From care, to adoption, to parenting: a two generation study of identity, risk and resilience in adoptive families

Lead Research Organisation: University of East Anglia
Department Name: Social Work

Abstract

For 20 years UK policy has encouraged the adoption of children from care, and tens of thousands are now of an age where they could become a parent. This compulsory form of adoption is controversial at home and abroad and it is vital to fully research the lifespan effects - including what happens when adoptees become parents to the next generation. A child's birth is a key event in any family, bringing joys and challenges. This study will provide a new understanding of the lived experiences and needs of people adopted from care who are now parents, and of adoptive parents who are now grandparents. It will inform support to help adopted young people to prepare for parenthood, promote their resilience, and support them as parents.
The majority of children adopted from care will have experienced early adversities such as loss, abuse and neglect. Adoption offers permanence in a new family, but even so about half of adopted young people are likely to have psychological problems which carry on into adulthood. Studies of vulnerable parents (e.g. care leavers) show they are at risk of early parenthood, parenting difficulties, even their own children going into care. But for some, having a child is a positive choice and a healing experience. This study will explore the positives and the challenges of becoming a parent from the perspective of people adopted from care. The concept of 'resilience' (healthy development after exposure to risk) is key and the risk and protective factors that can affect resilience in the context of parenting will be a central focus.
This study will also shine a light on the lifelong identity issues for adopted people. For adoptees, building identity can be hampered by gaps in their known life history, feelings of being different or stigmatised, and a lack of connection with birth relatives. Becoming a parent can stir up identity concerns and trigger a search for birth family, but these issues are unexplored for people adopted from care, many of whom will have retained some form of contact with birth relatives. We will explore how adopted people make meaning of their whole life history, including being adopted and being a parent, adding to our understanding of narrative identity development for adoptees in adulthood.
The research will also include the perspective of parents who adopted a child from care and who are now grandparents. Adoption has lifelong implications for adopters too, but there is no research on the grandparenting stage of family life in 'from care' adoptions. Because of the ongoing vulnerability of many young people adopted from care, it is important to include grandparents because they may be providing vital support to their child and grandchild.
In-depth interview data from 40 adopted people who are now parents (20 men, 20 women), and 40 adoptive parents who are now grandparents will be collected and the sample will include a mixture of linked parent/grandparent cases and non-linked cases. Narrative and thematic analysis methods will be used to answer the research questions. The involvement of stakeholders (professionals, adoptees and adoptive parents) will inform the recruitment of participants, the data collection and analysis will help generate a sound understanding of practice and policy implications.
Adoption from care is an extreme intervention in family life and a major focus of policy and investment in the UK. There is a moral responsibility to understand its impact across the lifespan; this project will generate insights about longer term outcomes. It will benefit society though building understanding of a particularly complex and challenging family form with a mixture of biological, legal and relational ties. It will benefit academics interested in narrative identity, adoption, vulnerable parents, grand-parenting, and resilience. Maximum impact on practice will be achieved through working with stakeholders to disseminate findings in a range of formats to different audiences.

Planned Impact

The most important beneficiaries are adopted young people/adults, and their children. A key goal is to help service providers understand the support needs of these individuals and families in order to promote positive outcomes for adoptees parenting their own children. This is an important, but currently overlooked, aspect of promoting resilience in children exposed to adversity, and preventing intergenerational cycles of poor parenting occurring.
The study will focus particularly on children adopted from care. However becoming a parent is something that most adoptees are likely to experience but has rarely been studied. Hence, the findings will also be of interest and relevance to the much wider group of adopted people in the UK and abroad - this group including people "relinquished" for adoption (of whom there have been over 850,000 in England) and intercounty adoptees. Through giving voice to adoptees as parents the project may benefit these members of the public.
The research may also potentially benefit other vulnerable young parents such as care leavers, as they share many similarities with adoptees such as experiences of early adversity, separation from their birth family, and a stigmatised identity. Again this is a much larger group than adoptees as about 70,000 children are in care in England.
Adoptive parents also stand to benefit from the research. As above, the main group of interest are those who have adopted children from care, many of whom may be supporting their vulnerable children to parent the next generation. The experience of adoptive parents becoming grandparents will be widespread and those who have adopted children in other circumstances may benefit from the research, as may foster parents and special guardians who support young people currently or formerly in their care.
Although the birth relatives of adopted children are not included directly in this study, they too are potential beneficiaries. Birth parents may be separated legally from their children, but the subsequent welfare of their child (and grandchildren) remains of enormous concern to most (Neil, 2017; Neil et al, 2010). Birth relatives increasingly may play an ongoing role in the lives of children after adoption, they are the biological grandparents, and how adoptees and adoptive parents perceive and manage these complex relationships will be explored in the study. Our previous research on post adoption contact (Neil et al, 2011; Neil et al, 2015) shows that where birth relatives remain involved in the lives of adoptees it is important to consider their support needs to enable this participation to be positive. The study will therefore also develop implications regarding the support of birth families.
Alongside those directly affected by the issues, there are a range of professionals who have responsibilities in supporting children and vulnerable parents, and those affected by adoption - these service providers being in both adoption specific settings (adoption agencies and adoption support agencies primarily) but also more universal services. A range of professionals may be working with these groups including social workers, assistant social workers, counsellors, psychologists, psychiatrists, psychiatric nurses, health visitors, midwives, and nursery nurses.
The ultimate beneficiaries-adopted people and their children and parents-will benefit in two main ways. Firstly the project will give voice to their experiences and raise the profile of their needs. Secondly the project will encourage and enable support providers to develop services to meet these needs.
Policy makers in the UK and abroad will benefit from the research as the study will provide important information about the impact of adoption of children from care into adulthood. This will enable policy makers to make nuanced decisions about the value of adoption from care alongside other permanence options, and to plan for the resources needed to effectively support families.

Publications

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Description • This study used a methodology novel to this group: life story interviews. It has generated significant new knowledge about the experiences of 40 adopted adults who are now parents (82% of whom were in their 20s or 30s; age at adoption ranged from 0-11 years), and 43 adoptive parents who are now grandparents. The participants had predominantly been domestically adopted (or adopted their child) since 1989, mostly through the child protection/welfare system in England. The adopted individuals experienced a wide range of pre and post-adoption circumstances, including variations in openness with their birth family. Participants described their whole life history and located being adopted/adopting a child and becoming a parent/grandparent within these life histories.
• The study achieved equal representation of men and women in the research, filling important knowledge gaps about adopted men as fathers and adoptive grandfathers.
• Adopted adults variously saw adoption in a wide range of ways including: as of low significance; a feature of positive interest; a defining positive or negative turning point; or mixed experience which did not per se resolve losses and adversities. For adopted adults, becoming a parent was associated with great joy and often a new focus and motivation in life. Many parents felt their parenting was affected by their adoption (e.g. emotional issues such as reawakened loss or anxiety; the need to redefine family relationships, including with the birth family; managing stigma). Parents were often highly conscious of 'breaking the cycle' - ensuring their children did not experience the same adversities they had been through.
• A typology of four differing types of life story as narrated by the adopted adults in the study was developed. This reflected variations in terms of people's appraisals of the opportunities and challenges they had experienced as adoptive people and as parents, and the extent to which they felt they had overcome problems (redemptive life stories) or were still affected by them in the current day (contaminated life stories). The four narrative types were: continuously stable; still battling difficulties; overcoming challenges; robbed of parenthood.
• The study has also generated significant understandings of the diverse experiences of adoptive parents as grandparents, shedding new light on the grandparenting stage in the adoptive family life cycle. Grandparents' life stories also included strong themes about the ongoing impact of abuse, neglect and adoption-related loss and stigma on their sons and daughters. The arrival of grandchildren was often presented as a positive turning point, "bringing the family together". Where sons and daughters had ongoing challenges in their lives, many adoptive parents remained actively parenting their adult children as well as supporting their grandchildren. This meant balancing their own needs in mid/later life, with the sometimes competing needs of children and grandchildren.
• The study has created an archive of the rich and insightful life story interviews. All except two participants (N = 81) consented to their anonymized interview to be added to the dataset in the UK data archive.
Exploitation Route The findings of the research will be of interest to academics interested in adoption, resilience, parenting, grandparenting, abuse and neglect, across a range of academic disciplines including social work, psychology, sociology, and social policy. The data archive provides rich and in-depth accounts of how adopted adults and adoptive parents see their lives.
This project is also highly relevant to policymakers and practitioners working in adoption, as well as people with personal experience of adoption.
The dataset includes a diverse range of adopted individuals and adoptive parents all of whom have a personal and long-term perspective on the meaning and outcome of adoption in their lives. Their views and experiences inform our understanding of the support that adoptive families need from the point of placement onwards through to the arrival of the next generation.
The findings also shine a light on how openness (or lack of openness) in adoption is experienced by adopted people, and underlines the importance of adopted people having access to information about their birth family and history pre-adoption, as well as opportunities to discuss adoption openly with their adoptive parents, and to maintain contact with their family where this is appropriate. The findings therefore can be used to inform changes to the approach to openness in contemporary adoptions where in many jurisdictions and across different types of adoption closed practices are still common.
Sectors Communities and Social Services/Policy,Healthcare

URL https://www.ueaadoptedparents.co.uk/
 
Description The interviews with adopted adults contain useful data about how this group of people have experienced the maintenance or severance of birth family relationships as a result of adoption. There is currently a strong focus in adoption policy and practice on the need to modernise the approach to maintenance of birth family connections in adoption e.g. as mentioned in the Department for Education's adoption strategy document published in 2021. In 2022 Prof Beth Neil and colleagues at UEA were commissioned by the National Adoption Strategic Team to develop a Theory of Change around the issue of the maintenance of birth family relationships and adoption. The development of the theory of change was informed by existing research and by rapid consultation with relevant groups. In terms of existing research, the learning from this study of adopted adults was extremely valuable as the testimonies of these adults speak directly to the issues of interest today. The life stories of the adopted adults demonstrate the long-term consequences of adoption policies that predominantly sever relationships with birth families. Many of the adopted adults in the study recounted how their needs to understand who they were and where they came from often went unmet because of a lack of information about their background, poor communication with their adoptive parents, and a lack of any ongoing contact with birth relatives. Thus as young adults many were seeking out this information and/or aiming to reconnect with their birth family. These processes, and forming relationships with birth family, were often challenging but people could access little support. Thus the data has been really helpful in articulating what needs to change in the current system, and what help and support adopted people need in early adulthood, including when they become a parent (a time when both family relationships were often reviewed by the adopted adults). This theory of change is now being used to guide a programme of culture change work (funded by the National Adoption Strategic Team, and being assisted by Prof Beth Neil and colleagues UEA) in the adoption sector. Beginning in April 2023 this work will include offering training to professional groups working in adoption to help support and guide cultural change within adoption agencies. For example it is hoped that agencies will be able to make more in individual and child focused contact plans, prepare and support adoptive parents for more open adoption plans, and offer more review and support of contact plans. The Theory of Change also identified the need to improve support services for adopted adults (such as access to adoption records, tracing and intermediary services, therapeutic support services) and again the life stories of adopted adults in the current research is being used to guide this work as many participants reported directly relevant experiences. The current research based on the life stories of adopted adults has been included in presentations around the theory of change. We are working on publications and outputs that will contribute to impact in fields such as the need for more adoption support services across the adoptive family life cycle and will be setting up engagement events once publications (currently under review) are in the public domain.
First Year Of Impact 2022
Sector Government, Democracy and Justice
Impact Types Societal,Policy & public services

 
Title Life Story Interviews with Adopted Adults Who Are Now Parents and Adoptive Parents Who Are Now Grandparents, 2018-2020 
Description Neil, Elsbeth (2022). Life Story Interviews with Adopted Adults Who Are Now Parents and Adoptive Parents Who Are Now Grandparents, 2018-2020. [Data Collection]. Colchester, Essex: UK Data Service. 10.5255/UKDA-SN-855382 These data were collected as part of an ESRC study exploring the experiences of adopted adults who were now parents, and adoptive parents who had become grandparents. The aim was to better understand the long term impact of adoption on adopted people and adoptive parents, including the arrival of the next generation (children of adopted people). Parents and grandparents were interviewed using a 'life story' interview method (adapted from the work of Dan McAdams) where participants gave an account of their whole life, including adoption and becoming a parent/grandparent. This method generated very rich data about how people viewed their whole life and the role of adoption in their life, with interviews lasting from 1-5 hours. The archive consists of the anonymised transcripts of in-depth interviews with the two groups of participants: (1) 38 people who were adopted as children and who have now become parents (20 mothers and 18 fathers, age range 21-54 years, mean = 33. Age at adoption varied from 0-12, with 60% being adopted over age 1 - median 1.5 years, mean 3.2 years). (2) 43 adoptive parents who are now grandparents through their adopted child/ren (23 grandmothers and 20 grandfathers, age range 47-75 years). This is almost the full dataset from the project - only 2 fathers withheld consent for their transcript to go in the archive. NB adopted adults are described as mothers or fathers; adoptive parents are described as grandmothers or grandfathers. Almost all participants were living in England and had adopted/been adopted in England. Small numbers were living in Scotland or Wales. Interviews took place in 2019-2020. Also archived is data about the demographics of the participants. About half the sample consisted of 'linked' cases - where more than one member of a family had taken part, and information is given about which interviews are linked to each other. Finally, study materials are archived (leaflets, information and debrief sheets, interview schedules, demographic data collection form, consent form). 
Type Of Material Database/Collection of data 
Year Produced 2022 
Provided To Others? Yes  
Impact The data have only recently been archived, so no impact yet. 
URL https://reshare.ukdataservice.ac.uk/855382/
 
Description Independent Review of Social Care - attending adoption roundtable 20 January 2022 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Professor Neil was invited to feed in her views and suggestions on adoption to support the Independent Review of Social Care's thinking as they moved into the recommendation phase. The closed roundtable was be led by three of the Review's experts by experience Board members and co-chaired by Josh MacAlister, Chair of the Independent Review of Social Care. Professor Neil made verbal contributions drawing on the ESRC study of adopted adults who are now parents, and adoptive parents who are now grandparents. In particular she was able to feed in perspectives of adopted adults about their longer term outcomes of adoption, their support needs, and their needs for contact and information about their birth families. This sparked discussion amongst those attended by the roundtable. The recommendations of the independent care enquiry related to adoption are expected later in 2022.
Year(s) Of Engagement Activity 2022
URL https://childrenssocialcare.independent-review.uk/
 
Description International conference paper. Rudd Adoption Centre Intergenerational relationships - session moved online COVID19. Powerpoint presentation of early research findings and discussion with 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact This was an international conference session that was moved online after COVID pandemic. The session included a personal account and three academic research papers on the topic of Adopted and Fostered Adults and their Families: Intergenerational relationships and a disucussion between presenters chaired by a leading expert in the field. The session was made available on YouTube.
Year(s) Of Engagement Activity 2020
URL https://www.youtube.com/watch?v=Kz9tGFYejr4
 
Description Online presentation for practitioners on birth family contact for adopted people 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact This online training event, held on 1 July 2021, was organised by the Midland Family Placement Group in England. The topic of the talk was "contact after adoption". The talk, presented by Prof Elsbeth Neil, drew on findings from the ESRC study of adopted adults who are now parents. She presented case studies based on the narrative analysis of adopted adults interviews, using these case studies to highlight people's needs in relation to their family contact. The training event was attended by hundred plus practitioners, most of whom are working in adoption and it provoked lively discussion and debate.
Year(s) Of Engagement Activity 2021
 
Description Online seminar presentation at Centre for Research on Children & Families, University of East Anglia. "The life stories of adoptive parents as grandparents" 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact This talk presented early findings from the narrative analysis of interviews with 43 adoptive parents who are now grandparents. A narrative typology identifying different types of life story as told adoptive parents was presented, and an analysis of the support needs of adoptive families at different points in the family life cycle was presented and discussed with the audience.
Year(s) Of Engagement Activity 2021
 
Description Podcast interview about the research project with recognised adoption and fostering blogger 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Patients, carers and/or patient groups
Results and Impact An interview/podcast between the study PI and prominent blogger on Adoption and fostering in the UK. Project PI talked about the study (funders, institutions), why research is needed, who we are looking for as participants and what would be involved for those taking part.
Year(s) Of Engagement Activity 2018,2019
URL http://www.alcoates.co.uk/2019/02/a-f-podcast-episode-56-prof-beth-neil.html
 
Description Practitioner conference talk - "The lifelong implications of adoption: learning from adoptive families when adopted people become parents" 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact This talk was presented at the University of East Anglia Centre for Research on Children and Families annual conference on 25 June 2021. The conference was held online and the audience were mainly social work practitioners. Some key findings from the ESRC study of adopted people's parents were presented, focusing on people's experiences when they had their own children and the relevance of adoption to parenting. Views of adopted parents about their role in the lives of their adopted children and grandchildren was also discussed. The talk sparked questions and discussion amongst the audience and raise their awareness of the longer term outcomes of adoption.
Year(s) Of Engagement Activity 2021
URL https://www.uea.ac.uk/documents/96135/5181392/NEIL+Conference+2021+Slides.pdf/79e1076e-cfb8-a5ec-865...
 
Description Presentation about our project at an international conference - part of a symposium about adopted people as parents 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Presentation to international conference delegates of a paper about this funded research project. Part of a wider symposium (4 papers) about adoptees as parents in different international contexts. Main audience is other adoption researchers (including postgraduates) and users of this research.
Year(s) Of Engagement Activity 2018
URL http://icar-adoption.com/schedule/symposium-from-adoption-to-parenting-how-adoptees-in-different-con...
 
Description Presentation about our project to Consortium of Voluntary Adoption Agencies at their annual meeting 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact This presentation was invited by the CVAA who are interested in our research and the later lives of adoptive families. The purpose of the talk was to share information about our research project and some initial findings, and to get some feedback on the types of outputs from the research that might be useful to practitioners. We were also interested in attendees knowledge of any adopted dads, and how we might recruit more to our study.
Year(s) Of Engagement Activity 2019
 
Description Research findings presentation (online) within Centre for Research on Children and Families. 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Presentation of early research findings from the study. Session held online with moderated (Q&A) afterwards.
Year(s) Of Engagement Activity 2020