Adoption and Foster Care—The Pediatrician' Role

1979 ◽  
Vol 1 (2) ◽  
pp. 57-61
Author(s):  
Burton Sokoloff

The United States now has approximately 2,500,000 adoptees under the age of 21—representing nearly 2% of the population in that age-group. In addition, about 350,000 children live with foster families in this country during any given year. These children and their families have inherent vulnerabilities and problems that pediatricians may overlook. Significant numbers of foster children and adoptees are seen with behavioral, learning, and psychiatric problems. It is important that continuing counseling be available to the adoptive family, commencing prior to the adoption procedure and following throughout the early adulthood of the adoptee. ADOPTION Uniqueness of Adoptio Adoption is a situation with emotions which can be best comprehended by those in the adoptive triad itself: the birth-parents, the adoptee, and the adoptive-parents. In the adoptive procedure a mother has given up a child she has borne; parents adopt the child of an unfamiliar background, and, unlike his peers, the child knows that he was not born to the parents who have reared him. Many adoption agencies have in the past advised the adoptive-parents to raise the child as their own, love him as their own, and concurrently remind him periodically that he is not their own! Frequently no further counseling would be suggested for these families.

2021 ◽  
Vol 12 (2) ◽  
pp. 129-147
Author(s):  
V.L. Sitnikov ◽  
A.A. Strelenko ◽  
S.I. Kedich ◽  
A.V. Komarova

Objective. Definition of communications of I-images of mothers with He-images of the own children, I-images of the foster mothers with He-images of foster children became the purpose of our research; establishment of communications of I-images of the foster mothers with the child parental relation and interaction. Background. The problem of social and perceptual reflection is current because the number of families with receptions and the sponsored children grows. Quite often adoptive parents aren’t ready to adequate interaction with nonnative children and return them in the system of guardianship, putting to children a severe psychological injury. One of the most important reasons of it is the discrepancy of ideal fixations on need of children for family and real perception of specific children by adoptive parents, rigidity of their attitudes — social installations. In this regard studying mechanisms and regularities of perception of the child in family since how the child is perceived in family, formation of his “Ya-concept”, formation of the personality, the relation with relatives, peers, teachers, with surrounding people directly depends is of particular importance. To minimize emergence of such psychoinjuring situations the in-depth study of mechanisms and regularities of social perception in the replacing families is necessary. Study design. Links between the structures of I-images of mothers and He-images of their native and adoptive children were investigated; links between socio-perceptual images and child-parental attitude (interaction) in foster families. Participants. Sample: 18 women from 29 to 59 years (M=48,05; SD=7,77) with only foster children and 20 women aged 37 to 48 years (M=39,85; SD=3,93) having only their biological children. Measurements. The technique “The structure of the image of a person (hierarchical),” developed by V.L. Sitnikov; two versions of the VRR questionnaire by I.M. Markovskaya, to study the interaction of parents with children and adolescents. Results. I- and He-images are indicators of child-parental relations in foster families. At the replacing mothers the controlling behavior in relation to the child is expressed. And high control can be shown in petty guardianship, persistence, to lead to restrictions and the bans. Conclusions. Reliable connections of socio-perceptual images of members of substitute families and child-parental relations were revealed, proving that these images are indicators of child-parental relations. The images children have similarity on structural characteristics both at foster, and at biological mothers. In representations of the foster mothers when forming an image of the foster child the orientation to the I-concept and ideas of what has to be the child is noted. The foster mothers identify themselves with foster children in the present and the future, more close relations with the foster child seek to establish. In comparison with foster, biological mothers are more open in communication with the children.


PEDIATRICS ◽  
1982 ◽  
Vol 70 (5) ◽  
pp. 826-827
Author(s):  
John M. Neff

Schor is to be congratulated on his excellent article on foster care and health1 and his emphasis on the major deficiencies that exist for foster children in our current health-care system. I am also pleased to see that there was such a strong commentary on this issue by Sokoloff.2 I would, however, like to differ with one of Sokoloff's conclusions, and that is that "Foster families should be encouraged to incorporate the foster child into their own health care system." In fact, this is what most foster families have done in the past and this practice has helped accentuate the current problem.


PEDIATRICS ◽  
1975 ◽  
Vol 56 (1) ◽  
pp. 144-145
Author(s):  
Henry M. Seidel ◽  
William A. Daniel ◽  
Joseph H. Davis ◽  
Ruth C. Harris ◽  
S. Norman Sherry ◽  
...  

Approximately 350,000 children live with 150,000 foster families in the United States during any given year. These children are in foster homes because the degree of social disorganization in their natural families has led to a societal decision to separate them from their natural families. Significant basic causes include unemployment, poor education, poor housing, and bias. There are also more subtle factors which may, in part, lie beyond our present understanding. Foster children comprise a population at high risk. At the time of placement, most of them have not had access to sufficient physical and emotional nourishment and necessary medical care. One recent study revealed handicaps in some 40% of the children studied; of these, 15% had multiple handicaps, 33% had emotional and behavioral problems, 19% were mentally retarded, and 13% had various physical ills. Twenty percent had not been evaluated at all. Indeed, there are many kinds of handicaps. Thirty percent of foster children have not seen their natural parents within six months. The average placement has been longer than five years; 68% of placements range from four to eight years, with frequent movement of a child from one family setting to another. The community, with the process of foster care, assumes or accepts the responsibility for a child's care through the mechanism of count order and/ or voluntary agreement with natural parents. The implied promise of such a move is the satisfaction of apparently unfulfilled needs. The implication is that a period of planned substitute family care can serve as a positive rehabilitative force.


PEDIATRICS ◽  
1994 ◽  
Vol 93 (2) ◽  
pp. 339-341 ◽  
Author(s):  

Adoption practices in the United States have been designed to protect each member of the adoption triad. Traditionally they preserve the anonymity and privacy of the birth parents. These practices have supported the concept that adoptive parents need to establish a relationship with their new child without concern of unwanted interference by members of the child's birth family. In addition, they emphasize protecting adopted children from potentially disturbing facts about their birth families and/or psychological confusion that might arise from any continued relationship with their birth families. To protect confidentiality in adoption, all records of the adoption proceedings are sealed. The child's original birth certificate is sealed, and a new one is issued that typically contains only the child's adoptive name and substitutes the names of the adoptive parents for the birth parents. The original birth certificate and adoption records can be opened only by a court order and only for "just cause." Recently, however, three states have developed open adoption records, and more than 30 other states have developed mutual consent registries.1 The exact statutes regarding mutual consent registries vary from state to state, but the basic concept allows adult adoptees and birth parents to register their desire to meet each other. If a mutual consent is achieved, identifying information can be released and a meeting may be facilitated. Some states require both parties to register independently. Other states allow a state agency to locate the birth parent(s) to determine whether consent will be granted to release information to the adult adoptee.1


PEDIATRICS ◽  
1981 ◽  
Vol 68 (4) ◽  
pp. 596-597
Author(s):  
S. Norman Sherry ◽  
William C. Riecke ◽  
Burton Sokoloff ◽  
George G. Sterne ◽  
Virginia Wagner

Intercountry adoption is the adoption of a child native to one country by citizens and/or residents of another country and the subsequent removal of the child from his native country to the second country. The Adoption and Dependent Care Committee recognizes that such procedures are fraught with problems for the countries involved and for the members of the traditional adoption triad–adoptee, birth parents, and adoptive parents. The motivation of adoptive parents, the country of origin, and the country of destination have all been challenged. The motivation of parents seeking to adopt children from other countries should be examined, as should the motivation of any prospective adoptive parents. Specific attention should be paid to those who see such adoptions as expiation for perceived sins committed against the child's native country. Although such reasoning may sound admirable, it does not provide a sound foundation for beginning a parent-child relationship. The Committee supports efforts to improve the situations of all children: that is, each child should have a permanent nurturing home and a family, preferably his biologic family in his native country. International assistance should first support services that strengthen the biologic family and child welfare services within the native country. In addition to this assistance, there are occasions in which the interest of the child may be met by intercountry adoption. CONTRIBUTING FACTORS Many factors have contributed to the increasing number of intercountry adoptions by natives of the United States (current rate is approximately 6,000 per year). In the United States, the declining birth rate and the increasing tendency of unmarried mothers to keep their infants rather than giving them up for adoption, have led to shortages of healthy infants for prospective adoptive parents.


Author(s):  
Laura Valentina Pastrana ◽  
Shireen Rezaei ◽  
Kailee Brown ◽  
Steve Sunday

The adoption triad consists of the birth parents, adoptive parents and the adopted child. Birth parents are the least studied and understood member of the adoption triad. Research has found that emotional effects of relinquishment can be long term and create other psychological outcomes.The purpose of this study is to assess if the openness in adoption has an effect on the psychological outcomes of birth mothers. Working in conjunction with Forever Bound Adoption a cross section social survey will be disseminated to birth mothers over the age of 18 in the United States. These psychological outcomes will be assessed to determine if openness is related to the psychological outcomes of birth mothers after relinquishment. Findings will be utilized to bring awareness of potential problems in adoption and to increase knowledge of factors relating to more positive outcomes among birth mothers


2017 ◽  
Vol 41 (1) ◽  
pp. 75-81 ◽  
Author(s):  
Damien W Riggs ◽  
Stacy Blythe

Separation and divorce are realities faced by many families. Yet in the case of foster and adoptive families, only a small number of studies have looked at the way such experiences affect them. This article seeks to fill this gap by exploring the nature and consequences of separation and divorce among foster and adoptive families in Australia and the United States. A thematic analysis of primary and secondary data collected by the authors identified three dominant themes: (1) that divorcing foster families experience variable responses from service providers; (2) that some adoptive parents perceive that relationship breakdowns compound adoption-related losses; and (3) that some adoptees challenge the assumption that the nature and experience of separation and divorce among adoptive families is unique. The article concludes by advocating for the provision of clear guidelines for foster and adoptive families experiencing separation or divorce, and highlights the need for supportive community responses to help those affected.


Author(s):  
Ella Inglebret ◽  
Amy Skinder-Meredith ◽  
Shana Bailey ◽  
Carla Jones ◽  
Ashley France

The authors in this article first identify the extent to which research articles published in three American Speech-Language-Hearing Association (ASHA) journals included participants, age birth to 18 years, from international backgrounds (i.e., residence outside of the United States), and go on to describe associated publication patterns over the past 12 years. These patterns then provide a context for examining variation in the conceptualization of ethnicity on an international scale. Further, the authors examine terminology and categories used by 11 countries where research participants resided. Each country uses a unique classification system. Thus, it can be expected that descriptions of the ethnic characteristics of international participants involved in research published in ASHA journal articles will widely vary.


Crisis ◽  
2020 ◽  
pp. 1-5
Author(s):  
Shannon Lange ◽  
Courtney Bagge ◽  
Charlotte Probst ◽  
Jürgen Rehm

Abstract. Background: In recent years, the rate of death by suicide has been increasing disproportionately among females and young adults in the United States. Presumably this trend has been mirrored by the proportion of individuals with suicidal ideation who attempted suicide. Aim: We aimed to investigate whether the proportion of individuals in the United States with suicidal ideation who attempted suicide differed by age and/or sex, and whether this proportion has increased over time. Method: Individual-level data from the National Survey on Drug Use and Health (NSDUH), 2008–2017, were used to estimate the year-, age category-, and sex-specific proportion of individuals with past-year suicidal ideation who attempted suicide. We then determined whether this proportion differed by age category, sex, and across years using random-effects meta-regression. Overall, age category- and sex-specific proportions across survey years were estimated using random-effects meta-analyses. Results: Although the proportion was found to be significantly higher among females and those aged 18–25 years, it had not significantly increased over the past 10 years. Limitations: Data were self-reported and restricted to past-year suicidal ideation and suicide attempts. Conclusion: The increase in the death by suicide rate in the United States over the past 10 years was not mirrored by the proportion of individuals with past-year suicidal ideation who attempted suicide during this period.


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