TABLE OF CONTENTS
EXECUTIVE SUMMARY
SYNTHESIS OF CONFERENCE FINDINGS
Scope
Effects
Prevalent Beliefs
Preliminary Data
Related Research
Implications
Recommendations
REFERENCES


ADOPTION AND PRENATAL ALCOHOL AND DRUG EXPOSURE

Preliminary Data: Outcomes for Drug-Exposed and Non Drug-Exposed Adopted Children at Four and Eight Years After Adoption
[Dr. Richard Barth, Center for Social Services Research, University of California at Berkeley]
  Adopted Children Who Were Prenatally Drug Exposed Adopted Children Who Were Not Prenatally Drug Exposed
Background Factors More likely to be Latino or African American More likely to be Caucasian
  More likely to be adopted by parents who had less than a college education More likely to be adopted by parents with college or graduate degrees
  70% adopted through public agencies [and, therefore, had been in foster care] 42% adopted through public agencies [and therefore had been in foster care]
  50% in adoptions that were open at time of placement 60% in adoptions that were open at time of placement
  At 4 years post-adoption, 42% were receiving adoption subsidies; mean monthly amount: $361 At 4 years post-adoption, 42% were receiving adoption subsidies; mean monthly amount: $523
  23% of parents reported that child had physical/mental disability; 27% reported that child had a developmental disability 9% of parents reported that child had physical/mental disability; 11% reported that child had a developmental disability
  98% of children described by parents as being in good to excellent health 97% of children described by parents as being in good to excellent health
Outcomes Both groups about as likely to have been classified for ADHD. Drug-exposed children more likely than non-drug exposed to score in the 75th percentile on hyperactivity [using the IOWA Conner scale]
  54% of parents said that ADHD behaviors had affected their children's school performance 43% of parents said that ADHD behaviors had affected their children's school performance
  31% of children took medication for ADHD 21% of children took medication for ADHD
  No significant differences in parents' reports of the difficulty they had experienced in raising their children or in how much difficulty children were having in getting along with other children in the family
  63% of children described by their parents as functioning well or with few problems 73% of children described by their parents as functioning well or with few problems
  Four years after adoption, 86% reported being "very satisfied" with the adoption; eight years after adoption, 60% reported being "very satisfied" Four years after adoption, 90% reported being "very satisfied" with the adoption; eight years after adoption, 71% reported being "very satisfied"
  90% of all respondents, despite decrease in satisfaction between years 4 and 8, reported that if they had it to do all over again, they would adopt the child again

The only child characteristic found to be significant for impact on child functioning at eight years post-adoption was history of pre-adoption placements. Being a child with NO history of multiple homes increased the odds of functioning well by 1.54 times. Drug exposure status was NOT found to affect the likelihood that a child would function either poorly or well.

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© 1997 The Evan B. Donaldson Adoption Institute