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Adoption Techniques for Treating Adoptive Parent Issues
Adoptive Parent continuing education social worker CEUs

Manual of Articles Sections 15 - 28
Section 15
The Preadoptive Parent and Termination of Parental Rights

CEUs Question 15 | CEUs Answer Booklet | Table of Contents | Adoption
Social Worker CEUs, Psychologist CEs, Counselor CEUs, MFT CEUs

In many jurisdictions, once a court ends reunification services to birthparents, children who are not already living with caregivers committed to adopting them are moved to foster-adoptive parents instead of waiting Parenthood Adoptive Parent social work continuing educationuntil termination of parental rights (TPR). These applicants have an approved adoption home study and a foster care license. In this way, the court can be reasonably assured that the child will be adopted and not become a "legal orphan." The children can experience earlier permanency than if they had to wait until TPR occurs and appeals are completed. This approach, although clearly beneficial in some ways, may present special challenges for children beyond toddlerhood and their new prospective adoptive families. This article explores the similarity and dissimilarity of this approach to foster-adoptive placement and concurrent planning. The emotional and psychological difficulties encountered by the children and their prospective adoptive parents as they deal with legal uncertainties that can arise are discussed. Clinical and policy recommendations are offered to help both children and families as well as the professionals who work with them in these situations.

Literature Review
During the past 30 years, legislators and child welfare professionals have attempted to develop sound and creative legislation and practice approaches to providing the earliest possible permanency for children in foster care. Two approaches have been foster-adoptive programs and concurrent planning.

The Federal Adoption Assistance and Child Welfare Act of 1980 highlighted permanency and continuity of relationships for children in informing case planning and practice (Lutz, 2001). The Adoption and Safe Families Act of 1997 (ASFA) went further by requiring states to achieve permanent placements for children in shorter time frames and by identifying what outcomes constitute successful permanency for children. ASFA also supports concurrent planning, the practice that allows social workers to simultaneously plan for more than one possible outcome. Section 103 instructs states to "concurrently…identify, recruit, process, and approve a qualified family for an adoption" while filing a TPR petition, and Section 201 encourages "programs that place children into preadoptive families without waiting for TPR."

Concurrent planning — with its emphasis on the use of permanent planning families who are carefully recruited, trained, and supported in working with and mentoring the birthparents — began as an extension of the foster care-adoption model (Gill & Amadio, 1983; Katz, 1999). This approach was designed for the very young child whose family's chronic problems (often neglect associated with poverty and drug or alcohol abuse) left the child languishing in out-of-home care (Katz & Robinson, 1991). Concurrent planning is defined as "working toward family reunification while, at the same time, developing an alternative permanency plan" (Katz, Robinson, & Spoonemore, 1994). With concurrent planning, a greater possibility exists for the children's return to birthfamilies (Gill & Amadio, 1983; Lutz, 2001) than with the foster-adoptive programs. The components of concurrent planning are intensive, focused outreach and services to birthfamilies; early searches for relatives; and frequent, consistent, safe visits between children and birthparents to mend relationships and promote attachment.

Documented benefits of concurrent planning include:
1.Shortening the length of time in care for the child by full disclosure with birthparents about the detrimental effects of out-of-home care on children, the urgency of reunification, and the agency's concurrent plan to prevent the child from remaining in out-of-home care;
2.Enhanced comfort with communication between birthparents and caregivers because the foster parents are helped to collaborate with the birthparents;
3.Greater likelihood of relinquishments, as well as continuity of relationships for the child, because the foster parents will keep in touch with a child reunified with birthparents or the foster parents will permit an open adoption; and
4.Using permanency planning families who assume the major risks of uncertainty of placement outcome for the child instead of the child's bearing the risk (Katz et al, 1994; Lutz, 2001).

In many jurisdictions, concurrent planning, as described in the literature, has not yet been fully instituted for all children whose prognosis for family reunification is poor. It is difficult to find families who are willing and ready to perform the dual function of facilitating family reunification as well as adoption, and it is challenging for struggling, understaffed agencies to implement such vigorous and demanding programs. However, because legally free children are not readily available, many families, recruited as adoptive parents and whose primary desire is to be adoptive parents, are willing to stretch their preferences and accept a child who is not yet legally free because this situation creates a higher probability of being matched with a child. Usually, their understanding is that the children are likely to be adopted, because reunification services have ceased. Placing the children in these homes before TPR is similar in some ways to the foster-adoptive placement and the concurrent planning programs described above. The children involved have a poor prognosis for reunification, the foster parents are approved and committed to adopt if adoption is feasible, and the child is placed with them before a TPR petition is filed. In accordance with ASFA, the child can experience permanency earlier than if placement were delayed until TPR. This approach differs, however, from foster-adoptive placement and concurrent planning programs described in the literature. In this approach, the child is placed with the prospective adoptive family very late in the dependency court process, usually after reunification services have been ordered to cease. In many instances, the child has not lived with the birthparent for a year or longer. The family has no commitment to fostering for as long as is necessary, to working toward family reunification, to facilitating visitation, and to mentoring the birthparent. In many instances, these parents have no prior experience with foster parenting or parenting in general. They have obtained their license as a foster parent just to be able to accept the placement of a child they hope to adopt.

Parents' Emotional Reactions: Shock and Anger
We have seen foster-adoptive parents go through a range of emotions as they experience the vagaries of the child welfare and legal system. Often, the emergence of legal complications, resumption of visitation with the birthfamily, and threats to the adoption plan are initially met with shock, disappointment, and anger. Almost all the parents participating in TIES for Adoption applied to the local child welfare agency for adoption. They know that they have to go through a period of being a foster-adoptive parent, but their intent is to adopt the child placed in their home. These parents frequently report that they were not prepared for the possibility that the adoption would not go forward, and they experience a sense of betrayal. It is often difficult to know whether the parents (who enter the system with the expressed intent to adopt) have not been fully informed about the possibilities of legal complications, or whether they were reassured that legal challenges by the birthparents or relatives usually do not succeed, or whether they were not emotionally able to take in the information at a time when they were extremely eager to welcome a child into their family. Clearly, they have intense reactions when legal challenges or unexpected visitations occur.

Helplessness and Depression
Along with anger, some parents experience a profound sense of helplessness. In many cases, they do not have any legal standing in the courtroom, even though they have become extremely invested in the child. They may not know about the possibility of seeking de facto parenting status, or they may have been advised against it, or they may not feel comfortable with revealing their identity in a courtroom in the presence of the birthfamily. Often, the parents experience a sense of suddenly not having any voice or power in a system that they had perceived to be on their side. This sense of lack of efficacy can be deeply disturbing and can have a negative effect on their parenting, especially when the child has special needs and requires effortful and creative parenting strategies. In some cases, parents become depressed because of their experience of helplessness and loss of control. Depression, of course, can impair the quality of parenting (Gelfand & Teti, 1990).

Attitudes Toward the Child's Birthfamily
One task of the adoptive parent is to be sensitive and empathic to the issues of the birthparents and their struggles. Such a stance is vital for the adoptive parents' ability to talk to the children about their birthparents openly and supportively as questions about the children's history and background emerge. When visitation with the birthfamily is resumed after the child is in the preadoptive home, the prospective adoptive parents may feel profoundly threatened in their new role, especially when the possibility of visitation was not anticipated.

Often, the prospect of the child's adoption mobilizes the birthparents and stimulates their wish to reclaim the child. When birthparents communicate to their children, during visitation, that they are working at getting them back or that now they are getting their life together, the children may return from the visit and tell the adoptive parents that they are going home. This statement may stimulate adoptive parents' feelings of anger and resentment toward the birthfamily for undermining the current placement. Feelings of competition with the birthparents, common for adoptive parents, may be heightened (Akhtar & Kramer, 2000).

Another common scenario is when children return from a visit with birthparents saying that they are going to "act bad" so they will be sent back to their birthfamily. In some cases, a desperate birthparent may actually encourage the child to act out. Understandably, this behavior can create further resentment in the prospective adoptive parent, who may have struggled with working at controlling the child's behavior.

In some instances, foster-adoptive parents who initially felt willing and able to work toward an open adoption become increasingly angry and hostile toward the birthparents. Negative feelings may escalate further if, during court appearances, confrontations occur between the birthparents and the prospective adoptive parents. In several cases, prospective adoptive parents had to be escorted out of the courtrooms for their own protection. In these situations, the foster-adoptive parents may feel threatened about having future contact with birthparents or relatives.

Clearly, these concerns and fears are not conducive to positive communication with the children about their birthfamily. In addition, positive communication between foster parents and birthparents, as well as continuity of relationships for the child, become less likely. Escalating conflict and negative feelings between the potential adoptive parent and birthrelative may also jeopardize the placement over the long term. Some reports suggest that disrupted placements are more likely when the child maintains contact with someone opposed to the adoption (Festinger, 1990).

When the adoptive parents develop hostility toward the birthfamily, these feelings may erupt during conflict with the children. The foster-adoptive parent may tell the children that they are acting terribly "just like their birthparents." Negative consequences may result, both in the quality of the parent-child relationship and in the child's self-esteem. Carrying negative and hostile feelings about the birthrelatives can lead to fears and self-fulfilling negative fantasies that the children will be difficult, destructive, and unmanageable as they get older, like their parent or other birthrelative. The adoptive parents may become more inclined to attribute any behavioral disturbances to the child's genetic endowment and view the child as doomed to failure and evil (Akhtar & Kramer, 2000).
-Edelstein, Susan B., Burge, Dorli, Waterman, Jill; Older Children in Preadoptive Homes: Issues Before Termination of Parental Rights; Child Welfare; Mar/Apr 2002; Vol. 81 Issue 2
The article above contains foundational information. Articles below contain optional updates.


Personal Reflection Exercise Explanation
The Goal of this Home Study Course is to create a learning experience that enhances your clinical skills. We encourage you to discuss the Personal Reflection Journaling Activities, found at the end of each Section, with your colleagues. Thus, you are provided with an opportunity for a Group Discussion experience. Case Study examples might include: family background, socio-economic status, education, occupation, social/emotional issues, legal/financial issues, death/dying/health, home management, parenting, etc. as you deem appropriate. A Case Study is to be approximately 225 words in length. However, since the content of these “Personal Reflection” Journaling Exercises is intended for your future reference, they may contain confidential information and are to be applied as a “work in progress.” You will not be required to provide us with these Journaling Activities.

Personal Reflection Exercise #1
The preceding section contained information about the termination of parental rights, and its impact on pre-adoptive families. Write three case study examples regarding how you might use the content of this section in your practice.

Online Continuing Education QUESTION 15
What are the negative consequences that may result? Record the letter of the correct answer the CEU Answer Booklet.

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Table of Contents

The article above contains foundational information. Articles below contain optional updates.
Improving well-being and outcomes for looked after children in Wales: a context sensitive review of interventions
Improving outcomes for looked after children and young people has been a longstanding concern in Wales. This article reports the findings of a scoping study which sought to identify interventions aimed at improving outcomes for looked after children that are effective or promising. The study was commissioned by an independent funding body to inform a £5 million investment programme for Wales. It comprised a rapid review of literature, informed through consultation with an expert advisory panel and groups of young people who had been in care. The article outlines the rapid review method, provides details of shortlisted interventions and describes the interventions subsequently approved for investment. It concludes that although there are many promising interventions which address the factors associated with poor outcomes for looked after children, the evidence base is weak. It is argued that decision-making on interventions should be informed by appraisal of the empirical evidence available, but should also be guided by professional judgement that considers the needs, priorities and preferences of service users, carers, practitioners and policy-makers.
Reflections on the non-accidental death of a foster carer
This article is a case study and analysis of the death of a foster carer in Scotland at the hands of the child for whom she was caring. The death was the subject of a Fatal Accident and Sudden Deaths Inquiry in 2015. The case study explores whether or not this was a unique case, its messages for understanding child on parent violence, the adequacy of foster carer training, approval for blanket or specific age ranges, information about children provided to foster carers, meeting the needs of traumatised children and birth family contact when children have access to social networking sites. It considers if there are lessons that can and should be drawn from this case.
A comparison of parenting stress and childrens internalising, externalising and attachment-related behaviour difficulties in UK adoptive and non-adoptive families
This study aimed to increase understanding of the impact of the parenting task in a representative sample of adoptive and non-adoptive parents in the UK. Cross-sectional data from two UK samples were collected: (1) 86 adoptive parents and (2) 167 biological parents, of children aged 3–11 years. Parenting stress and parent-reported child internalising, externalising and attachment-related behaviour difficulties were assessed via online questionnaires. Data were analysed using descriptive statistics, correlation and analysis of covariance. Compared with their biological counterparts, adoptive parents described higher parenting stress, which was explained by their reports of greater child difficulties, including attachment-related problems. The same was found for biological parents but with lower levels of stress and child difficulties. Thus, the unique nature of the adoptive parenting task indicates that parenting stress should be considered a risk factor when difficulties are present in adoptive families. Furthermore, service thresholds may be better informed by this understanding, particularly as this study found that while just under half of children had high levels of difficulties, under one-third of parents reported receiving services.
Culturally sensitive child placement: key findings from a survey of looked after children in foster and residential care in Ibadan, Nigeria
The quality of the caregiver–child relationship is key to the well-being of children but assumptions based on research in western countries about the benefits of different types of substitute care may be questionable when applied elsewhere. This study assessed the quality of caregiver–child relationships and their association with child abuse in foster and residential care in Nigeria. The findings are relevant to European and North American countries as 4% of those looked after and 6% of care entrants in England are of African heritage and it is too easy to draw wrong conclusions about the care they might have received in their own countries. The study scrutinised 314 children aged 7–17 years from foster (157) and residential care settings (157) and assessed the caregiver–child relationship using the Positive Relationship Scale. The child abuse measure covered physical, sexual and emotional components and aggregated these into a single score. The subsequent analysis explored differences in child abuse between foster and residential care and the significance of other factors influencing levels of child abuse. It was found that the children in residential care had more positive relationships with caregivers than did those in foster care, even though abuse occurred in both settings. There were no gender differences in experiences of child abuse in either setting but children under the age of 12 were significantly more likely to have been abused while in care than those over this age. For children in residential care, age was the most significant factor associated with abuse. As these findings provide a perspective on children in substitute care in a West African city, they may be useful to social workers elsewhere who are responsible for children of African heritage, as they suggest that abuse often occurs in foster homes and that child–carer relationships in residential establishments can be good.

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