Children who are adopted at an older age through foster care and those adopted from overseas orphanages are at high risk for behavioral and emotional distress. This important manual presents a structured, evidence-based protocol for providing mental health treatment to families adopting vulnerable children. Drawing on their extensive clinical…

A disruption in the initial attachment formed between an infant and a primary caregiver often leads to some type of disordered or disorganized attachment. While research has been conducted on the etiology, symptoms, and effective forms of therapy regarding this disorder, much definitive information remains unknown or unclear. With the increasing…

Children adopted from foreign countries, especially those who were in an orphanage, may experience greater difficulties than culturally or linguistically diverse children who do not come from such a background. Delays in learning language and, consequently, slower cognitive and social development, can undermine the academic success of these…

Adopted children may present with a wide range of disruptive behaviors making it difficult to implement holistic therapeutic interventions. The number of primary caregivers, disrupted placements, and repeated traumatic events contribute to the overall mental health of the adoptee and greater number of occurrences increases the risk of…

Long before babies understand words, they understand touch. The first experience of compassion infants receive is gentle, caring touch, which gives a strong message, especially when accompanied by eye contact and a soft tone of voice. The kind of relationship a compassionate caregiver strives to develop with an infant creates attachment, an…

The child-caregiver relationship has long been recognized as crucial to social-emotional functioning and later development. Specifically, the consistency with which caregivers interact with young children in warm, supportive ways is related to optimal early development. This may be especially critical in the families formed by international…

Notes that open adoption is less typical in adoptions of special-needs children; presents a model for openness in special-needs adoptions. Notes that the primary benefit of openness for an adopted child is loss minimization and maintenance of familial connections even in cases of abuse or neglect, as children continue to form significant…

The TIES [Training, Intervention, Education, and Services] for Adoption program in Los Angeles, attempts to reduce obstacles to adoption of children in out-of-home care who experienced prenatal substance exposure. Interviews with parents conducted at intervals following home placement reveal experiences and concerns, parenting aspects and adoption…

Semi-open, open, and other alternatives to the confidentiality of traditional adoption procedures are discussed by focusing on the needs of adoptive and birth parents. Positive outcomes of alternative approaches to adoption for all members of the adoption triangle are indicated. (Author/RH)

Suggests that medical advisors may be an important resource for adoptive parents seeking to understand their child's behavior. Examines the effects of the child's past--problems such as loss, poor attachment, or abuse--and how the child and new family adjust. (TJQ)

Notes that successful child placement depends on engaging birth or previously adopted children during the adoption process, yet other children are often overlooked when parents are adopting a special-needs child. Presents a model which recognizes dynamics of strength and vulnerability and applies that model to preparing and supporting the adoptive…