29. Foster Care and Adoption

  1. William M. Klykylo3 and
  2. Jerald Kay4
  1. Jill D. McCarley1 and
  2. Christina G. Weston2

Published Online: 30 MAR 2012

DOI: 10.1002/9781119962229.ch29

Clinical Child Psychiatry, Third Edition

Clinical Child Psychiatry, Third Edition

How to Cite

McCarley, J. D. and Weston, C. G. (2012) Foster Care and Adoption, in Clinical Child Psychiatry, Third Edition (eds W. M. Klykylo and J. Kay), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9781119962229.ch29

Editor Information

  1. 3

    Department of Psychiatry, Wright State University School of Medicine, 627 S. Edwin C Moses Blvd, P.O. Box 927, Dayton, OH 45401-0927, USA

  2. 4

    Department of Psychiatry, Wright State University School of Medicine, P.O. Box 927, Dayton, OH 45401-0927, USA

Author Information

  1. 1

    East Tennessee State University, Quillen College of Medicine, PO Box 70567, Johnson City, TN 37614, USA

  2. 2

    Department of Psychiatry, Wright State University, School of Medicine, PO Box 927, Dayton, OH 45401-0927, USA

Publication History

  1. Published Online: 30 MAR 2012
  2. Published Print: 30 MAR 2012

ISBN Information

Print ISBN: 9781119993346

Online ISBN: 9781119962229

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Keywords:

  • foster care;
  • adoption;
  • placement;
  • custody;
  • kinship care;
  • closed adoption;
  • open adoption

Summary

Children who are in foster care or who have been adopted often face uncommon challenges, as do their families and providers. Child and adolescent psychiatrists have a unique role in aiding these children and their adult caretakers. Foster care has long been a source of public policy debate over the role of child welfare agencies in determining when to remove a child, and more recently over the costs of placements and additional services that these children often need. Current controversies concern gay and lesbian foster care, custody relinquishment, multiple placements, and health-care delivery while in foster care. We focus initially on entry into foster care and the implications for the child, particularly the impact on their health and development. Other factors considered include care coordination, or lack of, multiple placements, and grandparent/kinship care. Issues surrounding adoption are explored, including “closed” and “open” adoptions, race, and age. We emphasize recent research on gay and lesbian biological families, and the finding that they are just as capable at raising children as heterosexual parents at adoption. Also highlighted is the choice between custody and care that faces many parents of severely mentally ill children. Finally we look at the special concerns relating to international adoption. Case vignettes are presented to highlight the practical aspects of fostering and adoption.