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Investing in Families – the APPG report on the Adoption Support Fund

Posted in: News

The recommendation to develop a multidisciplinary approach needs to encompass the whole adoption process, not just adoption support

We were delighted to read the APPG for Adoption and Permanence’s recent Investing in Families report as it had both a positive and constructive view of the Adoption Support Fund (ASF) based on the evidence collated. We can only endorse from our experience the recommendations of the report. The ASF (as it has been for the past four years) has to be seen as a first step in funding focused therapeutic support for the contemporary adoptive family. Like any first step a lot can be learned from it and we think the APPG report spells out those lessons very clearly and carefully.

The APPG’s recommendation 4 calling for an increase in clinical input is something that Family Futures have been advocating for some time now. The report recognises that for a significant number of families (56% if using Adoption UK’s Adoption Barometer as a guide) are still needing a longer and more significant specialist and therapeutic service. We know from our own clinical experience that at least half of the children placed for adoption today have high levels of complex needs that require therapeutic input and support, at varying intensities, throughout their childhood. Because of the complexity of these needs and the early ‘significant harm’ this group of children have experienced, the allocation of longer term therapeutic packages needs to be one that is assessed and evaluated by a panel of clinicians.

Currently it is difficult to obtain matched funding for the more complex cases and the annual re-evaluation can lead to unhelpful breaks in therapy while administrators resolve the funding issues. As a consequence the children with the highest level of need have been least well served by the ASF. This seems like ‘unfair access’.

One of the difficulties the ASF and adoption services in general are currently experiencing is the lack of a coherent and consistent theoretical approach to providing post adoption support. We don’t believe it can just be left to whatever the market delivers or to whatever parents think they need. There is now copious evidence on the impact of neglect and abuse upon child development. It is this body of knowledge that should form the basis for post placement support.

This body of knowledge combined with our experience of working with adoptive families has led us to provide an integrated multidisciplinary post placement service for adopted and fostered children. Family Futures’ approach has now been peer reviewed, evaluated and published and provides evidence of positive outcomes so we very much support the APPG’s recommendation for developing a multidisciplinary approach, not just to post adoption support, but to the whole adoption process. In this way children in foster care would be assessed more comprehensively, better matches made and post placement support programmes put in place using the expertise of a range of professionals.

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