How does trauma impact a child’s ability to attach and cope in his/her environment?
The folks at Bethany Christian Services asked that question and decided to do something about it. They created a program called ADOPTS – specialized therapy to Address the Distress Of Post Traumatic Stress in adoptive children.
Greg Malone, ADOPTS Program Supervisor, told me that Bethany requires the adoptive parents to be involved in treatment, working from the assumption that parents are part of the solution. “Therapists are simply there to coach, teach, and educate the parents to do what we do in therapy, so that it can be duplicated in the home,” says Greg.
Greg and I had the opportunity to chat about post traumatic stress and the ADOPTS program.
In what ways can post traumatic stress in my child’s life manifest itself?
Post Traumatic Stress can look like:
- Your child is “getting stuck,” when asked to do the most simple task
- Your child has meltdowns for no apparent reason
- Your child has forms of aggression, extreme withdrawal, excessive worry or anxiety, constant crying bouts, defiance.
- Your child has difficulty shifting from one thing to another.
- Your child refuses to see other ways of doing things, besides the way it has always been done.
When you use the term “trauma,” to what specifically are you referring?
In ADOPTS, “trauma” would be a disruptive event in which the child’s life is developmentally impacted. Most adoptive children, unless adopted at birth, have experienced one or more events that have impacted them developmentally—living in an orphanage, violence, neglect, or abuse. More and more research is showing that when a child endures a traumatic event, the child’s development is negatively impacted. ADOPTS addresses attachment through this lens of trauma impact.
What makes ADOPTS unique?
ADOPTS is unique in several ways.
First, ADOPTS’ primary focus is to reduce adoption disruptions by way of addressing the trauma triggers of an adoptive child. ADOPTS works from the presupposition that the Post Traumatic Stress that an adoptive child carries with him/her into the new adoptive home, can and often will, get in the way of a healthy attachment forming. ADOPTS focuses on three areas for the child- attunement, regulatory competencies, and building core competencies.
Second, ADOPTS employs a three-prong treatment approach to these children and their adoptive families:
- individual/family therapy
- parent groups
- child/adolescent groups
Because of this three-prong approach, parents experience the support of knowing they are not alone in their journey with their adoptive child. Parents can also use their group times as a natural place for networking with other adoptive parents dealing with some of the same issues. The adoptive children can also identify with other kids that have under gone traumatic events.
Third, ADOPTS honors both the child and the parents. The adoptive parents are invited into the solution and because of this, parents leave with practical tools for engaging their child outside of the therapy sessions. Even more, ADOPTS honors a child’s trauma that he/she most likely had no control over in the first place.
What is required if I want my child to go through the ADOPTS program?
There are three components:
- 2 Assessment sessions + 16 weeks of individual/family weekly sessions + 1 session for exit interview
- A required 6-week group for your child
- A required 6-week group for you as a parent, designed to educate you about trauma and give you tools for parenting your traumatized child
How much does it cost?
The cost is approximately $3,000. That covers separate diagnostic interviews with the child and the parents, 16 sessions of individual/family counseling, 6 sessions of parent group therapy, and 6 sessions of child group therapy.
Does insurance cover the costs of services?
In most cases, YES! Although, it is advised to contact your insurance provider to determine the exact benefits, including number of mental health sessions per calendar year, co-pays for in-network and/or out-of-network, and a need for prior authorization required. Your particular carrier can answer these questions for you. (Bethany is currently pursing WA state licensure for working with children on medical coupons.)
Who is eligible?
- An adoptive child who has experienced one or more Events of Trauma
- An adoptive child who is age 8-17
- Pre- or Post-Adoptive Child (child does not have to have been placed by Bethany for ADOPTS counseling)
Does it matter if my child is domestic, international, or foster-care adopted?
No. If the child meets eligibility, Bethany accepts all three.
How do I know if my child is eligible for ADOPTS?
The first part of your child’s ADOPTS treatment entails psychological evaluations of both the child and the parents to determine if trauma is impacting his/her current placement. Even if you are not sure, Bethany can determine whether you child is eligible.
Why do you have to be “eligible?”
ADOPTS is a pilot program partially funded by a federal grant, and all outcomes of the program will be confidentially provided to the US Department of Health. Its focus is on adoptive children, and reducing disruptions that occur due to past trauma in a child’s life.
Are there any plans for ADOPTS for younger children?
Yes, there is. In fact our national office is currently implementing an age 4-7 years old treatment model, and the current plan is to roll out the younger model to the other branches in the coming year.
When does ADOPTS start?
Depending on the branch office, Bethany has already started seeing clients for ADOPTS, or will begin seeing clients by the end of the year. For more information on your particular branch office, contact them.
Is this new program available in all branches?
No. Currently ADOPTS is available in Atlanta GA, Chattanooga TN, Des Moines IA, Fremont MI, Grand Rapids MI, Holland MI, Kalamazoo MI, Philadelphia PA, and Seattle WA.
Thanks, Greg, for sharing this important information with us!
For more information about ADOPTS, visit Bethany Christian Services.
For more news and information about adoption, visit www.laurachristianson.com, and
check out my Exploring
Adoption bookstore.
Post-Traumatic Stress in Adopted Children - New Therapeutic Program
How does trauma impact a child’s ability to attach and cope in his/her environment?
Greg Malone, ADOPTS Program Supervisor, told me that Bethany requires the adoptive parents to be involved in treatment, working from the assumption that parents are part of the solution. “Therapists are simply there to coach, teach, and educate the parents to do what we do in therapy, so that it can be duplicated in the home,” says Greg.
Greg and I had the opportunity to chat about post traumatic stress and the ADOPTS program.
In what ways can post traumatic stress in my child’s life manifest itself?
When you use the term “trauma,” to what specifically are you referring?
What makes ADOPTS unique?
What is required if I want my child to go through the ADOPTS program?
How much does it cost?
Does insurance cover the costs of services?
Who is eligible?
Does it matter if my child is domestic, international, or foster-care adopted?
How do I know if my child is eligible for ADOPTS?
Why do you have to be “eligible?”
Are there any plans for ADOPTS for younger children?
When does ADOPTS start?
Is this new program available in all branches?
Thanks, Greg, for sharing this important information with us!
For more information about ADOPTS, visit Bethany Christian Services.
For more news and information about adoption, visit www.laurachristianson.com, and check out my Exploring Adoption bookstore.
Posted on Wednesday, September 26, 2007 in News, Issues and Commentary, Parenting | Permalink | Comments (0) | TrackBack (0)
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