Beruflich Dokumente
Kultur Dokumente
PROFESSIONALS
October 2013
Preparing Children
and Youth for Whats Inside:
Evolution of preparation for
Family Permanency
children and youth for permanency
Promising programs
Conclusion
Children leaving out-of-home care for adoption or
other family permanency require preparation and References
support to help them understand the past events
in their lives and to process feelings connected to
their experiences of abuse and neglect, separation,
loss, rejection, and abandonment. Child welfare,
foster care, and adoption agencies often assume
that permanent families will provide the healing
environment for these children and youth, and these
agencies spend considerable resources to recruit,
train, and support foster and adoptive parents
to provide legal permanency and well-being for
these children. While a high percentage of these
adoptions are successfulin that they are not legally
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vary widely (Hanna, 2007). This remains the A shorter timeframe to termination of
practice in many agencies. Assessment of parental rights
childrens readiness for a new permanent
Change in emphasis in public agencies to a
family generally focuses on their behavior
focus on time-specific goals to permanency,
in foster care, with input from social workers
specifically, risk and safety assurances
and mental health professionals. Decisions
are based on the assumption that children Shift in caseworker roles to case
will accept new homes and families once they management functions
understand that it is unsafe for them to live
at home. Actual preparation activities may More specialized work with children and
consist of several conversations with the child youth, based on assessments and mental
or youth to talk about the family who wants health treatment services
them and then to plan for the placement. The While the goal since ASFA has remained
emphasis is on where the child is going, with permanency for children and youth, service
limited mention of biological parents and delivery has shifted toward a behavioral
possibly siblings. health perspective for treating the behaviors
Numerous States and private adoption and of children and youth. These behaviors
foster care programs use established curricula are often viewed from a perspective of
to provide content and materials to train pathologies related to the trauma of abuse
and approve potential parents, generally in and neglect or the trauma that may have
compliance with Federal and State policies.1 resulted from long-term foster care, group
In fact, much of the preparation work is care, and impermanence in relationships.
done with the prospective family, who, after Thus, caseworkers and other important adults
reviewing the background of the child, in the lives of children and youth may rely on
meeting him or her, and having preplacement therapists or behavioral specialists to prepare
visits, determines that they want the child children for permanency. The focus often
and can manage the behaviors of the child. is on correcting behaviorto the exclusion
In cases where a child is already living with of helping the child heal past hurts, resolve
a foster family and becomes legally free for issues with past relationships, and prepare for
adoption by that family, the change in legal relational permanency with the birth family,
status often occurs with little preparation for relatives, or adoptive parents.
either the family or the child regarding other Only a few models of preparation of children
aspects of permanency. and youth have been developed. Hanna
The Adoption and Safe Families Act of 1997 (2005) outlined the evolution of these models
(ASFA) brought about a number of changes in in the following table (used with permission
adoption: from M. D. Hannas 2005 Ph.D. dissertation,
Preparing School Age Children for Special
Elimination of long-term foster care as a Needs Adoption: Perspectives of Successful
permanency goal Adoptive Parents and Caseworkers, University
of Texas at Austin):
1
Examples of established adoptive parent training programs
include MAPP, PRIDE, PATH, SAFE, and the Family Assessment
and Preparation Curriculum from the National Resource Center
on Adoption.
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Information Gateway. Available online at https://www.childwelfare.gov/pubs/preparing_youth.cfm
Preparing Children and Youth for Adoption or Other Family Permanency https://www.childwelfare.gov
This material may be freely reproduced and distributed. However, when doing so, please credit Child Welfare
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Information Gateway. Available online at https://www.childwelfare.gov/pubs/preparing_youth.cfm
Preparing Children and Youth for Adoption or Other Family Permanency https://www.childwelfare.gov
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Information Gateway. Available online at https://www.childwelfare.gov/pubs/preparing_youth.cfm
Preparing Children and Youth for Adoption or Other Family Permanency https://www.childwelfare.gov
extended family, and may have very little and conversations to prepare him or
information about their own personal her for permanency can be the work of
history. caseworkers, caregivers, social workers,
family members, court personnel, and
Caseworkers who understand the childs
others. In some cases, birth parents or
experiences from the childs point of view
other birth relatives may be able to help
will be better able to help the child or
the permanency process by giving their
youth address past issues and explore the
children permission to move on to a new
possibilities of new relationships.
family.
Foundational Principles Work with children and youth is a process
of Preparation that begins before placement and can
A number of foundational principles can extend past final adoption. (Unfortunately,
help agencies shape an overall approach to many efforts do not start until the child has
support and guide children and youth as they been freed for adoption when termination
identify and establish permanent relationships: of parental rights has occurred, and many
agencies provide only limited supports and
All children and youth deserve relational services after adoption finalization.)
permanency.
Engaging children and youth in readiness
Just as adoptive parents and guardians activities must be developmentally
need preparation for the new relationships appropriate. The cognitive and
they are entering, so do children and youth. emotional abilities of the child or youth
Readiness practices are needed regardless must determine the types of activities
of the permanency goal or outcome. (e.g., lifebooks) and resources used in
permanency preparation work.
Permanency is a process for a child,
not just an outcome. It starts with birth Permanency planning (the legal process) is
family relationships and continues with distinct from permanency preparation work
reunification, adoption, or other permanent (the relational process). Children and youth
familial relationships. Establishing or can be empowered by their participation
maintaining connections to the birth family in the planning process, including their
or important people from a childs past may involvement in recruitment and family
help to mitigate loyalty issues, whatever the finding activities. Although these activities
permanency outcome. may engage them in some of the emotional
tasks of preparing for permanency, a more
Permanency work with children requires comprehensive preparation program may
time, consistency, and honesty from social help them explore their feelings about
workers. life events and support their readiness for
permanency.
Work with children and youth should not be
considered only in the context of therapy. The work of the child or youth is to grieve
Although behavioral health services may old relationships in order to move toward
be appropriate for any individual child, new ones. The work of the caseworker and
engaging the child in activities, tasks, other adults is to prepare and support the
child through the entire process.
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Agency policies and caseworker practices 1. What happened to me? (issue: loss)
that take a holistic view of permanency (activity: create a loss line2)
preparation work, considering it from the
perspective of the child and encompassing 2. Who am I? (issue: identity) (activity:
the resolution of past issues and readiness for make a life map or life path3)
new relationships, will be better able to help
children and youth bring their own meaning to 3. Where am I going? (issue: attachment)
permanency. (activity: review pictures and memories)
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according to the age of the child. The Not understanding what adoption means
elements identify the necessary philosophies
Not believing that anyone would want to
and skills of those working with children and
adopt them
youth. Henry and Manning (2011) note that
the seven elements are just a few of the many A worry that adoption would prevent them
skills that adults need as they support youth from ever having any contact with their
through their grieving and preparing for new birth family, including siblings
relationships:
Feelings of disloyalty to their birth family
1. Use engagement activities that encourage
expression of feelings and thoughts about Worry about changing their name
life experiences. Worry about moving far away
2. Create a safe space for expressing The guide outlines a number of strategies to
feelings. counter these concerns, most of which revolve
3. Recognize that behaviors are based in pain around providing factual information in a
and trauma. candid and sensitive manner.
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component involves examining the youths nine topics (e.g., the Real Truth About
life for factors that impact readiness for Families, Loss Is a Part of Living, etc.). It
permanency and addressing mental is a therapeutic, educational process that
behavioral and physical health needs, peer teaches concrete skills and provides teens
and adult relationships, and educational with the opportunity to open up avenues
needs. Preparing resource parents for for personal growth through healing
permanency is also included. relationships. The lessons are reinforced
by opportunities to practice on family
4. With a focus on the concurrent
weekend visits. Currently, he has created
preparation of both children and their
a video project for use with teens to tell
prospective adoptive families, Family
their stories about their lives, hopes, and
Focus Adoption Services of Queens,
dreams to explore meanings of potential
NY, promotes a carefully paced transition
permanent relationships.
phase in adoption placement (http://
familyfocusadoption.org/adoptionguides. 6. A number of jurisdictions use the 3-5-7
html). The agency believes that much Model to support permanency work for
of the preparation work is best done children and youth, including California,
by the children themselves, at their Delaware, New Hampshire, Pennsylvania,
own pace and to their own level of and Wisconsin (Henry & Manning, 2011).
satisfaction. Adult protection is provided As described above, the 3-5-7 Model
throughout the process and is intended provides a guided approach to help
to help build childrens self-confidence. A children, youth, and families do their
trained and well-supervised adult guides work of grieving losses and rebuilding
each child from placement through the relationships, working toward the goals of
childs decision about adoption. Using a well-being, safety, and permanency. The
graduated visiting schedule and taking the model is a strengths-based approach that
child through a series of adoption levels empowers children and youth to engage
that are marked by six cards collected in grieving and integrating significant
by the child over 5 months, children can relationships. In several programs, the
become more and more certain that being model is woven into family-finding
adopted by the particular family they are activities and Family Group Decision
with is the right decision for them. Making conferences. Practice applications
are made both at intake and throughout
5. Robert G. Lewis, of Wooster, MA, trains
ongoing case management services,
and supports agencies and States in
including protective and placement
preparing youth for permanency in a
services that can also support kinship,
program called Family Bound
foster, and adoptive family placements.
(http://www.rglewis.com/RGLewis%20
The 3-5-7 Model provides tools (e.g.,
Site/index.html). His curriculum, Family
lifebooks, loss history chart) to support
Bound Program: A Toolkit for Preparing
work around issues of separation and
Teens for Permanent Family Connections,
loss, identity formation, attachment, and
provides the philosophy and activities to
building relationships, and it also supports
engage youth in this work. Youth attend
deeper therapeutic work around abuse,
group or individual sessions to discuss
abandonment, and neglect experiences.
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Information Gateway. Available online at https://www.childwelfare.gov/pubs/preparing_youth.cfm
Preparing Children and Youth for Adoption or Other Family Permanency https://www.childwelfare.gov
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Information Gateway. Available online at https://www.childwelfare.gov/pubs/preparing_youth.cfm
Preparing Children and Youth for Adoption or Other Family Permanency https://www.childwelfare.gov
This material may be freely reproduced and distributed. However, when doing so, please credit Child Welfare
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Information Gateway. Available online at https://www.childwelfare.gov/pubs/preparing_youth.cfm
Preparing Children and Youth for Adoption or Other Family Permanency https://www.childwelfare.gov