Understanding Infant Adoption Unified Curriculum One Day Trainer’s Guide UIA 4 By Spaulding for Children Southfield, MI In collaboration with Arizona’s Children Association Tucson, AZ Harmony Adoptions Maryville, TN Latino Family Institute West Covina, CA Lutheran Social Services of South Dakota Sioux Falls, SD Funding for this curriculum was provided by Cooperative Agreements numbers 90 CG 2651/01, 90 CG 2651, 90 CG 2652/01, 90 CG 2653/01, 90 CG 2654/01, 90 CG 2655/01, 90 CG 2656/01 from the US Department of Health and Human Services. The contents are solely the responsibility of the authors and do not represent the official views or policies of the funding agency. Publication does not in any way constitute an endorsement by the Department of Health and Human Services. Published by: Spaulding for Children 16250 Northland Drive, Suite 120 Southfield, Michigan 48075 © copyright 2004 By Arizona’s Children Association, Harmony Adoptions, Latino Family Institute, Lutheran Social Services of South Dakota, and Spaulding for Children. All rights reserved. No part of this material may be reproduced, stored in retrieval systems or transmitted in any form whatever without prior permission of these organizations. Revised April 2008 Revised August 2010 Revised December 2011 For instructions on how to access special accommodations for disabilities (ADA) statement please visit our web site at www.iaatp.com. ii Table of Contents Trainer’s Guide Introduction………………………………………………….. vi Who We Are and Why We Developed this Curriculum……… xi Philosophy Underlying the UIA Curriculum ………………… xiii Central Concepts in the UIA Curriculum….…………………. xiii Guidelines…………………………………………………….. xiv Components of the UIA Curriculum………………………….. xvi Preparation and Tips for the Trainer………………………….. xxi TurningPoint Instructions…………………………………...... xxiv Module 1: Introduction ……………………………………. 1 Introduction: Objectives and Content………………….…….. 5 Pre-test……………………………………………………….. 11 Personal and Professional Values……………………………. 12 Title X………………………………………………………… 13 The Option of Adoption Video 16 Values Exercise……………………………………………….. 18 To Find Out More About It…………………………………… 25 Children’s Health Law………………………………………... 29 Clinical Guidelines for Nondirective Counseling…………….. 34 Legal and Ethical Considerations…………………………….. 36 Module 2: Adoption Practices……………………………… 1 Introduction: Objectives and Content………………………... 3 Historical Perspective of Adoption…………………………… 4 Adoption Then and Now Video ………………………………. 5 Accurate and Neutral Adoption Language……………………. 8 The Relationship Continuum………......................................... 12 Types of Adoption Activity …………...................................... 17 To Find Out More About It …………………………………... 23 Issues and Perspectives in Adoption: Then and Now ……….. 27 Ethical Considerations in Adoption…………………………... 33 A Brief Description of Open Adoption……………………….. 35 Remove Barriers and Latino Families Will Adopt…………… 37 Looking Back Over the Landscape of Adoption……………... 41 Grief and the Open Adoption Process………………………… 45 Module 3: Adoption Law and Practice……………………. 1 Introduction: Objectives and Content…………………….…... 3 Federal Adoption Laws……………………………………….. 5 Servicemembers Relief Act of 2003………………………… 7 Adoption Legal Process………………………………………. 9 Adoption Agencies/Attorneys/Pregnancy Counseling……….. 11 iii Frequently Asked Questions about Adoption (FAQ’s)……….. 18 Rights of Birth Parents………………………………………... 27 Child Protection Law…………………………………………. 30 To Find Out More About It…………………………………… 34 MEPA/IEP……………………………………………………. 35 ICWA…………………………………………………………. 36 Module 4: Social, Cultural and Personal Influences……... 1 Introduction: Objectives and Content………... 3 Influences of Family, Community and Culture in Pregnancy... 4 Option 1 of 2: Team Activity………………………………… 4 Culturally Responsive Services………………………………. 8 Birth Father Issues and Considerations………………………. 10 Engaging the Birth Father…………………………………….. 11 Special Issues For Teens……………………………………… 13 Option 2 of 2: Lecture………………………………………… 18 Culturally Responsive Services………………………………. 19 Birth Father Issues and Considerations………………………. 21 Engaging the Birth Father…………………………………….. 23 Special Issues For Teens…………………………..………….. 25 Influences Wheel ……………………………………………... 30 Influences Activity…………………………………………… 33 To Find Out More About It…………………………………… 46 Cultural Responsiveness in Providing Options Counseling….. 49 Social, Cultural, and Personal Influences…………………….. 53 Techniques for Engaging the Birth Father……………………. 58 Adolescence and the Adoption Option……………………….. 60 Families in Crisis……………………………………………... 64 Helping Teens with Future Planning…………………………. 68 Special Concerns for Adults and Teens………………………. 71 Domestic Violence Wheel……………………………………. 73 Substance Abuse……………………………………………… 74 Clinical Depression…………………………………………… 75 Pregnant Teens: Discussing Family Involvement……………. 77 Stages of Birth Father Grief………………………………… 78 Cross – Cultural Skills Checklist…………………………… 81 Self Assessment Worksheet ………………………………….. 82 Module 5: Nondirective Techniques for Informed Decision-Making……………………………………………... 1 Introduction: Objectives and Content……………………… 3 Nondirective, Noncoercive Counseling..……………………... 5 Nondirective, Noncoercive Techniques ……………………… 7 Nondirective Client Centered Approach Video…………….. 9 Informed Consent…………………………………………....... 12 Julie Video………………………………………………......... 14 iv Kesha Video…………………………………………………... 18 Option 1 of 2: Role Play Exercise……………………………. 22 Option 2 of 2: Role Play Exercise …………………………… 24 Discussing the Adoption Option Video……………………. 26 To Find Out More About It…………………………………… 32 Brief Nondirective, Noncoercive Interventions………………. 37 Legal and Ethical Considerations…………………………….. 41 Checklist for Effective Communication……………………… 46 Giving and Receiving Feedback……………………………… 48 Working with Resistant or Angry Patient/Clients…………….. 49 Birth and Adoption Plan (Sample) …………………………… 53 Introducing Pregnancy Options in Fifteen Minutes or Less …. 56 Module 6: Resources & Community Referrals for Pregnancy Counseling & Adoption ………………………... 1 Introduction: Objectives and Content……………………… 5 Making Successful Referrals…………………………………. 6 Option 1 of 2: Panel Presentation…………………………… 9 Option 2 of 2: Assessing and Making Referrals……………... 13 Closure & Adjourn…………………………………………..... 31 Post-test and Evaluation………………………………………. 32 To Find Out More About It…………………………………… 33 Sample Letter (for Panel Presentation)……………………….. 35 Assessing Community Resources…………………………….. 38 Networking and Collaboration………………………………... 40 Making Successful Referrals Checklist…………………...….. 43 Questions for Health Care Practitioners………………………. 44 Questions for Patient/Clients…………………………………. 45 Glossary………………………………..................................... 1-14 Helpful Websites…………….……………………………... 15 v Introduction A Note About the Curriculum Development Team... The funder required that this curriculum be developed, pilot tested, and submitted to the Department of Health and Human Services for review within four months of grant award. To ensure meeting that time standard, as well as the Guideline standards, Spaulding for Children, Arizona’s Children Association and Harmony Adoptions invited the other grantees to join together to develop the Unified Curriculum. The Unified Curriculum Development Work Group (UCDWG), comprised of representatives of the six grantees, developed and/or reviewed content materials in existing curricula; provided constructive criticism on content and format outlines and the modules themselves; identified reference materials and articles; and served as field test trainers and observers. Members of the Unified Curriculum Development Work Group included: • Marcie Velen, MSW, LCSW, Director of Permanency Planning, Arizona’s Children Association • Jane Ball, MA, National Curriculum and Training Institute • Pam Frye, MS, Adoption Services Director, Harmony Adoptions • Bruce Rappaport, PhD, Executive Director, Independent Adoption Center • Patti Colston, MS, Program Director, Independent Adoption Center • Maria L. Quintanilla, MSW, Executive Director, Latino Family Institute • Frances Marron-Zamarripa, MSW, IAATP Program Director, Latino Family Institute • Julie Klinger, Project Director, Lutheran Social Services of South Dakota • Terry Tompkins, Lutheran Social Services of South Dakota • Jean Niemann, MSW, ACSW, National Coordinator, Spaulding for Children • Ernestine Moore, MSW, JD, Contractual Curriculum Director and Editor, Spaulding for Children • Pam Wolf, LCSW, Executive Director, Harmony Adoptions • Gloria A. Cortez, Community Outreach Coordinator, Latino Family Institute • Ann Avery, RN, MSN, CPNP, Clinical Services Director, Health Services Northwest Michigan • Susan Grough, RN, BSN, President, Priority Health Services, Inc. • Sylvia Sims Gray, Ph.D., Professor, Eastern Michigan University • Daphne Nedd, PhD, Assistant Professor, Wayne State University School of Nursing (also a nurse midwife) • Suzanne Weathers, MSN, RN, Lead Nurse Planner vi Due to the rigorous timelines for completion of the curriculum, a tightly managed process allowing for concurrent development, review, and refinement was developed. This process involved several steps, which are: • A curriculum content outline was developed based on the Federal Guidelines. • A curriculum writing and video production schedule was established within two weeks of the grant award. • The UCDWG agreed on a training design and proposed content. • A UCDWG member volunteered to lead a team to refine the training design, research and write content, and developed