Participation And Decision Making In Older Age Adoption Elizabeth Cox, Lynne Moggach and Tina Smith Barnardos Find-a-Family specialises in “hard to place” children who have been removed from their families by the Children’s Court, have experienced abuse and neglect and have had multiple placements. It is widely accepted that, for normal development as adults, children need a secure attachment to their primary carer in infancy and early childhood Bowlby and Ainsworth). Find-aFamily has found that it is possible to enhance resilience in children who have had very poor early attachment by providing them with secure, loving, accepting relationships, even in the middle childhood years. Elizabeth Cox is a Social Worker and joined Barnardos in 1989, She is Regional Manager for Find-aFamily. Lynne Moggach, a Social Worker, joined Barnardos in 1986 and is Principal Officer, Adoption. Tina Smith, a Social Worker, joined Barnardos in 1984 and is Senior Manager of Find-a-Family. A longer version of this article has been published as a Barnardos Monograph 16 Between 1985 and 2003, Find-a-Family placed 380 children, of whom 80% are currently in their first permanent placement or have remained there until adulthood. Finalised adoption orders have been achieved through the NSW Supreme Court for 110 of these children. Barnardos undertakes a high proportion of the adoption of children in the care system and has certain underlying beliefs that are incorporated into the program. Some of these are: • Adoption produces better stability than long-term foster care. The evidence is overwhelmingly strong that adoption offers the best hope of long-term stability for any child whose birth family is unable to provide adequate care with a defined space of time. Adoption has a much better record of providing stability than open-ended foster care, and many previous difficulties have been overcome with the move to open adoption and payment of allowances. developing practice 19: Winter/Spring 2007 • Adoption allows carers to have trust in the placement arrangements, thus enhancing their capacity to build loving relationships not reduced by fears of loss. • Children require stability in a placement with the same carers in order to develop to their full potential. • The child, the birth family and the carer have the right to know the long-term plans for the child’s future at the earliest possible opportunity. • Children have the right to establish and/or maintain a positive relationship with their birth family, even if it is not planned that they will return to their care. Information about, and contact with, birth family members is critical for children’s development of their identity and self-esteem. For children in permanent out-ofhome care, contact must be set at a level which satisfies the identity needs of the child, but does not interfere with a child or young person’s growing attachment to their new family. • The first priority of Barnardos is to provide for the needs of the child. The Survey In 2003, Find-a-Family undertook a survey of families who had adopted a child through the program. The survey focused on families’ understanding of, and involvement in, the processes of decision-making and adoption; perceptions of decisions made and whether these had changed over time; experiences that children and families had with the agency and workers and their experiences of parenting/being parented. Forty one families who had adopted children between January 1993 and July 2003 were asked to participate in the survey as were children who were over the age of five years when their adoption was finalised. Subsequently, questionnaires were sent to 38 families and 35 children/young people. Of these: • Eight families had adopted a single preschool aged child • Three families had adopted preschool aged siblings • One family had experienced two placements/adoptions of unrelated preschool aged children • Seventeen families had adopted a single school aged (“older”) child • Seven families had adopted older siblings • One family had experienced two placements/adoptions of unrelated older children • One family had adopted a sibling group, then subsequent adoption of 1 child Twenty five parents’ questionnaires (65 per cent) and 21 children’s questionnaires were returned (60 per cent). Just under half of the parents had had a preschool aged child placed with them. Of these, just over half of the children had been in placement for more than 10 years, compared with the older children, where only one third had been in placement for more than 10 years. Nearly one-third of the children had been of preschool age when placed. At the time of completing the questionnaire, one-third of these children were in the 9-11 years age group, with the remainder being 12-15 years old. Of the older children, half were over the age of 16 at the time of developing practice 19: Winter/Spring 2007 17 completing the questionnaire, with only one child being under the age of 12. The ratio of males to females was approximately 2 to 1. Key Issues 1. Involvement In Decision-Making And Match It is Barnardos’ policy to involve potential carers and children as much as possible in the "match" between child and new family. For carers, this involves detailed discussions about the specific needs of the particular child, meeting with the current carers and other significant people, speaking with other professionals involved with the child, and having access to the child’s file. Workers keep children informed about the process and involve them through age-appropriate discussions about what they believe is important in a family, seeking their assistance with advertisements and facilitating their involvement in Case Reviews. Barnardos believes that this assists carers to make an informed decision about the match and helps children to feel involved in the process, thus maximising the potential permanency of the placement. Workers believed that they were able to achieve involvement in decisionmaking with older children; however preschool children often had less understanding of the process and at times had to be moved quickly, with less information available to the agency and less opportunity for involvement. This is born out in the results of the questionnaire. Just over two-thirds of the parents of preschool children felt they had little involvement in the decisionmaking with regard to the match with their child. This compares sharply with the parents of older children, where the greater majority felt they had medium/major involvement. However, within both groups, almost all felt that the level of involvement was sufficient and that they trusted Barnardos’ judgement. Exactly half of the older children felt they had a medium level of involvement in the decision-making process, while one-third felt they had no involvement. However, one-third of all these children felt that the amount of involvement they had was sufficient. None of the preschool aged children remembered having been involved in the process. Exactly half the children felt their worker asked what they were looking for in a family; almost a half could not remember. Regardless of the level of involvement, almost two-thirds felt their worker listened to them, and well over two-thirds trusted their worker to make the right decision 18 developing practice 19: Winter/Spring 2007 (many of the remainder could not remember). 3. Early Experiences-Reflections On The Initial Period Of Placement Almost all parents stated that they were given all necessary information to assist them to make an informed decision about the match. There is a great deal of research about the influence of a child’s early life experiences on their future development. In particular, it is recognised that early childhood abuse and disruption of the bonding cycle have a major effect on the child’s neurological, social, emotional and physical development, as well as on their ability to form significant attachments. All but one of the children who had been adopted had experienced abuse and/or neglect and rejection, as well as multiple carers. The overwhelming majority of their parents commented on the impact of this on the child’s behaviours, emotional development, ability to learn and to form trusting relationships. This, in turn, resulted in the experience of parenting being much more difficult than expected. This confirmed the unanimous response from preschool parents that they believed the match was “right at the time of placement” and “is still right”, and that their fit with the child was “really good”. This figure was only slightly less for the parents of older children. 2. Experience With Barnardos And Its Workers Barnardos’ experience, and research from Australian and overseas indicates that the quantity and quality of support to children and carers has a significant effect on the stability of a placement, particularly when children have specific and challenging needs. Barnardos believes that continuity of worker and ongoing support to families after adoption improves the potential for success. Historically, access to support has been extremely difficult for many adoptive parents. Our questionnaire confirmed our hypothesis regarding the importance of continuity of worker, with just under half of the parents and children involved in the survey having the same worker throughout the placement. An overwhelming majority of parents believed that their worker knew them well enough to make the match, that they were listened to and well supported; well over two-thirds of the children trusted their worker. Impact of the child’s early experiences All parents noted the impact of the child’s early experiences on the early stages of the placement, especially noting the effect on the child’s emotional development. They described their child as being “very quiet and distant”, “disturbed and confused”, more unsettled than we realised he would be”, “not able to freely give cuddles, or did not really like affection, although she loved to be very close besides us”. Parents of older children noted the learning difficulties and the extreme behaviours shown by their children, commenting on their child’s low self-esteem, poor academic and social skills, extreme behaviours and difficulties with discipline and family rules. developing practice 19: Winter/Spring 2007 19 Impact of previous placements All but one child in our survey had had more than one placement, with almost half the older children having had more than three moves prior to their placement with Barnardos. Half of the preschool aged children and over one-third of older children could not remember the number of previous placements that they had had. Almost all the older children had mixed memories of their previous placements, compared with only onethird of the preschool aged children. Only one third of parents of preschool children felt that the number of previous placements had an impact on the child’s adjustment to their new family, perhaps reflecting the age of the child at placement and the fewer moves experienced by these children. This contrasts sharply with the older children, where almost three quarters of parents felt that previous placements had a definite impact. In particular, they commented about the impact on the child’s sense of security within the placement and on their ability to make and keep friends. “The number of placements had left our child very sceptical of people, especially of adults – his hopes were built up and let down several times” of placement, first noticed feelings of being wanted and loved by their adoptive families. They spoke about having adults who cared about them, with this being displayed by their adoptive families taking an interest in them and playing with them, and described positive feelings from having someone interested in them as a person, interested in what they liked and what they wanted to do. “They made my sisters and I feel that we were wanted and loved.” “Both were in constant fear of us leaving. They were never really able to be completely emotionally honest fearing that if they showed us emotion we could hurt their feelings by some form of rejection.” “They made me fit in, often took us to the park, made my lunch for school, listened to what I had to say, cared for us” What the children first noticed about their families When asked “what things were most important when you came to live with your family?” the responses highlighted the importance of having been placed with their siblings, of Overwhelmingly the children, regardless of their age at the time 20 What was most important for children when first placed? developing practice 19: Winter/Spring 2007 having stability, of being looked after and of being safe, with almost every child commenting on the issue of feeling safe. Food also played an important role, with many children commenting upon the fact that their parents made breakfast and lunch for them, and that they ate healthier food. “That I had both my brother and sister with me and that the parents loved me for who I was” “Being safe and staying put” “I wanted to feel safe and loved” Impact on parenting The majority of all parents believed that adoptive parenting was much more difficult than they had expected, with this being more marked with those who had adopted older children. Almost all parents spoke of being very tired, of the constant demand for their attention and the effect on their marriage, with many noting that nothing could have totally prepared them for the experience. “No-one could have prepared us for how difficult it could be or how long term the damage to a young child is” “The workload was a lot more than expected. Underestimated the emotions of insecurity you go through…... You underestimate the damage emotionally the child has experienced, you think you can fix things but have to accept you can only make them better” 4. Down the Track Feelings towards child The responses showed that the younger the child was when placed, the more quickly relationships were established. One-third of the parents of preschool children reported that there had been no change in their feelings towards their child, with several noting that they were able to immediately form a bond because of the child’s age. Parents of older children, however, took longer to establish those relationships, with the overwhelming majority reporting that there had been significant changes in their feelings over time. Many commented on the difficulties that they had faced in developing their relationship with their child and that it took many years to establish a relationship of trust. Some parents were still struggling with their relationship with the child and with aspects of their child’s behaviour. “We are mostly glad we didn’t give up” “Realisation of how deep and complex is the lasting damage from abuse and dislocation of the child. How resilient the child is – strong survival skills. Different feelings of love and its different ways, and the testing of that.” Children’s feelings about their family Approximately two-thirds of all children felt that their feelings about their parents had changed “a lot”, speaking of an improvement in all aspects of their relationship, including the knowledge that they were loved, that they talked more, loved their parents more, felt safe and, overwhelmingly were “treated as part of the family”. Current Situation When considering what was most important for their child at the present developing practice 19: Winter/Spring 2007 21 time, all parents focused on their child’s self-esteem, happiness, safety, security and ability to reach their potential. “That we made him feel safe and hope to provide him with a good future to the best of our abilities and to know that he is loved regardless of any outcomes” what they wanted in a family and how they really felt about adoption. One child described the importance of the worker maintaining hope and being positive. When considering “what is the most important thing for you about your family”, the children felt safe in the knowledge that they were loved. They rated the feeling of “happiness” and “safety” very highly, along with the sense of having “a family”. “Tell the children that they are loved and someone is waiting out there for them, don’t give up hope” “That I’m a part of a family and I feel safe with them” Children’s Advice To Workers When asked what advice they would offer workers, the children felt strongly about their worker speaking with them and listening to them. They wanted workers to find out from them “Ask them what they feel about being adopted and how they feel about it” Several children were very realistic about the tasks of adoptive parenting. “Be certain that they can communicate with children well” “Make sure the family knows what they are doing” Parents’ Advice To Other Families All but one of the families was very positive about their adoption experience, with comments being similar for parents of both preschool and older children. In particular, most stressed the importance of commitment, patience and of not giving up. “Take off the rose coloured glasses, now! Assume what can go wrong will go wrong – and then double it don’t even contemplate a dull stretch. Be patient …. The wait is well worth while. Our most enriching and fulfilling moments are happening right now – 12 years down the track” “Be prepared for the emotional insecurity of the issue of possession of the child. Don’t have set expectations. There will be some great times but it will take time and a lot of work. Don’t try to change them, just make them secure and happy. And take it from there” 22 developing practice 19: Winter/Spring 2007 Conclusion Of the 25 surveys, the responses were overwhelmingly positive about the impact of adoption for the child. “Like any relationships, you have good times and you have other times…..not bad just other. My wife and I would sit down and look at each other now and again and wonder what was missing in our lives before the children. We had freedom, we had money, we had friends, went on holidays – then kids – that was the end of that lifestyle. I speak for my wife as well as myself, there is not one single second I would change as a parent. Certainly not in looks, but I belong to one of the most beautiful families you could ever meet and I am extremely proud of all of them” While differences in all areas were noted between the preschool and older children, there were no significant differences in these issues between those who had adopted a single child or a sibling group. However, some parents who had had a second placement spoke about the impact of this placement on the first child, with this at times being detrimental. Both parents and children expressed a strong sense of trust in their worker and the agency and most parents felt that they were involved in the decision-making process and had been given all necessary information to help them make their decision. For children, the most important aspects of being in their family were clearly those of feeling safe, of having involved parents, of feeling loved, having food and being part of a family. These same feelings of “belonging” have been emphasised time and time again by the children who have been adopted through Barnardos, and are critical in a child’s wish to be adopted. Parents and workers need to take these comments on board and ensure that parents are available for the child and have the time, energy and commitment to develop their relationship and focus on the nurturing aspect of their care. Also of great importance is the child’s wish to be involved in the process. Nearly all the children, regardless of age at placement, wanted workers to talk with and listen to them, both in respect to their match with a family and the adoption process. What was reassuring was that, regardless of the level of involvement and the number of workers the child had had, the greater majority of children trusted their worker. Workers need to listen to the comments of these children and ensure that all children participate in the making of decisions that impact on their lives. Not surprisingly, the greater majority of parents felt that adoptive parenting was much more difficult than they had expected. Many commented that nothing could have totally prepared them for the experience nor have equipped them for the long-term impact of early damage to a child. The one family whose experience was not positive had adopted an older child, with many behavioural and emotional difficulties. Overall, the overwhelming majority of parents were extremely positive about their experience and stressed the critical importance of commitment to the child and “stickability”. All children have the right to belong to a family, and as carers and workers we have the responsibility to ensure that that family environment is a safe and loving one. We also have the developing practice 19: Winter/Spring 2007 23 responsibility to provide permanency for the child – Barnardos’ experience is that, for some children, adoption may be the most appropriate plan to ensure this. As one child said: “Still try and find a family fast but better to take a long time to get the right one” ■ References Audet, M & Home, A. Adopting Special Needs children: Parents perception of their role quality and social support in Kufeldt, K and McKenzie, B Child Welfare: Connecting Research, Policy, and Practice. Wilfried Laurier University Press Ontario, Canada, 2003 Berridge, D. Foster Care. A research review. London Stationery Office, 1998 Vimpani, G. The Impact of Abuse and Neglect on the Developing Brain, in Cambridge Journals, 1999 Perry, B et al Childhood Trauma, the Neurobiology of Adaptation and Usedependent Development of the Brain, in Infant Mental Health Journal, 16 (4): 271-291, 1995. Keck, G and Kupecky, R .Adopting the Hurt Child. Hope for Families with Special Needs Kids, Pinon Press, 2002 Berridge, D. & Cleaver, H . Foster Home Breakdown, Oxford: Blackwell, 1987 Thoburn, J, Murdoch, A, & O’Brien, A Permanence in Child Care, Oxford: Blackwell, 1986 Trisiliotis, J, Shireman, J, & Hundleby, M. Adoption: theory, policy and practice, London: Cassell, Cashmore, J and Paxman, M, Wards Leaving Care – A Longitudinal Study, Sydney: NSW Department of Community Services, 1996 24 developing practice 19: Winter/Spring 2007
© Copyright 2026 Paperzz