gender groups. Based upon a developmental deviance hypothesis, the current study hypothesized that early adolescent different-race adoptees would fair better across measures of academic performance, familial relationships, psychological adjustment, and physical health than their middle and late adolescent counterparts. Group comparisons revealed little evidence of increased maladjustment among adopted adolescents compared to non-adopted study participants. In addition, group comparisons revealed few differences across indices of adolescent adjustment by adoption subtype (i.e. by the degree of racial congruence adopted child and adoptive parent). However, significant group differences in adolescent adjustment were found based on participants' developmental stage and gender. The implications of the findings are discussed.

Adaptation, Psychological↗

The role of birth/previously adopted children in families choosing to adopt children with special needs.

Engaging birth/previously adopted children during the adoption process is crucial to laying the ground-work for successful placements. When families choose to adopt children with special needs, however, the role their other children will play in the adoption's success is often overlooked. This article presents a practical model that recognizes the dynamics of strength and vulnerability in adoptive families, then applies this model in preparing and supporting the family through the changes that are inevitable in special needs adoption. The model can also be used to assist adoptive parents in identifying and developing the skills they need to manage these shifts within the family.

Adoption↗

Adopted children in their adoptive families.

The adoptive process can produce unusual stresses on the child, and biologic and adoptive parents, from prenatal to postnatal life, and through the various phases of physical and pscyhological development. Because of the possibility of these children and their families falling into the "at risk" category with greater potential for psychological and social problems, the pediatrician is of primary importance in diagnosis and counseling. The pediatrician can be of major help in properly diagnosing emotional, behavioral and/or learning problems occurring in adopted children. There must be a thorough evaluation of the child and his family to understand and properly treat symptomatic behavior. The pediatrician can give advice regarding developmental milestones, and especially help the adoptive parents in appreciating their conscious and unconscious attitudes so as to enhance attachment behaviors. Pediatricians are the consultants to whom parents turn for advice regarding the timing of telling about adoption. This advice needs to be individualized according to the specific child's needs. Using a developmental conceptual framework, the pediatrician is in the best position to help the parents and their adopted children with their feelings about societal attitudes and how these can most appropriately be handled. Along this line, the pediatrician can give help and advice when and if the adoptee decides to search for his biologic parents. There is a need to clarify laws which seal the original birth certificate permitting those adoptees who wish to attain a knowledge of potentially related disease processes and an identity with his own genealogical past to do so. This would also allow the adoptee to offer his own children information about their own genetic pool and an awareness of adoption as one of the most valuable and historically significant child rearing practices.

Adoption↗

Parent-child communication and adolescent self-esteem in separated, intercountry adoptive and intact non-adoptive families.

The purpose of the present study was to verify whether there are some differences in parent-child communication and in adolescent self-esteem among adoptive, separated and intact non-adoptive families and to investigate the extent to which parent-child communication is related to adolescent self-esteem in the three types of families. The study sample was composed of 450 adolescents aged between 11 and 17 years (160 from intact non-adoptive families, 140 from separated or divorced families and 150 from intercountry adoptive families). Subjects completed the Parent-Adolescent Communication Scale by Barnes and Olson, the Rosenberg Self-esteem Scale and some socio-demographic items. The results show that adolescents from separated families have more difficulties in their relationships with both the mother and the father than their peers, and that adoptive children perceive a more positive communication with their parents than biological children. Moreover, adoptees showed lower self-esteem than the other two groups of adolescents. Lastly, it emerged that male and female adolescents' self-esteem is related to positive communication with both parents in intact non-adoptive families, while no link was significant for male and female children of divorced parents or for adoptees.

Adolescent↗

Adoption and cognitive development: a meta-analytic comparison of adopted and nonadopted children's IQ and school performance.

This meta-analysis of 62 studies (N=17,767 adopted children) examined whether the cognitive development of adopted children differed from that of (a) children who remained in institutional care or in the birth family and (b) their current (environmental) nonadopted siblings or peers. Adopted children scored higher on IQ tests than their nonadopted siblings or peers who stayed behind, and their school performance was better. Adopted children did not differ from their nonadopted environmental peers or siblings in IQ, but their school performance and language abilities lagged behind, and more adopted children developed learning problems. Taken together, the meta-analyses document the positive impact of adoption on the children's cognitive development and their remarkably normal cognitive competence but delayed school performance.

Achievement↗

A comparison of the demography, clinical profile and treatment of adopted and non adopted children at a children's mental health centre.

A retrospective analysis of adopted and non adopted children attending a children's mental health centre between 1959 and 1973 indicated a higher than expected number of males and a significantly higher number of professional fathers than expected in the adopted group. A sub-group of adopted children identified as having learning problems by reports of the parents and teachers had a different pattern of test scores on the Wechsler Intelligence Scale for Children from a non adopted group, who were also selected for learning difficulties. On the parent's and clinician's ratings, the adopted group had more parent-identified hyperactivity symptoms and clinicians' diagnoses of hyperactivity. Treatment data indicated that they used more stimulant medication; this was particularly significant for the early adoptees. The early adoptees were considered to be more hyperactive by their parents than the late adoptees. The late adoptees were more impaired on psychometric testing than those placed early, before six months of age. These findings are discussed in relation to possible explanations for the higher than expected prevalence of adoptees seen in clinical populations.

Adaptation, Psychological↗

Adoption--2: Living as an adoptive family.

In the second of three articles, Patricia Swanton outlines the support adoptive parents may need from the primary health care team once the adoption order has been made. She discusses some possible difficulties in communication and behaviour and emphasises the value of peer support for parents. Putting parents in touch with post-adoption centres or the organisation Adoption UK gives them access to post-adoption literature and support and contact with other adoptive parents.

Adoption↗

Pre-adoption stress and its association with child behavior in domestic special needs and international adoptions.

This article presents data from studies of children adopted through the United States public child welfare system and children adopted internationally from Romania. The article summarizes the data on: a). behavior problems as they relate to Romanian adoptees from a cross-sectional study, b). behavior problems for a sample of children adopted through the United States public child welfare system from a cross-sectional study, and c). a comparison of children's behavior for these two groups. Results indicate that the most significant predictor of children's behavior is a negative pre-adoptive history of abuse or institutionalization and the current parent-child relationship. In addition, the domestic and international adoptees' behavior is more similar than it is different. The study highlights the importance of helping families understand how early negative experiences are associated with behavior difficulties. Results suggest that families may have similar need for social and medical services, regardless of the country of origin of adoption.

Adoption↗

Adoption and race: implementing the Multiethnic Placement Act and the Interethnic Adoption Provisions.

Passage of the Multiethnic Placement Act of 1994 (MEPA) and the 1996 provisions on Removal of Barriers to Interethnic Adoption (Interethnic Adoption Provisions) provides an ideal opportunity to examine what can be done to increase adoptions of foster children, particularly children of color. To assist states and child welfare professionals in serving children better and meeting legal obligations, this article discusses racial matching, MEPA, and the Interethnic Adoption Provisions. Implications for practice and challenges in implementing the law also are discussed. The article suggests principles for adoption practice, recruitment, and placement that provide a framework for simultaneously meeting the requirements of the law and serving the best interests of children. Recommendations for practice, policy, and research are offered.

Adoption↗

The physician's responsibility in adoption, Part II: Caring for the adoptive family.

Adoptive families have special needs throughout their family life cycles, including sensitive and attentive health care. Resolution of infertility grief, preparation for adoption, and emotional adjustments of the adoptive parents and child are all stressful aspects of this mode of family formation. Adoption is an ongoing part of the family's history that affects interpersonal relationships permanently. Understanding these dynamics gives the physician insight in helping adoptive families mature successfully.

Adaptation, Psychological↗

Adoptive parents' perceptions of, and comfort with, open adoption.

Open adoption is becoming a common element of preparation for and ongoing services in infant and special-needs adoptions. This article discusses the results of a recent survey of 1,268 adoptive parents (1,396 adoptions) in California, in which questions were asked concerning openness and ongoing contact with biological parents. Postplacement contact with biological parents was common in this sample, and adoptive parents seemed cautiously comfortable with contact, with some exceptions.

Adaptation, Psychological↗

Follow-up of a low cost latrine promotion programme in one district of Amhara, Ethiopia: characteristics of early adopters and non-adopters.

OBJECTIVES: To verify reported construction of 22 385 household latrines in 2004, after community mobilization, as part of a trachoma control programme in one district of Amhara, Ethiopia, and to explore characteristics of early latrine adopters and non-adopters. METHODS: We used a two-stage cluster sample survey design to randomly select eight sub-districts and 160 households listed as having built a latrine, and visited them to verify presence and use. Household heads were interviewed to determine latrine cost and knowledge, attitude and practice regarding latrines. Non-latrine adopting neighbours were interviewed for comparison. We estimated district latrine ownership and calculated adjusted odds ratios for factors associated with latrine use. RESULTS: Latrines were present in 87% (95% CI 77-97) of listed households; 90% (81-99) were in use. Among all district residents we estimated ownership as 50.2% (44-56) and use as 45.2% (36-55). Of latrine owners who had built in 2004, 69% (53/77) had spent nothing on their latrine, those who paid spent an average of US$4.0 [standard deviation (SD) US$3.6]; overall the median cost was US$0 and the mean US$0.80 (SD US$1.7). Household heads adopting latrines were 1.9 times (95% CI 1.3-2.8) more likely to have any education and 1.5 times (95% CI 1.1-2.0) more likely to have a larger family than non-adopting neighbours. Cleanliness (48%, 56/116) and health benefits (42%, 49/116) were the most frequently reported advantages of latrines. CONCLUSION: The latrine promotion programme dramatically increased latrine access and use at very low cost. The method of community mobilization used could be an effective way of reaching millennium development sanitation targets.

Adult↗

Pacific women's decisions about exercise adoption: utilising the stage-of-exercise-adoption model.

AIMS: To analyse the exercise patterns of Pacific women utilising the stage-of-exercise-adoption model, and to investigate how the pros and cons of exercising, exercise self-efficacy, self-reported health, and sociodemographic barriers to exercise influence exercise adoption. METHODS: A non-random questionnaire survey of 106 Pacific women living in the North Island of New Zealand. RESULTS: Thirty percent of the sample was sedentary, 34% were participating in some exercise, and 35% were exercising regularly. The balance between pros and cons of exercise, exercise self-efficacy, self-rated health and levels of barriers reliably differentiated respondents at extreme stages of exercise adoption. In addition, two specific barriers to exercise (not having friends who exercise, and being unsatisfied with current income) were associated with reduced exercise self-efficacy. CONCLUSIONS: A large number of Pacific women are sedentary, but analysis of the factors associated with exercise adoption level and exercise-related self-confidence provides a platform for future intervention. Exercise adoption interventions tailored specifically to Pacific women should focus on broader community-based systems that include peer-group participation, and emphasise inexpensive options for exercise.

Adult↗

Adoption by captive parturient rhesus macaques: biological vs. adopted infants and the cost of being a "twin" and rearing "twins".

Four rhesus macaque (Macaca mulatta) mothers each spontaneously adopted and reared an abandoned, unrelated neonate in addition to their own neonate. Data on relative time spent in maternal contact and who maintained proximity were collected for the biological and adopted "twins" and singleton control infants using focal animal sampling. Infant weight gain and the subsequent conception history for each mother were obtained for the following year. Biological infants spent more time in maternal contact than their adopted "twin" siblings. When in contact with their mothers, biological "twins" spent more time in the ventro-ventral position and more ventral time alone than adoptees. Mothers initiated more contacts with their biological infants than their adopted infants, suggesting these differences may be due to differential maternal behavior. "Twins" gained weight at a slower rate than singletons, and mothers rearing "twins" produced significantly fewer offspring the following season.

Adoption↗

Mental illness in the biological and adoptive families of adopted individuals who have become schizophrenic.

In a sample of 5483 adults who had been legally adopted early in life by persons not biologically related to them, 33 were identified, from mental hospital records for whom a diagnosis of definite schizophrenia (chronic, latent, or acute) could be agreed upon by four raters. An equal number of matched controls were selected from the sample of adopted individuals who had never been admitted to a mental hospital. Ninety percent of the living parents, siblings, and half-siblings, biological and adoptive, cooperated in an extensive psychiatric interview permitting a consensus diagnosis by three blind raters. Schizophrenia and uncertain schizophrenia were found to be significantly concentrated in the population genetically related to the schizophrenic adoptees. Their adoptive relatives did not differ from the control populations in the prevalence of schizophrenic illness.

Adoption↗

Adoption of romanian children in The Netherlands: behavior problems and parenting burden of upbringing for adoptive parents.

Seventy-two Dutch adoptive parents of 80 Romanian children completed the Child Behavior Checklist (CBCL), the Nijmegen Questionnaire for the Upbringing Situation (NQUS), and participated in a semistructured interview (response 83%). Thirty-four percent of the adopted children scored in the clinical range on Externalizing and 36 % on Total Problems scales. Significantly more children who were at least two years at placement and had stayed less than five years in the adoptive family received scores in the clinical range on almost all CBCL clinical clusters. Nevertheless, the adoptive parents judge their upbringing situation positive (NQUS).

Adoption↗