9.3.1 The Legal screening | 9.3.2 Adoption Planning | 9.3.3 Adoption Planning for the Child | 9.3.4 Adoption Planning with the Birth Family | 9.3.5 Adoption Planning with the Current Caregiver | 9.3.6 Adoption Planning with Newly Identified Adoptive Family
Underlying best practice in child welfare is the philosophy of concurrent planning. This philosophy essentially requires that at any given point during the life of a case, the permanency worker should consider adoption as a potential permanency option for the child based on their ongoing assessment of the child's needs and the prognosis for reunification with birth family. Certain case events or legally mandated timeframes should trigger key decisions, approved and documented by the permanency worker's supervisor, that lead to the legal screening. When the permanency worker, with the input of the Child and Family Team, assesses that it may be in the child's best interests to pursue adoption, and that the behaviors of the birth family indicate reunification cannot be safely achieved or is unlikely, it is the permanency worker's responsibility to request a legal screening. This may occur when the child is first taken into the Department's custody because grounds are present for expedited termination of parental rights, whenever there may be other grounds for involuntary termination, or at any time that the parent indicates a willingness to make a voluntary adoption plan. However, the worker is required to refer a case for a legal screening when it appears likely that the child will still be in substitute care nine months after placement because the parents have not made reasonable progress toward the child's return, or the child meets the requirements of the Adoption and Safe Families Act (e.g. in care 15 of the most recent 22 months).
The purpose of the legal screening is two-fold: to determine whether it is in the child's best interests to pursue voluntary or involuntary termination of parental rights and adoption as a permanency goal, and to determine if the legal grounds are present to support a judicial finding of parental unfitness. Because of this dual purpose, those participating in the legal screening are to represent both clinical and legal expertise and must include a DCFS adoption representative and DCFS legal counsel. In some cases it may be important to include clinical and resource staff. The permanency worker will need to come to the legal screening fully prepared, with a thorough knowledge of case history and their assessment of the birth family, child and current caregiver. Based on the information presented at the staffing, the legal screening committee will make a recommendation whether or not to approve the case for adoption and termination of parental rights. When the legal screening committee recommends pursuing involuntary termination of parental rights through a referral to the applicable county State's Attorney's Office, the final decision to proceed with termination of parental rights is made by the State's Attorney's Office. The following factors are addressed during the legal screening, leading to a decision outcome:
The permanency worker will need to present the results of their assessment of the child and their capacity to benefit from adoption at the legal screening. Even though there may be sufficient grounds to terminate parental rights, this should not be pursued unless it is also determined to be in the best interests of the child. The court process for termination of parental rights is a bifuurcated process. After a motion or petition is filed, the court will hear evidence as to the unfitness of the parents. If the parents are found unfit, a best interest hearing is held in wiich the court determines if it is in the child's best interest to terminate the parental rights. The best interests of the child, including whether an adoptive home has been identified, are not relevant in the unfitness phase of the proceedings. To assist in making the best interest determination, the legal screening committee will consider the elements contained in the worker's assessment of the child for adoption, including whether or not the child fourteen years of age or older is willing to consent to their adoption (see section titled "Assessing Child for Adoption".) An important aspect to be considered is whether or not the current caregiver can commit to adoption, or is an appropriate adoptive resource for the child and, if not, what home finding efforts will be required of the permanency worker. The legal screening committee will provide the worker with a list of tasks that need to be completed related to preparation of the child for termination of parental rights and adoption planning.
The permanency worker will present their assessment of the birth parent's willingness and ability to voluntarily relinquish their parental rights. When birth parents indicate an interest in doing so, the legal screening committee will consider if it is in the child's best interests, and if the parent has the capacity and legal ability to make this decision. To determine whether or not this is in the child's best interests, participants in the legal screening will consider:
- Whether adoption is an appropriate permanency goal for the child.
- Whether permanence is likely to be achieved for the child through adoption.
- The child's expressed desires.
- Whether a proposed adoptive resource is appropriate when the parent wishes to execute a consent to the child's adoption by a specified person. (The worker will need to present a completed Adoption Conversion Assessment of the specified person to the committee.)
Along with determining whether or not it is in the child's best interests to pursue termination, the legal screening committee will review the facts of the case to determine if sufficient evidence exists to support a judicial finding of parental unfitness. When the grounds for expedited termination appear to exist, investigators or permanency workers must request an immediate legal screening, which may be conducted by telephone. If approved, this will result in the immediate filing of a petition or motion to terminate, or an amended petition for adjudication that alleges grounds for the expedited termination of parental rights.
The legal screening committee will require certain kinds of documentation in order to support the filing of a petition to terminate parental rights. The documentation that will be required and may be requested for review includes the following:
- The legal screening form required by each DCFS Region or Area
- Results of diligent search for absent parents
- Identification of all potential fathers (legal and putative) including results from search of Putative Father Registry
- Copies of adjudicatory and dispositional petitions and court orders
- Copies of surrenders or consents or any other court orders which may be relevant
- Court or other findings of paternity
- Certified copy of the child's birth certificate
- Copies of most recently evaluated comprehensive family service plans
- Copies of psychological evaluations
- Treatment-related evaluations and progress reports
- Child abuse/neglect history
- Death certificates for birth parents
- Sentencing orders for incarcerated parents
- Proof of marriage or divorce of parents
- Documentation of tribal authority over a Native American child in accordance with provisions of the Indian Child Welfare Act
- Documentation of the willingness of a child fourteen years of age or older to consent to their adoption.
Once the above factors have been addressed during the legal screening, the committee will make one of the following recommendations:
- Approved for voluntary relinquishment of parental rights: The permanency worker will need to make arrangements for the parent to surrender their parental rights either before the Court (as generally required downstate) or a DCFS representative (see section titled "The Legal Process, Voluntary Relinquishment of Parental Rights" for a full explanation of the process). The worker is responsible for ensuring that the parent understands the finality of the decision to relinquish their parental rights, and that surrenders are irrevocable. The parent should also be informed of their right to seek legal counsel prior to executing a consent or surrender. Department policy requires that the Court make a judicial finding of abuse, neglect or dependency, or find that there is probable cause to believe that the child is abused, neglected or dependent before surrenders can be accepted from a parent. If only one parent is voluntarily relinquishing their parental rights, the parental rights of the remaining, living parent(s) must be severed as well in order to legally free the child for adoption. The legal screening committee will need to review if sufficient evidence exists to pursue involuntary termination of the remaining parent(s)' rights. When the committee has approved the acceptance of specified consents, the permanency worker will need to ensure that the specified person is prepared to finalize the adoption within the next twelve months (as required by the Adoption Act).
When the legal screening committee approves a plan for voluntary relinquishment, the permanency worker will need to complete several tasks beyond making arrangements with the Court (where required) to accomplish this. Other tasks required of the worker, listed below under "Approved for involuntary termination of parental rights," include:
* notifying members of the adoption triad and Child and Family Team
* assessing the birth family-child visiting plan
* listing the child with AICI when an adoptive resource for the child has not yet been identified
* changing the permanency goal
* developing a separate child file for adoption.
- Approved for involuntary termination of parental rights: When the legal screening committee determines that it is in the child's best interests, and sufficient evidence exists to support filing a petition to terminate parental rights, the permanency worker must accomplish the following case activities:
* Notify all members of the prospective adoption triad and Child and Family Team of the decision, and complete all preparation activities required by the legal screening committee within the timeframes established.
* Assess the birth parent-child relationship for reduced visitation. By Department policy, visitation between the parent and child can be reduced to once per month after the case has been approved for termination. However, this is a minimal requirement, and more frequent visits should be considered according to the needs of the child. Because this is a critical decision, it must be made with supervisory approval and documented as such. Sibling visitation plans are not affected by the decision to proceed with termination of parental rights. The birth parent and child should be prepared for the possibility of reduced contact and the need for a final, "good bye" visit.
* Ensure a petition to terminate parental rights is filed with the Court within 75 days of the approval from the legal screening in accordance with Department policy.
* List the child with AICI within two weeks of the legal screening when the child does not have an identified adoptive resource, unless there are compelling reasons not to do so. Listing the child involves sending a written description of the child to be completed on the "Registration of a Waiting Child," (ALS-1) form, with a photo included once the child has become legally free. (See Procedure 309.40, "Adoption Listing Services" for detailed instructions.)
In some instances immediate listing may not be appropriate. For example, it may be assessed that a child needs additional time to grieve the impending loss of their birth family, or that it may be emotionally traumatizing to list the child without further preparation or therapeutic intervention. Or, the child's caregiver may need a reasonable period of time within which to make a decision about adoption. The legal screening committee will consider requests for exception to the listing policy, recommend a deferral of the listing when warranted, and establish individual timeframes within which listing the child must be accomplished. The permanency committee's recommendations for exceptions to the policy will be submitted to the Regional Administrator for final approval.
* Ensure that all necessary documentation has been compiled, including a list of potential witnesses, and provided to the State's Attorney in preparation for the termination court hearing.
* Consult with the State's Attorney about preparation of the case for hearing, including relevant testimony.
* Change the permanency goal to "Substitute Care Pending Court determination on termination of parental rights" (unless the Court has previously established the permanency goal), update the client comprehensive family service plan and computer tracking system to reflect this change, and document this critical decision.
* Begin gathering information for the child's file, including the worker's assessment leading to an adoption plan and all relevant background information, including social histories and assessments, medical and mental health information of the birth family and child, educational documentation, legal history, and case entry notes relevant to the child. This information will be updated with information related to the child and their respective adoptive family throughout the adoption process to the point of adoption consummation.
- Approved for expedited adoption: Under certain circumstances, the legal screening committee may approve the expedited adoption of the child. The child must be placed with an approved adoptive family, and the permanency worker must have assessed that the child and family are prepared to proceed with adoption finalization. An expedited adoption means that adoption finalization immediately follows termination of parental rights in a bifurcated hearing by the same Court. This generally may be done when termination of parental rights is likely to be uncontested, either because both parents' identity and/or whereabouts are unknown, or the parental rights of one parent have been voluntarily or involuntarily terminated and the identity and/or whereabouts of the other parent are unknown. With the committee's approval, the worker will need to be prepared to quickly proceed with all adoption planning and preparation for adoption finalization. For a description of the process for expedited adoption, see "Adoption Finalization: The Legal Process".
- Not approved for voluntary relinquishment or involuntary termination of parental rights: There are generally three broad reasons why a case is not approved for voluntary or involuntary termination: the legal screening committee has insufficient information on which to base a decision; there is insufficient evidence at the time to support a judicial finding of unfitness; or it is determined that termination of parental rights and adoption are currently not in the child's best interests. The legal screening committee will provide the worker with recommendations about casework activities that will need to be completed in order for the case to be reconsidered for termination at a later time. The permanency worker must continually reassess developments in the case to determine if another legal screening should be conducted, in order to ensure that the case is progressing toward a timely permanent outcome for the child.
- Approved for alternative permanency outcome: When adoption has been "ruled-out" as an appropriate permanency option for the child, the worker and legal screening committee will consider subsidized guardianship as an alternative goal for the child. When determined to be in the child's best interests, the caregiver has been assessed as appropriate to provide permanency for the child, and the child meets the eligibility criteria established in Department Rule, the committee will approve transfer of guardianship to the caregiver. The legal screening committee may determine that involuntary termination of parental rights is in the child's best interests even when pursuit of subsidized guardianship is approved.
Once a case has been approved for termination of parental rights and adoption planning, it is the permanency worker's responsibility to ensure that all members of the prospective adoption triad are well prepared for these events.
The period of time between approval for termination of parental rights, and its legal resolution, is often very difficult for the members of the prospective adoption triad, as well as the permanency worker who is responsible for managing their changing relationships. This is generally a very emotionally charged time for all involved, requiring the worker's best clinical skills to deal with the conflicting emotions of grief, anxiety and joy and the reactions that result. The permanency worker will need to prepare the child and birth family for the anticipated end of their legal relationship while managing their current relationship. This time will lead to adoption by the current caregiver for some children, but for others will involve a move to a new family and separation from their caregiver. In either case, the worker will need to support the caregiver's relationship with the child and the transition of each to new roles. Once the decision is made to pursue adoption as the permanency goal for the child, the permanency worker must engage in adoption planning activities with each member of the adoption triad.
The permanency worker will need to assess the child's readiness for adoption planning and initiate adoption-related preparation activities in accordance with the child's developmental level and ability to manage these. Adoption planning is likely to be very difficult for the child whose birth parent is actively visiting and contesting termination of parental rights during this time. At the least, however, the child must be prepared for the real possibility that termination of their parent's rights will occur, and receive reassurance that the adults responsible for the child will develop a plan with them to provide permanency with an adoptive family if it does.
Appropriately preparing the child for adoption can make the difference between a successful adoption and adoption disruption or dissolution. It is one of the most important tasks the caseworker will undertake during the adoption process.
Preparing for End of Legal Relationship to Birth ParentsInvolves the permanency worker in the explanation of termination of parental rights for the child in a manner consistent with their age and level of maturity. It should not be assumed that because of a child's young age, or limited verbal skills, the child does not need to be prepared. Even very young children can sense impending changes and the emotional responses of the adults involved, and will need the support of the important adults in their lives to help them understand and manage these changes. The Lifebook can be an especially useful tool for this. The Lifebook should be updated by the permanency worker and used with the child by the worker and caregiver to address the child's sense of loss, past and present, and provide the child with a constructive way of recognizing and processing their grief.
The Lifebook:
· Provides a chronology of the child's life;
· Enhances the child's self-esteem and identity formation;
· Helps a child share his history with others;
· Assists the child in resolving separation issues;
· Identifies connections between past, present, and future;
· Facilitates attachment
· Increases trust for adults
· Helps the child recognize and resolve strong emotions related to past events;
· Separates reality from fantasy or magical thinking; and
· Identifies positives as well as negatives about the family of origin.
Adapted from Fahlberg, p. 368
The permanency worker should attempt to engage the birth parent in preparing the child, which may be more likely when the birth parent decides to voluntarily relinquish their parental rights. However, even when the plan is to involuntarily terminate, the birth parent should be assessed for their ability to help prepare the child and encouraged to do so. If assessed as capable of helping to prepare the child, the birth parent will need preparation and assistance in order to give the child the message that they are unable to meet the child's needs, and that this responsibility will be taken over by an adult who can. It will also be important for the birth parent to reassure the child that they love and care for them despite their inability to parent the child. When the permanency worker assesses that the visitation between the birth parent and child should be reduced, the reasons for this should be discussed and finalized with them as well as the current caregiver. Again, this is a critical decision that requires supervisory approval and documentation. In some instances this may be appropriate when the level of hostility exhibited by the birth parent is particularly high. The worker may need to enlist the assistance of the Court to reduce visits to less than once per month if more frequent visits are assessed as detrimental to the child. Visits may need to be strictly supervised with restrictions placed on what the parent may say to the child when they have historically been unable to control their expressions of emotion. The permanency worker will need to help the child understand the emotional reactions or behaviors of the birth parent.
The caregiver also plays a crucial role in supporting the child through this difficult and confusing period. The permanency worker will need to ensure that the caregiver is sensitive to the conflicting feelings and loyalties experienced by the child, and can provide the level of emotional support and security they need. This may be particularly difficult for the caregiver who has negative feelings about the birth parent. When the permanency worker assesses that this may be the case it is important that they confront the caregiver about these attitudes and discuss how the child will experience negative sentiments about their birth parents as a reflection on themselves. The permanency worker may need to assist the caregiver in determining appropriate ways to talk to the child about their birth parents and the reasons for the termination of their parental rights and responsibilities.
The permanency worker will also need to assure that the child has been adequately prepared for the court process of terminating parental rights, particularly if they are likely to be called upon to participate in the hearing. Although the child will generally not be required to testify, they will still need to be prepared for the adversarial nature of the termination process, potential conflict and the emotional aftermath. If not required to testify, the advisability of the child attending the hearing should be carefully considered. For some children attending the hearing may provide them with needed closure, but for others the hearing may be traumatic. In any case, this decision should be reviewed with the worker's supervisor and Child and Family Team and a clinical review sought when necessary.
Ending the legal relationship between the child and their birth parents may also result in the disruption of the child's ongoing contact with siblings, extended family members and others significant to the child. The permanency worker should educate the prospective adoptive family about the importance of maintaining connections of significance to the child, and help them plan how to manage those connections. However, there are circumstances where continued contact is assessed as not in the child's best interests, or due to the inability or unwillingness of the adults involved to support these connections despite the worker's best efforts to encourage this. Under these circumstances, it is the role of the permanency worker to assess for potential relationship problems and attempt to resolve these as early as possible. But, the worker will also need to prepare the child for the possibility that they will be unable to maintain contact with some of the people that are important to them.
Preparing for Adoption by Current CaregiverUnless the termination is likely to be uncontested or voluntary, this is an ambiguous time for the birth parent, the child, the current caregiver, and the permanency worker, as the permanency outcome is not yet known. Nonetheless, when the caregiver has been assessed as the potential adoptive resource for the child, it will be the responsibility of the permanency worker to begin preparing the child for this possible outcome. The child will need to be reassured that if their parent is unable to parent them, that the caregiver has committed to parent them through adoption. The permanency worker will need to explain the concept of adoption and distinguish it from foster care for the child in a way that is appropriate developmentally. The child is likely to experience overwhelming feelings of anxiety during this period of uncertainty, and all of the important adults in the child's life should be enlisted to help the child feel as secure as possible. Again, the Lifebook should be used to help the child understand the progression of events in their life.
Preparing for Transition to Newly Identified Adoptive FamilyWhen the current caregiver cannot commit to adoption or has been assessed to not be appropriate to adopt this particular child, the permanency worker will need to prepare the child for the search for, and later transition to, an adoptive family, preferably with the active assistance of the current caregiver. The uncertainty of where the child will live and who will care for the child, coupled with the uncertainty of what will happen to the child's relationship with the birth family and current caregiver make this an extremely difficult and anxious time in the child's life. The permanency worker will need to recognize this and be sensitive to the child's feelings whether they are able to verbalize them or not. The worker should discuss with the child what adoption is, why this is the plan for them, and provide answers to any anticipated questions that the child might have about what this will mean for them. The child also needs to know that they will have some input as the worker selects an adoptive family, and the opportunity to meet and get to know the family before placement.
Adoptive Home FindingThe permanency worker, with the assistance of the Child and Family Team, will need to convene a recruitment staffing within two weeks of an approved legal screening. (If the Child and Family Team does not already include a member of family development/resource staff, one should be identified to participate at this time.) Generally, activities to identify a prospective adoptive family for the child should minimally consist of the following:
· Review of child's relatives, past caregivers and social network: The worker should review the child's case file, such as the social history and Genogram, to determine if the child has relatives or past caregivers who should be considered as potential adoptive resources. For example, relatives may have been ruled out as foster placements because they did not live in close proximity to the birth family, but should be reconsidered for placement when adoption becomes the plan for the child. Additionally, previous caregivers who provided continuous care for the child for one year or more must be given preference and first consideration for adoption when it has been assessed to be in the child's best interests. The permanency worker should make every effort to assess those who have existing relationships with the child for their potential ability to provide permanency. This practice not only respects past relationships and family connections, but may also minimize the trauma and adjustment that the child will experience in moving to an adoptive placement. The permanency worker should consider other adults who have had a significant and positive influence in the child's life. This may include godparents, teachers, youth group leaders, advocates, babysitters, members of their church congregation or others within their own or their caregiver's social network.
· Review of approved adoption home studies: The permanency worker should review the pool of existing home studies completed by the Department and private agencies, in-state and out-of-state, to determine if any families who are approved and waiting for adoptive placements may be a potential family for the child. Additional lists of waiting families can be found in the Adoption Information Center of Illinois (AICI) Family Album, on Internet web pages and through other state and national family listing services. The worker should be looking for a family that is best able to meet the child's current and future needs and would use the home study to begin to assess the family's ability to meet those needs. Further assessment for potential placements would be confirmed through direct contacts with the family's worker and the family.
· Child-specific recruitment: Unless the permanency worker is able to quickly identify an appropriate waiting family by reviewing existing approved home studies, it will be necessary to initiate active, specialized recruitment efforts for the child. Given the public nature of many of these efforts, the child should be prepared for the possibility that they, their peers, and other acquaintances will see them featured, and that others may question them about this. The child may not understand their right to privacy and have difficulty setting boundaries between "what is known and what is shared." (Donley). The child will need assistance to develop appropriate responses to these kinds of inquiries. A useful guide on preparing the child to explain their circumstances through the use of a cover story is presented in a later section, entitled "The pre-placement visit protocol."
Child-specific recruitment efforts should minimally consist of the following:
· Listing the child with the AICI listing service within two weeks of the approved legal screening.
· Referring the child's profile to the area One Church, One Child recruiter for church presentations.
· Referring the child to the area Village Investment Program for Placement Selection with a mentor/recruiter.
· Referring the child for media features through AICI or local media sources.
· Referring the child to other specialized recruitment activities e.g. adoption parties, etc.
Selecting an appropriate adoptive family match for the child requires that the permanency worker review the identified strengths and needs of prospective families in relationship to the strengths and needs of the child, both current and projected. Placement selection is, of course, more of an art than a science. There is no established formula that ensures successful placement selection. However, success is more likely when the worker is knowledgeable about key adoption practice issues, and well informed about the characteristics of the child and prospective family. Making a "good" placement decision requires the best use of the worker's professional judgment, along with the input of their supervisor, professional peers, the child's caregiver and whenever possible, the child and the birth parent. The caseworker must be aware of his or her own biases when selecting a placement or describing a child to prospective adoptive parents. The worker should elicit information from the birth parent and caregiver that might be helpful in placement selection. The caregiver may be able to offer insight about the child's feelings and desires that they are unable to verbalize themselves to the worker. The permanency worker should review and update all areas of the "Individualized Assessment of the Child for Adoption" when considering prospective adoptive families. Particular consideration should be given to factors contained within the following outline headings, which have been determined to be indicators of potential risk to adoptive placements (Steinhauer, p. 336):
· Child's history of abuse and neglect: Particular attention should be given to severe early deprivation and its impact on the child's overall development. Early deprivation can inhibit the child's social and emotional development, resulting in behavioral issues and impaired social functioning that may present significant challenges to potential adoptive parents. Prospective parents will need to be prepared for the level of commitment required for the child that presents these issues, which may resurface at different developmental stages, and their potential need for ongoing professional support.
· Child's placement history: Sudden or repeated placement disruptions impair a child's ability to successfully attach to new caregivers. The child may need help to resolve earlier losses, and prospective adoptive parents may need help to understand the significance of the child's early attachments.
· Child's diagnosed mental health history: The permanency worker should understand the child's specific mental health diagnoses, treatments and prognoses. A child with a diagnosed conduct disorder may pose serious challenges to a prospective adoptive family that would require their consultation and familiarity with appropriate professional resources.
· Child's current level of functioning and future needs: The child's temperament and established patterns of behavior should be considered in terms of a prospective family's projected level of tolerance. For example, a child may exhibit behaviors that present safety issues that a prospective family may need support developing a plan to manage, or that they may not be able or willing to manage. Placement of a child with a family that has younger children may be especially vulnerable to disruption depending on the interactions between the children, and the parent's ability to ensure their safety and well-being.
· Child's attachment to significant others: The permanency worker will need to consider a child's attachments to their birth parent, siblings and current and past caregivers, and their need to maintain ongoing connections following adoptive placement. Severance of strong emotional ties may inhibit the child's ability to attach to the adoptive parent and provisions for ongoing connections with significant others should be supported when assessed to be in the child's best interests.
The importance of sibling relationships should never be minimized and must be carefully considered. (As one child poignantly referred to his sister from whom he was separated: "I'm just like half of [her] heart." (Smith and Howard)) The permanency worker will have the responsibility of making choices (with supervisory approval) that result in separating or placing siblings together for adoption, which will present lifelong ramifications for the sibling relationships. These choices should be based on an assessment of the unique dynamics of the siblings' past and present relationships, each child's attachments to significant others including birth family members and past and present caregivers, behavioral considerations, and the capacity of prospective adoptive families to manage and meet the individual needs of the members of a sibling group.
· Child's expressed desires: The child should be allowed some input and control over the selection process in accordance with their age and level of maturity. Ultimately, the success or failure of a chosen placement could hinge on the level of investment and cooperation of the child with the prospective adoptive family.
The first step in making an appropriate adoptive placement involves a review of written assessments of the child and of the prospective adoptive family, with documentation of the factors considered in making a preliminary placement selection. Following consultation with the Child and Family Team and the approval of their supervisor, the permanency worker would seek to confirm this potential placement through direct contacts with the prospective family or their worker. The purpose of these contacts will be to share an increasing amount of non-identifying information about the child, while eliciting further information about the family's abilities and desires. The permanency worker should present a "full picture" of the child that not only includes a description of the child's special needs, but other details as well, including their personality, "likes and dislikes", strengths and interests, cultural and religious affiliation, typical behaviors, family connections, and projected eligibility for adoption assistance. By learning as much about the child as possible, the family can begin a self-assessment of the potential "fit" between the child and their family. Some information may need to be interpreted for the family by the worker, with the intent to promote a better understanding of the child, and make predictions about future challenges and the type of knowledge and skills needed by the family to adequately respond to them.
Placement selection is a process that begins with assessment and evaluation of information, and progresses to a mutual decision to either stop the process or pursue adoptive placement. Members of the Child and Family Team should participate in the decision-making to the extent that it is appropriate. (For example, the child's participation may be limited by their age or level of maturity.) Before initiating direct contact between the family with the child, the permanency worker should seek at least a preliminary level of commitment from the family to parent the type of child that has been presented to them. The purpose of this is to provide some protection for the child and attempt to minimize the risk of rejection. With assurances from the family that they are ready to go forward, the permanency worker should plan with the family, the child and their caregiver, for pre-placement visits.
Pre-placement visits are an important and necessary part of the placement process and provide the child, their current caregiver, and the prospective adoptive family with the opportunity to become familiar with one another and initiate the child's integration into the adoptive family. Movement toward placement should be deliberate and well planned, but should be paced according to the child's needs and readiness. As noted by Fahlberg:
"Planned transitions are less harmful to children than abrupt moves. Preplacement visits can be used to minimize the trauma of separation and loss. Whenever it is impossible to accomplish one or more of the goals of the pre-placement visits, this aspect will have to be addressed after the move. In general, it takes more time to correct the harm done by inadequate pre-placement work than to do the work in the first place."
Grief is a natural response to separation and loss and a child facing the prospect of moving to a new family will likely experience renewed issues around current and past losses and need help working through the grieving process. Prospective adoptive parents may need help understanding that this is a normal process and that their ability to understand and attend to the child's feelings and behaviors at this time can help promote their mutual attachment. During the pre-placement process, the permanency worker may need to interpret the child's current and anticipated behaviors in the context of their grief work and help the prospective adoptive parents respond in a manner that assists the child in resolving their feelings of grief, and thereby encouraging attachment. Fahlberg identifies five goals of pre-placement visits.
Five goals to be achieved through the pre-placement visit process:
1. Diminish fears and worries of the unknown - Pre-placement visits encourage familiarity and reduce fear and anxiety about the unknown between the child, caregiver and prospective adoptive family.
2. Transfer attachments -Visits are used to formally transfer the child-parent relationship from the caregiver to adoptive parent, and the stronger the attachment of the child to their current caregiver the more important this process becomes. It is also important that this transfer be a more "hands-on" process when the child is younger, requiring greater direct contact between the caregiver and the prospective adoptive parent.
3. Initiate the grieving process - This transition will very likely induce grieving by the child, providing opportunities for emotional responses by the prospective parent that encourage the formation of an attachment between them. It is especially important that the child work through the grieving stages of shock and denial before the move. If the child can progress beyond shock and denial, the later stages of anger and sadness can be used to develop attachments during this time, and will not be as likely displaced onto the prospective adoptive parent following the move.
STAGES OF GRIEF
· Shock
· Denial
· Anger
· Bargaining
· Sadness/Despair
· Resolution
(Kubler-Ross, 1975)
[A note of caution regarding the five stages of grief: more recent research casts some doubt on this progression and suggests that the experience of grief is a highly individualized process that may not progress in such an orderly or timely fashion. Some professionals who perform grief work note that these stages are really introductory to the actual experience of grief. In short, the permanency worker needs to know the child well enough to assess the child's experience with grief and their readiness to accept a new parental figure.]
4. Empower new caregivers - Pre-placement visits are also a time for the prospective adoptive parent to be empowered to assume the parenting role in terms of the child's emotional needs and their need for structure and discipline.
5. Encourage making commitments for the future - The permanency worker should be assessing for verbal and behavioral indications of commitment to the success of the adoptive placement by all parties, including the child's extended family and significant others, as the visits progress toward placement.
The permanency worker will need to prepare the child, current caregiver and prospective adoptive parent to manage pre-placement visits, and minimize the trauma of the impending move by attending to the developmental needs of the child. These needs are associated with the typical developmental stages identified below, but must be addressed through careful assessment of the child's overall level of functioning regardless of their chronological age.
Infancy: The primary focus for the infant is to transfer attachments and care-giving routines. It is important that as many routines as possible are maintained in the new setting during visits, and that the prospective family is available on demand for the infant to meet the child's needs and develop a trust relationship.
Toddler: The toddler's needs for trust and security must also be attended to during the visiting phase. Due to their underdeveloped verbal skills, the toddler is at high risk for believing that strangers can take them away at any time without parental permission. The attachment of the toddler to their caregiver needs to be actively transferred to the prospective adoptive family. This can be accomplished through frequent contact between the caregiver and prospective family, with day to day care-taking responsibilities transitioned between the parents. It would also be important for familiar objects belonging to the child to accompany the child and be gradually moved to the prospective family's home as the visits progress.
Preschool: At this age the child is very literal or concrete in their thinking, and needs a clear explanation for what is happening and why. It is important that what the child is told not reinforce "magical" or egocentric thinking that the impending move and loss of their caregiver is a result of their own thoughts, wishes or behaviors. Visits are again intended to transfer attachments, as well as to initiate the necessary grieving process.
School-aged: Given the higher level of verbal skills generally possessed by the child at this age, the primary focus is to help the child identify and express their emotions. The child needs to be reassured that the adults involved are responsible for making the decisions around their placement, but that the expression of their thoughts and feelings can help the adults make the best decisions for them. The school-aged child generally has a better-developed sense of time that can be used to help prepare them for the move.
Early adolescence: Because the developmental focus at this age is for the child to psychologically separate from the family, it is more difficult for the child to form attachments at this age. Prospective adoptive parents will need to understand this difficulty, and make a commitment to help the child balance their need for family with their need for independence. The placement is also more likely to succeed if the child is willing to commit to the adoptive relationship.
Adolescence: The older adolescent is generally less oppositional and more capable of the realization that the long-term commitment of a family is important. Developmentally, the child at this age needs to have a greater sense of control over their life and should be directly involved in the placement decision. A contract or written commitment from the child to work to make the placement a success can be a useful tool. (Fahlberg, pp. 181-83.)
Pre-placement visits should be planned with the Child and Family Team, but most essentially, with the child, current caregiver and prospective adoptive parent. The permanency worker should formalize the visitation plan, documenting the schedule developed in accordance with the child's developmental needs, and outlining tasks to be accomplished through the visits. While a projected placement date can be established at the outset, the length of the pre-placement visiting plan should remain flexible as it is dependent on progress made toward achievement of the goals outlined earlier. The visiting plan should broadly follow the outline below:
· Introductions: Although the idea of adoption should have been previously introduced to the verbal child, his or her understanding of adoption should be reviewed and clarified at this time through the use of their Lifebook. With the child's permission, the Lifebook can also be used as one way of introducing the child to the prospective family, and the family should be initially introduced to the child through a family album. Typically, prospective families are asked to put together a simple picture book of their family, including photos of extended family, pets, their home and community that can be presented to the child. An alternative tool is the use of videotaping for the child and family to be introduced to one another. The permanency worker and caregiver should review the family album or videotape with the child and address any fears or anxiety expressed by the child about the family or impending move. The child should be reassured that they will have an opportunity to meet the family before a final decision is made about placement.
In some circumstances it may be advisable to schedule a "blind" visit before an in-person meeting (i.e. in which the child is observed by the prospective family without the child's knowledge). Some children present characteristics that may be unfamiliar to a prospective family, making them more tentative about committing to placement without the ability to view the child "in action". A visit of this type is used only to reduce the risk of rejection for the child, and generally occurs in a public place so that the child can be seen in a natural setting without the pressure of expectations inherent in a more formal, adoptive visit.
· First visit: The first in person meeting between the child and prospective adoptive parent should almost always be held in the home of the child's current caregiver. The child is likely to be more comfortable on their "home turf", and visiting in the caregiver's home sets a tone of acceptance of the adoptive parent by the caregiver. This also affords both families the opportunity to become better acquainted, and the prospective parent the chance to observe the child's normal routines and behaviors. The exception to this would occur if the caregiver is uncooperative in helping the child transition to a new home. In this instance the visit should occur in a neutral setting most likely to reduce the child's anxiety and increase their level of comfort. (Generally, a setting familiar to the child, or a park or playground that allows the child some space, is preferable. An agency office is usually not an appropriate location.) All of the participants in the visit should be encouraged to continue to share additional information to help reduce any anxiety they experience. Following the first visit, the permanency worker should seek a commitment from the prospective parent to proceed with the visiting plan.
· Subsequent visits: The frequency and duration of subsequent visits will be dependent on the child's age and level of development. The primary goals are for the child to begin to transfer their attachment from the caregiver to the adoptive parent, to continue working through the grieving process, to empower the adoptive parent and seek their commitment for placement. (See "Indicators of Attachment ; also, "Stages of Grief.) As much as possible, these visits should occur in the home of the prospective family.
For the infant, the duration of the pre-placement plan may be shorter, but the frequency of visits during that period should generally be greater. The object is to arrange for as much contact between the child and prospective parent as possible, with contact occurring at all times of the day. The care-taking responsibilities for the child should be literally handed from the current caregiver to the prospective parent, with the prospective parent gradually assuming the greater part of these responsibilities while duplicating the infant's routine as closely as possible. It is important that the adoptive parent meet the child's needs "on demand" to develop a level of trust necessary to encourage the transfer of attachment. Attending to their sensory experiences can increase the infant's comfort with the transition to their new home. Infants have an especially heightened sense of smell, and moving articles with them that smell familiar can be comforting to them. The child will also need to continue to be nurtured by the current caregiver throughout this transition.
It is also important that the caregiver "hand over" routine care responsibilities for the toddler-age child to the prospective parent as well. By doing so the caregiver gives the child the message that the prospective parent can be trusted and will take good care of them. The visiting plan for the child of this age should be about seven to ten days, with initial visits held in the caregiver's home gradually transitioned to the prospective family's home. (Fahlberg, pp. 210, 212.) The toddler tends to be wary of strangers. Introduction of the prospective parent should be slow upon first meeting and done according to the child's own pace. The toddler's transition to the new home can be eased by introducing the child to toys from the adoptive family in the caregiver's home, and later reintroducing these toys to the child in the new home. Familiar toys or objects from the caregiver's home should also be brought to the home of the adoptive family.
The visiting period for the older, verbal child is likely to be longer than for the infant or toddler. Pre-placement visits should initiate the grieving process for the older child, who needs to be in the stage of processing their anger and sadness before placement should occur. By working with these emotions and helping the child to identify them, the caregiver can comfort the child and give them permission to move. The prospective adoptive parent can display supportive emotional responses to the child that encourage their mutual attachment. Pre-placement visits are also the time for the permanency worker to ensure that the prospective adoptive family receive full disclosure of information, in writing, about the child's past. This is critical, as noted by Fahlberg:
"Full disclosure to the adoptive parents about the child's past is absolutely necessary. This cannot be stressed too much. If the prospective parents cannot handle the information, they certainly will not be able to handle the product of that information, the child. Although children may be told that the parents know about their past, most don't believe it to be true. They seem to believe that if the adoptive parents knew the worst, they would not want them....[O]ne of the most healing things that can happen at the time of adoptive placement is for the child to hear that the adoptive parents, knowing "the worst of the worst," understands the behaviors and still want them to join the family." (p. 220.)
During the pre-placement visiting period, the permanency worker should document the child's reactions during and after the visits, process this information with the child and prospective family particularly as is relates to the child's everyday behavior, and ensure that this documentation is given to the prospective adoptive family following placement. This information may be useful to the prospective parent by helping them interpret the child's future behavior. It may also be useful for the worker to assign "homework" to the child during visits. Asking the child to write down information about behavioral expectations, discipline, displaying affection and characteristics of the new mother and father can help the child explore their feelings and help the worker gauge their level of comfort with the impending move.
Finally, it is important to prepare the child and prospective family prior to placement with a "cover story". A guide written by Kay Donley explains why a cover story is needed and steps the permanency worker should take to help the child and family develop one. (See "Cover Story" in Appendix H.)
The actual placement should occur only after the permanency worker has thoroughly assessed the readiness of the child, caregiver and prospective family, to go forward. The worker should meet with each of them individually to discuss the child's adjustment to the prospective family. All adjustment issues or concerns raised by any of the parties must be completely addressed prior to placement.
It is common during the pre-placement phase for the prospective family and caregiver to become anxious for the move to occur too quickly. The reasons for this are understandable. Caregivers may have difficulty dealing with their own grief as well as that expressed by the child. As visits progress, prospective adoptive parents begin to develop a sense of entitlement to the child and can become anxious to assume full parenting responsibility. Although the worker should be sensitive to the readiness of the caregiver and prospective family for the placement to occur, the primary focus must be on the readiness of the child. The worker may need to educate the caregiver and prospective family about the importance of making sure the child is fully prepared before the move occurs.
When the child expresses reluctance to move forward the permanency worker should carefully assess the reasons for this reluctance. The worker will need to discern whether the child is experiencing expected grief or anxiety, or has specific concerns that need to be explored. It is important that the worker address these concerns, as the child's commitment to the placement will be critical to its success. Although the child's input to the placement decision should be considered, it is crucial that the child know that responsibility for the decision to move ultimately rests with their worker.
Managing rejection: If the child indicates a clear unwillingness to cooperate, or the prospective family is unable to commit to the placement, it is inadvisable to proceed. In either case, the worker should assume responsibility for this decision. The permanency worker should explain to the child that they have determined that this family was not the best family for them, but that they are committed to finding the right family for the child. Exhibiting this commitment demonstrates to the child that the worker believes in them and their capacity to join a permanent family.
When all of the parties agree that they are ready for placement, the prospective adoptive parent will need to join the caregiver at the caregiver's home to manage the actual move. The caregiver and prospective parent should jointly and openly take part in packing the child's belongings, so that the child is fully aware of what is occurring and sees both sets of parents working together. Particularly for the younger child it is important that the caregiver physically hand the child over to their adoptive parent. The caregiver should be encouraged to give the child mementos that signify the importance of their relationship while giving the child the clear message that they are permitting the child to go. The child should be encouraged to express their feelings about the move, giving the prospective parent the opportunity to offer support and comfort. The child will need to know that it is acceptable for them to share feelings about their past with their prospective family. In fact, the caregiver and prospective family should also plan with the child for future contact.
The child's arrival at their adoptive home should be treated as a celebration. Although this is often a bittersweet experience for the child, it is not unlike other passages in life that are marked by ceremony. The adoptive family should be sensitive to the child's sense of loss, which may limit the participation of individuals unfamiliar to the child. The adoptive parent should be encouraged to recognize this day in a way that symbolizes the joining of the child's past with their future with this family. Some adoptive families engage in a candle lighting ceremony to signify the importance of the child's past and present family connections.
As important as it is to prepare the child for the end of their legal relationship to the birth parent, it is equally important to prepare the birth parent as well. This preparation should help to ensure their understanding of the relinquishment or termination process, and encourage their participation in adoption planning for their child. As previously discussed, the permanency worker will have assessed the birth parent's capacity to participate in this planning. Whether the child's adoption plan is voluntary or involuntary, this will be a very difficult period for the birth parent. Generally, relinquishment or termination of parental rights will be one of the most painful events in the birth parent's life. The permanency worker should attempt to assist the birth parent to work through their emotional responses to this event as a part of the assessment of their ability to participate in adoption planning. The birth parent's active participation in adoption planning is desirable from the standpoint of the child because it presents the opportunity for the birth parent to give the child permission to "move on". Granting this permission can be one of the most meaningful actions taken by the parent, and placing the child's needs above their own in this particular instance is vital to the child's well being. The permanency worker should be persistent in their efforts to encourage the birth parent's recognition of this and then to act accordingly.
The permanency worker should ensure that the birth parent fully understands what relinquishment and termination of parental rights mean legally and what impact each may have on the birth parent's role in participating in an adoption plan for the child. Engaging the Child and Family Team in a discussion of the birth parent's options, especially with regard to voluntary relinquishment, may facilitate adoption planning. The birth parent should be given a full explanation of their relinquishment options, which include:
· Final and Irrevocable Surrender for Purposes of Adoption
· Surrender of Unborn Child for Purposes of Adoption (fathers only)
· Final and Irrevocable Consent to Adoption by a Specified Person or Persons
· Denial of Paternity with Entry of Appearance and Consent to Adoption
If involuntary termination of parental rights must be pursued, the permanency worker should explain the court process and legal result to the birth parent. Whether parental rights are to be severed voluntarily or not, the birth parent should also be encouraged to seek legal counsel to ensure their legal rights are protected.
The birth parent should be enlisted to support the child through the relinquishment or termination process. It is important that the birth parent convey the message that this process is a result of decision-making that the adults are responsible for, not the child. The birth parent can offer reassurance to the child that a bond will always exist between them, but should also offer encouragement for the child to move on and fully attach to their adoptive family. (See Donley's four disengagement messages in section "Assessing Birth Family for Adoption Planning: Assisting the child in transition/permission to move on".) Because participation in adoption planning may be very difficult for the birth parent, the permanency worker will need to assist the birth parent to remain focused on what is in the child's best interests. Although the birth parent should be given the opportunity to offer input for adoption planning, they will also need to understand that their decision-making authority ends with termination of parental rights, and that the agency will seek to transfer that authority to another family through the legal action of adoption. Depending on the circumstances (e.g. the parent poses a threat to the safety of the child), the end of the birth parent's legal relationship to the child may also result in the severance of contact between them, as well as between the child and extended family members.
When severance of parental rights will also result in severance of contact between the child and birth family, the permanency worker will need to begin planning with the birth parent for the end of that contact. This should include plans for a final, or "goodbye" visit between the child and members of the birth family once termination of parental rights has occurred. (See section titled "Preparing the Birth Family for Post Placement Services and Adoption Finalization: Preparation for the final visit.") This is a period in which the permanency worker should ensure that they have obtained all family background information from the birth parent, and have informed the birth parent about the Department's contracted search and reunion services and the Adoption Registry. Although the birth parent may not be able to maintain ongoing contact with the child, they should be given the opportunity to participate in the adoption planning, including in some circumstances the adoptive family selection, to the extent this is possible and can be safely accomplished. The permanency worker should review with the birth parent their original wishes regarding placement selection for the child, and elicit additional information that may be helpful in choosing an adoptive resource. The permanency worker should consider convening a family meeting or a meeting of the Child and Family Team when appropriate to identify a prospective adoptive resource among extended family or others significant to the child.
If it has been assessed that maintaining an ongoing connection with the birth family can be safely achieved and will promote the child's well-being, the permanency worker will need to assist in developing a plan to manage this connection. As noted earlier, this plan could range from confidential correspondence managed by the agency to the exchange of identifying information and ongoing contact managed by the birth and adoptive parents. It is important that the permanency worker help the birth parent understand that although a plan of contact may be agreed upon prior to the child's adoption, that after adoption the adoptive parents will have the decision-making authority to honor the plan or change it.
The time between an approved legal screening and the legal act of freeing the child for adoption should be used to ensure that the caregiver is adequately prepared to participate in the adoption plan. This may involve preparation of the family to adopt if assessed as appropriate, or preparation to help the child transition to a new adoptive placement. Given the caregiver's often long-term relationship to the child and birth family, it may be tempting to assume that the caregiver does not require this preparation. However, it is important that the permanency worker recognize the difficult emotional position in which the caregiver is placed during this time. The caregiver may experience anxiety over whether the child will become legally free for adoption or worry about their relationship with the birth parent if this occurs. They may also have concerns for the future if they commit to adoption, or face the emotional pain of having the child leave for a new adoptive family. The permanency worker will need to work closely with the caregiver to address their individual issues, and provide enough support so that the caregiver can best meet the child's needs through this transition period.
When the current caregiver is being assessed as the prospective adoptive resource through the permanency worker's review of the ongoing family assessment (see "Assessing the Current Caregiver for Adoption" section), the worker should refer the family to adoption conversion training and complete their adoptive home study through the Adoption Conversion Assessment outline (Appendix I). The adoption conversion home study will provide the basis for a recommendation about adoption of the child by the caregiver, which will be incorporated into the Report of Investigation to the Court submitted at the time of adoption finalization. Once the caregiver has been trained and fully prepared, the permanency worker will reaffirm their match with the child and seek a commitment for adoption.
Formal, group training of prospective adoptive parents is desirable because of the opportunities it presents for participants to benefit from the group process and develop supportive connections with other members of the group. Group training may be difficult for some caregivers to schedule however, and trained staff should be prepared to provide a standard adoption training curriculum on an individual basis. The competencies that should be developed from this training relate to an understanding of the following basic concepts:
· Adoption is different: This concept focuses on the differences between adoption and forming a family biologically and, equally as important, between adoption and caring for children through foster care. The emphasis is on helping the caregiver understand their changing role and responsibility as they convert to adoption and the lifetime commitment that adoption requires.
· Separation and loss: Is inherent to adoption and the significance of these for both the child and prospective adoptive parent should be explored. The caregiver may need to be sensitized to the impact of separations and losses on the child, the importance of the grieving process, and how to help the child work through this. The caregiver may need preparation for the likelihood that significant life events, including the impending severance of parental rights and adoption finalization, may cause the child to re-experience a sense of loss and grief. The caregiver should also be given the opportunity to explore the loss of the family they may have envisioned, which could be quite different from the one being formed with a foster child who has their own biological history.
· Attachment: Understanding the process of attachment and how it affects a child's ability to develop future relationships is an important concept for the prospective adoptive parent. This information may help the caregiver interpret the child's behaviors. The caregiver may also need assistance recognizing attachment problems and ways to encourage the development of healthy attachments.
· Meeting the child's current and future needs: The prospective adoptive parent will need information regarding common developmental issues faced by individuals who have been adopted. Completion of developmental tasks throughout the life cycle that are necessary to promote a healthy and secure sense of self can be complicated by the issues of adoption (see Appendix J, "Universal Adjustment Issues for the Adoptee"). It is important for the adoptive parent to recognize these in order to prepare for and help their child meet the developmental challenges they are likely to face. Additionally, the prospective adoptive parent should be helped to explore the child's past history and experiences, health issues, current level of functioning, and mechanisms for coping with earlier trauma. The strategies that the prospective adoptive parent has employed to meet the child's specific issues should be reviewed to identify those that have been successful and can be employed in the future, as well as strategies that will need to be developed. The prospective adoptive parent should be helped to make predictions about the anticipated challenges unique to their child and common to the developmental adjustment of most adoptees. The training should encourage the family to review the supports they currently have in place, and prepare them for the types of additional supports their family is likely to need in order to address future challenges. The family should receive an overview of post adoption services available, such as adoption preservation services, including an explanation of those available through the adoption assistance program.
· Making a lifelong commitment through adoption: As the foster parent, the prospective adoptive parent will have experienced the oversight and support of the agency in the care of their child, and needs to be prepared to relinquish this expectation and assume total responsibility for the child themselves. Making a lifelong commitment to their foster child through adoption will require that the prospective adoptive parent has developed an understanding of the other basic competencies outlined above, and is capable of managing the issues they present. The prospective adoptive parent should be encouraged to recognize their own strengths in parenting the child, as well as when and how to seek outside intervention. In order for the foster parent to make an informed decision regarding their ability to commit to adoption, the training should review not only the types of post adoption services that are available, but services associated with foster care that will no longer be available as well.
Through the completion of formal training as well as the family's adoption conversion assessment, the permanency worker and family may identify certain areas related to the specific needs of their child for which the family may request or need additonal information or training. The permanency worker should develop a written individualized development plan with the family that addresses these areas. This plan should identify the specific informational or experiential resources that can assist the family in developing the skills and knowledge needed to successfully parent their child. The resources offered might include additional formal training, consultation with medical and other professionals, therapeutic intervention, support from adoption-knowledgeable program staff including development of a plan to manage the child's birth family, including sibling, connections, or referencing reading materials. The individualized development plan should be part of an ongoing process that recognizes changes in the child and family over time.
The individual assessment of the child and conversion assessment of the caregiver are used to confirm the caregiver's ability to meet the child's current and future needs through adoption. The assessment of the caregiver should include updated information about previously identified areas of need from their individualized development plan, progress made in addressing these areas and any additional needs identified for the future. Once these assessments are completed the permanency worker and their supervisor should review the family's historical and future capacity to address the child's needs and, with supervisory approval, and the agreement of the caregiver, confirm the placement selection.
Committing to adoption: At this time, the permanency worker should seek a commitment to adoption from the caregiver. Their commitment will in part hinge on their receipt of all non-identifying background information about the child and birth family, which the caregiver must receive in writing and the worker must confirm through the completion of the "Affidavit of Information Disclosure" form. All file documents provided the caregiver should be listed and attached to the disclosure form. Written disclosure of information must occur prior to the formal adoptive placement, which is made once the child becomes legally free for adoption.
If during the adoption planning process the caregiver expresses ambivalence about committing to adopt the child, the permanency worker should fully explore the reasons that may inhibit their ability to commit. The worker should attempt to resolve those issues over which they have some control, e.g. clarifying legal or policy requirements, providing information about post-adoption support services, and arranging for consultation with other professionals. When the caregiver's ambivalence stems from more personal or family-related concerns, the permanency worker should counsel and support the caregiver, but respect the fact that the decision of whether or not to commit to adoption ultimately belongs to the caregiver. The caregiver should not be pressured to adopt. Although pressure may induce the caregiver to decide to proceed with adoption, the caregiver's ambivalence may never be resolved and may be communicated to the child in many ways, consciously or not. Without a full commitment from the caregiver, challenges presented by the child and the adoption will be difficult if not impossible to surmount. At the same time, the caregiver hesitant to adopt due to concerns about the child's behavior, but who maintains an interest in continued fostering of the child may be struggling with an ambivalent attachment with the child. The prognosis for their long-term commitment to the child may be poor and their level of attachment must be scrutinized cautiously when considering such a plan. The permanency worker will need to make a careful, well-considered assessment of the child's needs, balancing their right to permanency with their relationship to the caregiver. When confronted with caregiver ambivalence, the permanency worker should seek a clinical review to determine what steps should be taken to resolve the ambivalence, and establish timeframes for doing so that recognize the child's urgent need to establish permanent family connections through adoption.
If the permanency worker determines it is in the child's best interests to move to a new adoptive home, either because the caregiver decides they cannot commit, or the worker determines after continued assessment that the caregiver should not adopt, the caregiver's cooperation should be enlisted to help the child make this transition.
As previously noted the decision to move the child to a new placement is a critical decision that requires thorough documentation, notification to the caregiver and supervisory approval. For some caregivers this decision will be difficult to accept. The permanency worker will need to help the caregiver work through their feelings in order to reach the point where they can support the child through this transition. The worker should immediately begin efforts to identify a new adoptive resource. As the worker proceeds with the adoptive placement selection and planning process, the child's current caregiver will play an important role in ensuring its success.
· Supporting the placement selection process: As a member of the Child and Family Team, the current caregiver can provide the worker with valuable input into the placement selection process. The caregiver can offer detailed information about the child, including their routines, behaviors, personality, preferences, interests, fears, anxieties, and needs, about which the worker should be aware as they seek the most appropriate adoptive family for the child. Once an adoptive family has been identified, the worker should elicit the caregiver's participation in offering additional information to the prospective family as they approach a decision about pursuing adoptive placement. The worker will need to assess the caregiver's ability to participate in this process and offer guidance on the appropriate level of information that can be shared. After the prospective family has made a preliminary commitment to the child, ideally the worker will engage the caregiver in direct discussions with them about the child. The objectives of these discussions are to give the prospective family some sense of what it is like to parent the child, to initiate relationship building between the two sets of parents, and to begin developing a pre-placement visiting plan.
· Participating in pre-placement visits: The permanency worker should actively involve the caregiver in the development of the pre-placement visiting plan. The worker should ensure that the caregiver understands their role and responsibility to the plan, and promote the caregiver's sense of importance in helping the prospective placement succeed. Generally pre-placement visits should be initiated in the home of the caregiver, and afford the caregiver an opportunity to share additional information about the child and their daily routine. These visits should also be used as an opportunity for the caregiver and prospective adoptive parent to develop a relationship that can continue beyond the child's placement and later adoption. The permanency worker should obtain and document information from the caregiver about the child's reactions and adjustment to the visits as they assess the child's readiness for adoptive placement.
· Supporting the child's readiness for placement: With input from the caregiver and prospective adoptive family, the permanency worker will determine when the child is ready for placement, and enlist the cooperation of the caregiver to support the child through the move. This can be a large task. The child is likely to experience a variety of conflicting feelings about the impending move and may exhibit troubling behaviors as a result. The caregiver is expected to manage the child's feelings and behaviors as well as their own, and to support the child through the move as planned. Because this is so difficult, the caregiver's impulse may be to either delay or hasten the placement. Again, it will be the permanency worker's responsibility to offer the caregiver support through this period and maintain the focus on the child's readiness for placement.
· Supporting the adoptive placement: It is important that the caregiver actively participate in the child's move to their adoptive home. The caregiver should share responsibility for packing the child's belongings with the prospective adoptive parent, and offer the child pictures and mementos of their time together to include in the child's Lifebook. It is crucial that the caregiver give the child both verbal and physical messages that positively encourage the child to join the new family. When the child is reluctant to leave the caregiver's home, the caregiver should acknowledge both the sadness and excitement of the moment while encouraging the child to "move on". Whenever possible, it may be helpful for the caregiver to participate in the celebration of the child's move, emphasizing the importance of the caregiver's relationship to the child in an event that symbolizes the union of the child's past with their future.
Preparation of the newly recruited prospective adoptive family begins with a formal training and assessment process that must lead to licensure (as required under the Illinois Child Care Act) and an approved adoptive home study, in order to be considered for placement of a child for the purpose of adoption. The assessment as embodied in the adoptive home study is used to help the permanency worker match the child with an appropriate adoptive family. Once the placement selection is affirmed, the worker will initiate further adoption planning with the prospective family through pre-placement visits, ongoing assessment of the adjustment of the child and family and eventual placement.
This is an ongoing process that begins with the prospective family's initial inquiry to the agency, their subsequent preparation for adoptive placement through the completion of the adoption training curriculum and a written adoption home study, and continues to the point of adoption consummation. This process should be a mutual one, that generates sufficient information gathering during training and the home study so that both worker and family can make a well-informed decision about proceeding with the process, resulting in adoptive placement and eventual finalization.
Training: The components of the training for the newly recruited adoptive family will be similar to the curriculum for the foster parent converting to adoption, but with a greater emphasis on issues to which newly recruited families are less likely to have had experience. The goal of the training is for the prospective adoptive parent to understand and begin to develop the competencies needed for successful adoptive parenting. These competencies can be found under "adoption conversion training" in the section on "Adoption Planning with the Current Caregiver." The description of the competencies listed below reviews information that should be emphasized with the newly recruited family.
· Know how adoptive families are different: it is especially important for the newly recruited adoptive parent to understand how adoption is a different way of forming a family. Basic concepts that are central to this competency include: the unique circumstances that bring a child into the child welfare system and that result in the child becoming legally free for adoption, the legal relationship between the agency and child and the legal requirements of transferring that relationship to another party, the common characteristics of waiting children and the legacy of birth relationships and experiences that impact them, and the skills and abilities needed to make a lifelong commitment to a child through adoption.
· Understand importance of separation, loss and grief in adoption: the newly recruited adoptive family should be sensitized to the universal experience of separation and loss, and the natural emotional response of grieving, for all members of the adoption triad, including the adoptive parent's own losses and how these will impact the adoptive relationship, and a review of the developmental and experiential impacts of loss for the child, their adaptations, and how these effect their ability to form emotional attachments.
· Understand attachment and its importance in adoption: unlike the foster parent, the newly recruited family may have had little opportunity to work with a child separated from their birth parent and have less understanding of the significance of that relationship for the child, and the impact of the child's attachment to their birth parent on their past and future relationships with others. The newly recruited family will need to understand how healthy attachments are formed and how to promote them, how to recognize attachment difficulties, and explore their ability to manage and tolerate the attachment-disordered child.
· Understand need to anticipate challenges and be able to identify strategies to manage challenges as an adoptive family: it is important for all prospective adoptive parents to acquire the skills associated with this competency, but it is a more daunting task for the newly recruited family that will adopt a child unknown to them. It will be particularly important for the newly recruited family to become well-grounded in information pertaining to the common predictable, developmental issues confronted by the adopted child and their adoptive family, and a basic awareness of the kinds of unique challenges that some children present.
· Understand adoption means a lifelong commitment to a child: this may well be an expectation that the newly recruited family will bring with them into training. What the newly recruited family may lack, however, is the history and experience of parenting a child who presents significant or unique challenges, and the kinds of skills, knowledge and supports needed to meet these. The newly recruited family will need information about the children waiting for adoptive families, and help understanding the type of commitment they will face by assuming responsibility for such a child over the course of a lifetime. The training should include an overview of services available for the child before and after adoption, including adoption assistance.
As the newly recruited family and permanency worker identify the type of child, or a specific child, that the family may best parent through adoption, the worker should explore with the family more specific areas in which the family will need additional supports and training. The worker and family will create an individualized development plan meant to address gaps in knowledge or skills that the family will need to meet the needs of the child they anticipate parenting. This plan should be an ongoing developmental process that would be updated as a specific child is identified, skills are developed or changes occur. As the prospective adoptive family participates in training, the home study process should be initiated. The training and home study are meant to be companion processes that provide both worker and family with sufficient information to reach a placement decision regarding a specific child.
Home study: this study should be completed with the prospective adoptive family in conjunction with the foster care licensing process. (With the exception of relatives, licensure is required for any family accepting Department children for placement, including adoptive families.) For the newly recruited family, the adoptive home study initiates the ongoing family assessment process, and is one of the tools used to assist in making placement decisions. This study should be updated on a regular basis or as significant changes occur in the life or composition of the family. This study will also serve as the basis for the Report of Investigation to the Court completed when the family is prepared for adoption finalization. Basic components of the adoption home study for the newly recruited family will include the following:
· Identifying information:
- General profile of adoptive family including each family member's names, address, social security number, date of birth and other basic demographic information.
· Contact summary:
- Worker contacts: indicate dates and places of contacts and the person being interviewed or observed.
- Initial inquiry: how did the family learn about the agency?
- What is the family's motivation for adoption? Who initiated the interest in adoption?
- How many children is the family interested in adopting?
- What characteristics, such as age, race, gender, or special needs is the family willing to consider in a child?
- What training has been completed by the adoptive family, including adoption training or other training relevant to the type of child the family wishes to adopt?
· Current family structure/family network diagram: Describe the current family structure:
- Who currently resides in the household?
- Who currently helps out with child care in the home and/or who will help with the adoptive child?
- Who visits regularly?
- Who stays over?
- Who does the family go to for advice?
- For single persons, do they have a paramour and, if so, what role does this individual play in the family?
- What relationship does each adoptive parent have with their own parents?
- Has the adoptive family experienced any losses, past and recent (death, moves, divorces, estrangements, infertility, etc.) within the extended family, non-blood kin, or friendship network? How have losses been resolved?
· Family history/Genogram:
- Provide a brief biographical sketch of each prospective adoptive parent, including where they were born, who raised them, a description of their family of origin including current status of siblings, the status of adult children, and each parent's educational background, employment and military history, health history and status, financial status, and child abuse/neglect and criminal history.
- Provide the marital history of each adoptive parent, including their current marital status, where they met, how long they have been married, and how each partner describes the roles, strengths and challenges of their relationship.
- How do members of the prospective adoptive family see their family's history and life experiences leading to their current decision to adopt a child with special needs?
- What is the extended family's history, experience with, and attitudes about, adoption?
- How does each prospective adoptive parent describe their individual sexual histories as well as their current sexual experiences/attitudes?
- What are each parent's hobbies and interests?
· Parenting styles and strengths:
- How were the parents parented as children?
- What experience has this family had with parenting?
- What discipline methods were used with them and/or have they used?
If children are present in the household:
- How do the parents describe each child, including the child's adjustment and needs (developmental, educational, social and behavioral)?
- What are the parents' expectations of each child?
- Are there particular stresses and strains with each child, and how are they managed?
- Are children included in decision-making?
- What are the rules of the home and how are these enforced?
- How does the family deal with or control anger, rage, possessiveness, or withdrawal in parent and child interactions?
- How are anger, affection, joy, sadness, and other feelings expressed?
- What are the family's expectations of adoption, of the adoptive child, and of themselves as adoptive parents or siblings?
· Social supports and resources/Eco-Map:
- What supportive resources does the family currently have? Describe the sources of support that are significant to the family (extended family, friends, religion and church membership, etc.) and identify areas where support needs to be further developed.
- Identify sources of stress in the family network.
- What additional resources will the family need in anticipation of the type of child considered for adoption?
· Home environment/community:
- Describe the home, neighborhood and community and assess in terms of health, safety and accommodations for children, including sleeping arrangements.
- Is the home adapted to the needs of any child, or a child with physical limitations?
- Does the family reside in close proximity to resources needed for the type of child considered for adoption?
· Parenting and adoption:
- Reviewing the Family Network Diagram and Genogram, discuss the family's ability to manage the child's past history and special needs.
- What is the family's attitude toward birth parents and maintaining connections with birth family or others significant to the adopted child?
- What is the family's attitude toward search and reunion?
- What is the family's attitude toward helping the child understand adoption?
· Verifications:
- Background clearances, licensure and references.
· Assessment summary and recommendations:
- Review the family's strengths and needs and/or risks.
- Address how needs of family and identified risks can be managed (to be included in individualized development plan).
- Review the type of child desired by the family, in terms of demographic and special need characteristics, including age, gender, race, religion, sibling status and other birth family connections, medical, physical, emotional and behavioral characteristics.
- Recommend the type of child and type of adoptive placement (i.e. legal risk and level of connection to birth family), with which the family is most likely to succeed.
· Signatures/approval and date completed
Once the family has completed training and licensure and the home study has been written, the family should be considered for any waiting child having the kinds of characteristics for which the family has been approved. The family can sign a consent for release of information form and complete the Adoption Listing Service "Adoptive Parent Registration" form allowing them to be listed with the Adoption Information Center of Illinois (AICI). Listing the family with AICI gives them the opportunity to be considered for waiting children statewide. With the family's permission, their adoptive home study can be shared with other workers to be used as one tool in making a placement selection on behalf of a waiting child.
It is unlikely that the worker will gain enough insight into a prospective family to make a good match from a written adoptive home study alone. The home study can provide a preliminary view of what a family is about, but only further assessment, drawn from well thought out, comprehensive interviews of family members, will provide the worker with sufficient information to reach a placement selection decision. When a prospective family lives outside of the worker's area or has been developed by another agency, the family's worker should be able to provide an assessment of the family that includes the information listed below. (Also see lists of positive and negative motivations to adopt under section titled "Assessing the Current Caregiver for Adoption: Interest and Motivation to Adopt.") Interviews with the family should explore:
· The emotional maturity and stability of the adults, including sexuality and infertility issues.
· The marital relationship and communication skills of family members.
· Their motivation to adopt (see "Assessing the Current Caregiver for Adoption," section titled "Interest and Motivation to Adopt" for an explanation of motivating factors likely to lead to successful adoptions and factors that present a poor prognosis for success).
· Their willingness to accept the child "as is", even if problematic behaviors may not improve in the future, and their willingness to commit to the child in spite of this.
· Their ability and willingness to accept outside help when needed.
· Their ability to empathize with birth parent and child.
· Their ability to accept ongoing connections of the child with significant others, especially birth family and past caregivers, in a non-judgmental way.
· The level of acceptance and support for adoption by extended family and friends.
· Their flexibility and ability to manage crises and unexpected events.
· Evidence of their determination in the face of adversity and willingness to accept responsibility for difficult life decisions.
· Their ability to meet the unique needs of their biological children and safely manage the integration of the adoptive child.
With the information gathered as above, the worker will review information about an identified waiting child as contained in the "Individualized Assessment of Child for Adoption" in order to match the needs of the child with the strengths of the prospective adoptive family and arrive at a preliminary placement selection decision. When it is assessed that the family may be appropriate for the child, the permanency worker will need to progressively share greater details about the child's individual characteristics and background with the family. The more information the family receives the better position they are in to make a self-assessment of their ability and willingness to proceed toward placement planning. The worker will need to help the family interpret information about the child in order to give them a more concrete impression of what it might be like to parent this particular child, what skills and knowledge they will need to undertake this responsibility, and how well the child might integrate into their family. Once the worker and family have gathered sufficient information on which to base a placement selection decision, the worker will seek to obtain a preliminary commitment from the family to proceed with a pre-placement visit plan. Prior to initiating this plan, the permanency worker will need to obtain supervisory approval to proceed with the critical decision of adoptive placement.
The visiting plan should be developed in consultation with the child's current caregiver and the prospective adoptive family, and should be prepared with the developmental needs of the child in mind (see section titled, "Adoption Planning for the Child: Pre-placement visits", p. ). As previously discussed, pre-placement visits serve as an opportunity for the prospective adoptive parent to become familiar with the child and their current caregiver, and to begin integrating the child into their family. Pre-placement visits should also help to accomplish the following tasks (as described in the section noted above):
· Diminish fears and worries of the unknown.
· Transfer attachments.
· Initiate the grieving process.
· Empower new caregivers.
· Encourage making commitments for the future.
Pre-placement visit protocol: The pre-placement visiting plan should structure the visits and delineate the roles and responsibilities of the parties involved. It should also establish a projected placement date that remains flexible depending on the developmental needs of the child and the general adjustment of the child and prospective adoptive family. The visiting plan should be progressive, allow increased exposure of the child and family to one another, and confer increased responsibility on the new family for the child's care over time.
· Introductions: Just as the child is introduced to the prospective family through the child's Lifebook (with child's permission), the family should be introduced to the child by developing a family album. The family album should be compiled by the family and contain photographs and narratives that provide the child with an overall view of the family. Pictures of extended family, pets, their home, community, and family activities could be included. The family may wish to display photographs that help the child see how they will "fit in" with the family through pictures that depict where the child would sleep, eat, play, attend school and worship. Developing a family album can be an emotional experience for the family as they share personal details about their life. This experience should sensitize the family to the vulnerability of the child sharing the intimate details of their life through a Lifebook. The permanency worker should help the family interpret the significant events that have occurred in the child's life, and communicate the importance of the Lifebook for the child. After this initial introduction, the worker should offer the family the opportunity to meet the child in-person.
· First visit: the prospective family will understandably be anxious about meeting the child for the first time. The worker should offer the family information about what to expect, and provide suggestions about how to manage the visit in ways that are developmentally appropriate and that recognize the child's anticipated anxiety. When the family appears tentative about certain characteristics of the child, it may be advisable to schedule a "blind visit" that allows the family to view the child in a natural setting with a more limited risk of rejection. (An alternative may be to share a videotape of the child with the family.) The permanency worker is responsible for managing this type of visit, and all visits, in ways that are respectful of the child's feelings, but allow the family to obtain sufficient information on which to base a decision about proceeding with placement planning.
The initial in-person visit between the prospective adoptive parent and child should occur in the current caregiver's home. The worker may need to help the prospective parent understand the importance of meeting the child in their current home where, if all goes well, the caregiver can demonstrate acceptance of the prospective parent. In the current caregiver's home, the prospective parent is also more likely to observe the child's normal daily routines, behaviors and interactions. Following this visit, the worker should seek a commitment from the prospective parent to proceed with additional visits.
· Subsequent visits: These should follow a progression that move visits from the current caregiver's home to visits in the community and the home of the prospective family. Visits should gradually increase in length of time and the degree of responsibility for the child's daily care passed to the prospective parent, eventually leading to overnight and extended visits.
One purpose of extended contact between the child and family prior to placement is to begin the process by which the child's attachment to their current caregiver is transferred to their new parent. During this adjustment period the child is likely to exhibit signs of grief over past and impending losses, which can provide the prospective parent with opportunities to respond to the child in nurturing ways that encourage their attachment. The worker should also encourage the prospective parent to begin assuming greater decision-making authority over the child's daily care. The goal is to create a sense of empowerment in the new parent, and in turn help them develop feelings of entitlement to the child.
As the prospective adoptive parent develops a sense of entitlement to the child, there is a natural tendency for the parent to want to hurry the child's placement into their home. While this pressure may be difficult for the permanency worker, their focus should remain on their responsibility to the child and assuring that the child is prepared for placement. Although the prospective parent may be focused on their own readiness for placement, the worker will need to help them understand the conflicting emotions that may be experienced by the child, and the necessity to initiate grief work with the child prior to the move.
It is also important that the permanency worker address any adjustment issues or concerns expressed by the prospective parent prior to placement. The worker must also anticipate questions or qualms the family may have about adoption or the child's behavior, but are unable to verbalize. The worker should explore issues to determine the significance of these for the parent and their threshold of tolerance. Before proceeding with placement, the prospective family and child will need to feel confident that knowing the "worst of the worst" about the child, that the new family is willing to work through problems and make a lifelong commitment to the child. If the prospective adoptive family presents concerns that appear insurmountable, the permanency worker should assume responsibility for the decision that proceeding to placement would not be in the child's best interests.
Once the permanency worker has determined that the prospective family and child are prepared for placement, the worker should again ensure that the adoptive parent has received all non-identifying background information about the child and birth family in writing. This must be documented and verified through completion of the "Affidavit of Information Disclosure" form, which should include a listing of all file documents provided. When the adoptive placement is to occur prior to the child becoming legally free for adoption, it is considered a legal risk adoptive placement. (The foster family converting to adoption is not considered a legal risk adoptive placement because this family, unlike a newly recruited adoptive family, was specifically developed to provide foster care. The foster family has assumed a role which acknowledges a primary responsibility to work toward birth family reunification until such time as the child becomes legally free for adoption. In contrast, the newly recruited adoptive family is developed with the specific intent to adopt, because of which they must be informed of the risks and responsibilities entailed in accepting a child for placement prior to becoming legally free for adoption.) Making a legal risk placement requires that the case has been approved for adoption planning and termination of parental rights by the legal screening committee, and must be carefully and cautiously planned with the prospective adoptive family. It is important that the permanency worker fully communicate the risks involved in accepting a child for placement under these circumstances, and document this by entering into a "Legal Risk Adoptive Placement Agreement" with the prospective adoptive parent prior to making the placement. A legal risk placement is considered a foster care placement, and as such the prospective adoptive family should be prepared for the child's continuing involvement with their birth parent and the ongoing legal authority over the child exercised by the Department.
Legal risk adoptive placement may be appropriate when adoption is in the child's best interests and placement with a prospective adoptive family, willing to adopt if the child becomes legally free, will reduce the necessity of multiple placements of the child or the length of time that the child must wait for an adoptive placement. A legal risk adoptive placement should be considered for the child, following the legal screening, when the current caregiver will not be an adoptive resource and any of these conditions exist:
· One parent has surrendered parental rights and the identity of the other parent is unknown, or a diligent search for the other, absent parent has been unsuccessful, the other parent indicates a willingness to relinquish their rights as well, or grounds (including expedited) exist to terminate their parental rights.
· The identity and/or whereabouts of both parents are unknown.
· Termination of parental rights is under judicial appeal.
· The birth parents have a previous history of terminations of parental rights of other children and there appear to be substantial grounds to terminate parental rights regarding this child.
On the day of the child's placement, the prospective adoptive family should participate with the caregiver in physically preparing for the child's move by helping pack the child's belongings. The cooperation exhibited by the prospective parent and current caregiver is important for the child to observe and sets the tone for their future collaboration on the child's behalf. The adoptive family should welcome the child into their home and family through a celebration that can become a significant anniversary in the life of the family. This celebration should be planned according to the developmental needs of the child, and so as not to overwhelm the child. The family may wish to include the caregiver in this event in order to convey their acceptance of the child's past.
9.3.1 The Legal screening | 9.3.2 Adoption Planning | 9.3.3 Adoption Planning for the Child | 9.3.4 Adoption Planning with the Birth Family | 9.3.5 Adoption Planning with the Current Caregiver | 9.3.6 Adoption Planning with Newly Identified Adoptive Family