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NACAC Position Statements

The following statements serve as a record of the North American Council on Adoptable Children's position on a variety of issues related to child welfare. In some cases, the statements reflect the belief that a given law, policy, or practice is not in the best interest of children. Regardless of our position on a particular law, however, NACAC complies with existing law at all times, and will continue to do so.

Click on the topics below to read the position statements.

Title

Date Passed

Access to Records

December 3, 2005

Access to Residential Treatment

December 3, 2005

Adoption Assistance

March 26, 2006
Adoption Disruption and Dissolution April 5, 2009
Allegations of Abuse July 26, 2006
Best Interests of the Child or Youth
December 1, 2007
Children's and Youth's Needs

March 25, 2007

Data Collection

December 3, 2005

July 25, 2007

Fees in Adoption

December 3, 2005

Financing of Child Welfare Programs and Services

December 3, 2005

Gay and Lesbian Foster Care and Adoption

April 9, 2005

Implementation of the Hague Convention

December 3, 2005

Kinship Care

July 26, 2006

LGBTQ Children and Youth in Care

December 3, 2005

Native and Aboriginal Children in Foster Care, Guardianship, and Adoption

December 3, 2005

Open Adoption

December 3, 2005

Orphanages

December 3, 2005

Permanency Planning/Continuity of Relationships

December 3, 2005

Post-Adoption Support

December 3, 2005

Pre-Placement/Pre-Adoption Issues

December 3, 2005

Privatization

December 3, 2005

Race/Ethnic Background and Child Welfare

August 3, 2005

Recruitment of Permanent Families

December 3, 2005

Safe Havens July 30, 2008

Siblings in Foster Care and Adoption

December 1, 2007
Subsidized Guardianship

July 26, 2006

Tax Policy to Encourage Permanence for Foster Children and Youth

December 3, 2005

Access to Records

Philosophy

NACAC believes that every adopted person has the right, at the age of majority, to receive personal information about his or her birth, foster, and adoption history, including medical information, and educational and social history. NACAC supports efforts of adoptees to have access to information about and connections with their birth and foster families.

Practice Recommendations

NACAC believes it is the responsibility of states, provinces, and all child-placing agencies to create, support and adequately fund adoption disclosure registries that actively seek birth relatives or adoptees, upon registration of any of these parties. If such active registries are not available, NACAC supports voluntary mutual consent registries for adults as one way for adoptees to access information.

Recognizing that many adult adoptees have a need for more complete information about their birth families, NACAC supports their right to this information and supports access to original birth certificates to any adult adoptee at age of majority.

Upon a showing of good cause, courts should have the authority to require disclosure of adoption information and birth records to adoptees, birth family members, and adoptive family members. States, provinces, and agencies must preserve birth and adoption records safely and accessibly for future retrieval.  

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Access to Residential Treatment

Philosophy

Currently, in many cases, adoptive families must place their children and youth back in foster care to receive residential treatment. Children and youth with a history of trauma, especially those with previous residential treatment experience, are more likely to need extensive mental health services even after adoption. Out-of-home mental health services should be designed to support child and family connections throughout the treatment period.

Policy and Practice Recommendations

State, provincial, and local policies should not penalize adoptive families whose adopted children and youth need out-of-home care. No family should be charged with abandonment or forced to give up custody of their child or youth in order to receive mental health services or out-of-home care.

If children and youth adopted from foster care must live away from their adoptive family in either residential treatment or foster care, the family should not be required to take on financial responsibility beyond any state, provincial, or federal adoption assistance payment they may receive.

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Adoption Assistance

Philosophy

Federal, state, tribal, provincial, and territorial governments have a responsibility to ensure the safety and security of all children and youth who have been in the guardianship of the government through the foster care system (hereafter referred to as foster children and youth or children and youth adopted from foster care). All foster children and youth who are placed with adoptive families should be eligible for benefits through an adoption assistance program* (also known as adoption subsidy).  

Adoption assistance is designed to supplement the resources of the approved adoptive family in order to meet the child’s or youth’s needs without creating an undue financial burden on the family. Adoption assistance programs and policies should be structured so that there is not a disincentive for a family to move a child or youth from foster care to adoption.

Policy and Practice Recommendations

NACAC seeks reforms within adoption assistance programs in the U.S. and Canada so that all foster children and youth are eligible for benefits that will enable their families to meet the children’s or youth’s needs. Specifically:

  • Each state, province, territory, and the U.S. federal government should operate fully funded, child-focused adoption assistance programs.

  • Children and youth who are adopted from foster care should be eligible for at least the same level of support and benefits (including any therapeutic or specialized rates) they would have received in family foster care.

  • Specific adoption assistance program benefits should be determined on a case-by-case basis to meet the specific needs of the foster child or youth being adopted. Agencies must notify all prospective adoptive families of the benefits for which their child would be eligible. Agencies must be diligent and effective at providing parents with full information and equal status to ensure fairness in the negotiating process, thereby maximizing the opportunity for placement success. Negotiations should not be seen as a process to either minimize or maximize benefits, but rather a process by which the parties determine what the child or youth needs to function successfully in the adoptive family. To ensure that children and youth receive the support they need, states, provinces, and placing agencies should train workers about the purpose of the adoption assistance program and should encourage negotiation designed to achieve the right benefits for the specific child or youth, rather than the lowest possible benefits. In addition, agencies should train prospective adoptive families about how to negotiate for the benefits their new child truly needs.
  • Families should be eligible for different adoption assistance benefits when their children’s needs change.

  • Until adoption assistance programs cover all children and youth adopted from foster care, deferred adoption assistance agreements combined with a “high-risk” special needs definition should be used to ensure future access to necessary adoption assistance benefits for foster children at risk of developing or manifesting special needs as they age (such as those at high risk for mental illness or exposed to drugs or alcohol in utero, for example).

  • When children or youth receiving adoption assistance payments need out-of-home care, the cost of care to the family should not exceed the adoption assistance payment.

  • Adoption assistance agreements should clearly state that they will remain in force at least until a youth is 18. For youth with mental, physical, or behavioral special needs or other special circumstances, adoption assistance should be extended until the youth is 21. In the U.S., the federal government should continue to provide IV-E reimbursement to states for payments made to IV-E-eligible 18- to 21-year-olds.
  • A financial means test should not be used to determine a child’s, youth’s, or family’s eligibility for adoption assistance benefits or the level of those benefits.

  • Adoption assistance payments should not be taxable income.

Specific U.S. Recommendations

  • U.S. federal law should be changed to remove the link between a birth parent’s AFDC eligibility and a child’s or youth’s eligibility for Title IV-E Adoption Assistance. Policies should be designed to ensure that every child or youth adopted from foster care has access to federal adoption assistance benefits to meet the child’s or youth’s needs.

  • Tribes should have direct access to Title IV-E funding on behalf of children in their care and custody, rather than having to negotiate individual state/tribal agreements.

  • If an adoption assistance agreement is not in place at finalization, states should be able to negotiate and approve a post-finalization adoption assistance agreement without making families to go through the fair hearing process in order to maintain the child’s or youth’s Title IV-E eligibility.

  • When judges order adoption assistance agreements for children or youth who are adopted from foster care, those agreements should be eligible for Title IV-E adoption assistance reimbursement.

  • Until the U.S. provides universal health care, all children and youth adopted from U.S. foster care should be eligible for Medicaid.

*By adoption assistance, NACAC means the federal, state, provincial, and territorial programs that support children adopted from public foster care. Such support can include medical coverage, monthly payments, respite or day care, individual and family counseling, residential treatment, specialized camps, etc. (These services may also be available to other adopted children through a state's or province’s post-adoption service program.)

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Adoption Disruption and Dissolution

Philosophy

In special needs adoption today, disruptions and dissolutions do occur; therefore, adoptive placement should be done carefully and thoughtfully. (An adoption disruption is the end of an adoption placement that has not yet been finalized. An adoption dissolution is the end of an adoption after finalization.) Disruptions and dissolutions are hard on children and families.

When an adoption disrupts/dissolves, contact between the family and the child/youth should not necessarily end. Continuity of relationships is important to children/youth, and child welfare professionals should help children/youth and families maintain connections after disruption/dissolution when it is in the child’s best interests and is safe and possible to do so.

NACAC believes that many disruptions/dissolutions can and should be prevented through improved child/youth and family preparation, child/youth and family selection,* and ongoing support including complete disclosure of the child/youth’s background, behaviors, and needs. States, provinces, territories, tribes, and placing agencies and organizations have a responsibility to implement practices to prevent disruptions/dissolutions and to support children/youth and parents when disruption/dissolution occurs. Placing agencies and organizations should never make it necessary for an adoption to disrupt or dissolve in order for a child/youth or family to access services. Support will increase chances of future adoptive placement success for the child/youth and the adoptive family.

Policy, Practice, and Research Recommendations

Preventing Disruptions and Dissolutions

Before Placement

All placing agencies and organizations must train staff about the importance of relationship continuity to child/youth well-being, as well as the role of family selection, preparation, and support for all parties in adoption. The training should also address the agency’s and staff’s responsibility to help prevent disruption/dissolution, and all parties’ need for nonjudgmental support in a case of disruption/ dissolution.

States, provinces, territories, tribes, and placing agencies and organizations should do the following before each adoptive placement:

  • fully investigate a child/youth’s background and life experiences, develop a detailed social history, and thoroughly assess the child/youth’s health, abilities, interests, goals, and educational and other needs (see NACAC’s statement on Cognitive, Social, Emotional, Physical, Developmental, and Needs of Foster and Adopted Children and Youth)

  • assess prospective parents’ strengths, limitations, ability to parent

  • children with specific disabilities or special needs, parenting style, and expectations

  • assess the parents’ ability to value and support birth family connections and the child/youth’s connections to birth family members (including siblings) and other people important to the child/youth, and make placements based on whether the family’s openness to facilitating contact reflects the child/youth’s contact needs
  • consider, in the selection process, the child’s language, culture, race/ethnic background and the families’ ability to meet the child’s cultural needs

  • analyze the results of both the child/youth and family assessment, and match family strengths with child/youth’s needs

  • prepare and support the child/youth’s foster parents so they can be supportive of the placement

  • prepare and support the child’s birth parents, siblings, and other relatives through each stage of the permanency planning process

  • before visits begin, ensure that both the child/youth and the entire prospective family are fully prepared for and willing to accept the placement, and that each party has detailed information about the other
     
  • provide a trained, adoption-competent counselor to work with both the child/youth, prospective adoptive family, and current foster family to assess and address fears, concerns, possible areas of conflicts, and other issues that might affect adoption success

  • plan—with the counselor, prospective adoptive family, current foster family, and child/youth—the adoption transition

Since some research suggests adoptive placements with foster and kinship caregivers are less likely to disrupt/dissolve, states, provinces, territories, tribes, and placing agencies and organizations should:

  • actively search for relatives for each child when the child enters care, and quickly place with relatives whenever possible (see NACAC’s position statement on Kinship Care)

  • effectively implement programs to place children/youth with relative and non-relative foster parents who will work toward reunification but also agree to provide permanency if the children/youth do not return home

  • use dual foster care/adoption licensing so both relative and non-relative foster parents can more easily transition to adoption

  • ensure that workers discuss the possibility of adoption with foster parents and relatives

During Placement

tates, provinces, territories, tribes, and other placing agencies and organizations must ensure that the adopted child/youth and the entire adoptive family are effectively supported from the selection process through the transition and throughout the adoption placement. Such support should include:

  • adoption assistance that meets the child/youth’s needs

  • consistent, affordable access to all needed services, including a social worker or post-adoption service worker, parent support groups, training on adoption and special needs, medical care, respite care, etc.

  • access to affordable, effective in-home family therapy, other mental health services, and temporary out-of-home mental health treatment

  • support in maintaining any connections to birth family members (including siblings) and past caregivers and others important to the child/youth

  • crisis intervention services

Access to these services should never be contingent on the child/youth being placed in foster care or on an adoption disruption/dissolution.

(For more detailed information, see NACAC’s position statements on Access to Residential Treatment, Adoption Assistance, and Post-Adoption Support.)

Providing Support after Disruption/Dissolution

When a disruption/dissolution does happen, states, provinces, territories, tribes, and other placing agencies and organizations must:

  • continue to seek an adoptive family or other permanent placement for the child/youth

  • assess the child/youth’s birth family and other relatives to see if they can provide a safe and permanent home for the child/youth

  • work with the child/youth and family to develop a transition plan that ensures a thoughtful, minimally traumatic move of the child/youth; the plan must include opportunities for the child/youth to say goodbye to the family, as well as neighbors, friends, and others in his/her life

  • support continued relationships with these individuals whenever safe and possible
  • provide the child/youth and adoptive family with therapeutic support to address grief and trauma due to the disruption

  • gather information from the adoptive family, others in the child/youth’s life, and the child/youth about his/her strengths, preferences, routines, behaviors, and concerns and share that information with future caregivers

  • provide the child/youth and family with extra preparation and support in future adoptive placements

  • provide information to families about parent support groups

  • recognize the impact that disruption/dissolution has on agency staff and provide supervision and support to help staff deal with the effects

  • notify the tribe and birth family, in cases of children covered by ICWA

 Workforce Issues

Worker changes on a case have been shown to correlate with increased disruption/dissolution, therefore states, provinces, territories, tribes, and other placing agencies and organizations must address issues that lead to burnout, turnover, and layoffs, including funding, pay, training, caseload, and other working conditions. Agencies and organizations must also recognize that disruption/dissolution can be traumatic for staff and can affect their future performance, and should provide adequate supervision and support. When any placement disrupts/dissolves, involved agencies and organizations should hold a review meeting to assess what happened and how future placements can be preserved, including resources that may have been needed and child, family, and agency factors that affected the placement.

Tracking Disruptions/Dissolutions and Conducting Research

The U.S. federal government and Canadian provinces and territories should develop a standard definition of disruption and dissolution. States, provinces, territories, and tribes should accurately gather and report the following data:

  • the number of intact, disrupted, and dissolved placements each year, tracked by type of adoption (international, private domestic, foster care, etc.)

  • for each disruption/dissolution:

-the reason for the child/youth’s original removal from birth family

-child/youth’s age at placement and at disruption/dissolution

-whether the child/youth was placed with siblings and the status of any sibling's placements

-the length of time the child/youth spent in care and the number of placements

- any physical, emotional, or behavioral problems the child/youth had at placement

- adoptive family characteristics (relationship to the child/youth before placement [foster parent, relative, etc.], marital status, family size, family and child/youth race/ethnic background, etc.)

-stated cause of disruption/dissolution

-services provided before and during the adoption (including child/youth and family preparation), as well as any specific efforts to prevent disruption/dissolution

-services that were needed but were not available or provided before and during the adoption

Both the U.S. and Canadian federal governments should also fund in-depth comparative studies of successful adoptive families and families involved in disruptions/dissolutions to identify any parent or child/youth characteristics, practice issues (matching, preparation, etc.), and supportive services that are more common in successful adoptive placements versus disrupted/dissolved placements.



* This has historically been known as matching. The term family selection indicates a focus on choosing a family that can best meet a child/youth’s needs.

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Allegations of Abuse

Philosophy

Foster, adoptive, and kinship families may be vulnerable to allegations of abuse. For these families, child welfare authorities and agencies have an obligation to ensure the safety of children for whom they have assumed responsibility. When allegations are made, agencies must keep the child or youth’s best interests in mind and act quickly, fairly, and accurately to investigate and resolve the complaint.

Practice Recommendations

1. Agencies should educate all prospective foster, kinship, and adoptive parents about their potential to act in an abusive manner or to be vulnerable to false allegations of abuse. Agencies should train and support families to avoid abusive behavior and keep their children and youth and themselves safe. Training should include appropriate parenting techniques for children who have been abused or neglected.

2. Agencies should also encourage all family members to participate in the development of an abuse prevention and safety plan.

3. Agencies should inform, in writing, and provide training to all foster, adoptive, and kinship caregivers about the process for investigating allegations as well as the parents’ rights and resources if they should be accused.

4. Child welfare agencies, including child protection agencies, have an obligation to provide training on abuse and allegations to all staff as well as to community response agencies, police, schools, medical and mental health professionals, and others who respond to allegations of abuse.

5. Agencies must develop a process for handling all allegations of abuse or neglect that includes the following elements:
  • The child or youth’s safety and well-being are paramount. The first step must be to assess and ensure the child’s safety and well-being.
  • When the child or youth’s well-being can be assured, the child or youth should not be unnecessarily removed from the family. Agencies must carefully contrast the potential long-term harm to the child or youth caused by removal from a family against the risk of harm from suspected abuse or neglect. Whenever possible, agencies must consider alternate safety provisions (such as removing an alleged perpetrator during the investigation while leaving the child or youth with the rest of the family).
  • Once the child or youth’s safety has been assured, the foster, kinship, or adoptive parent(s) must be promptly notified in writing about the allegations, the process for investigating the charges, and any opportunities for response from the parent(s).
  • The investigation should be timely, careful, impartial, and skilled and should take into account the child or youth’s and family’s unique history. Any agencies involved in the investigation (child protection, the family’s agency, the child or youth’s agency, etc.) should coordinate efforts and communicate roles to the family. To protect the child or youth, investigating agencies should avoid unnecessarily duplicative interviews with them. The entity that conducts an interview with the child or youth should share the results of the interviews with other agencies and departments involved in the investigation whenever necessary.
  • The investigating agency should inform the child or youth’s worker of the allegation and ask for relevant information about the child or youth’s past history, especially any specific vulnerabilities or past instances of abuse or alleged abuse of the child or youth. The agency should also notify any other caregivers or providers when necessary to protect the child or youth’s safety and well-being.
  • The process should include an avenue for timely appeal through administrative or judicial review.

6. When allegations are found to be false, agencies should promptly provide the accused parent(s) and any other notified parties with formal, written acknowledgment of the result of the investigation.

7. When allegations are substantiated, foster, adoptive, and kinship parents should be treated as any other abusive or neglectful parent, including listing in the state’s, province’s, or territory’s central registry. When it is in the child’s best interests, foster and kinship parents should have the same opportunities for support and family preservation or reunification as birth and adoptive parents in similar situations.

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Best Interests of the Child or Youth

Philosophy

NACAC’s position statements often refer to the best interests of a child or youth, so below we detail what we believe should be included in assessments of a child’s or youth’s best interests. NACAC acknowledges that such determinations are extremely challenging and that workers and judges often must balance competing best interests such as those of the child’s or youth’s siblings or other family members, or community or cultural groups (such as a tribe).

Best interests determinations must be made on an individual, child- or youth-specific basis. The right decision for one child or youth may not be in the best interests of another child or youth, even one in similar circumstances. Best interests assessments should be ongoing, and should take into account changes in the child’s, youth’s, or family’s circumstances. In making such determinations, workers and judges should seek input from the child or youth, family members, and community members.

Policy and Practice Recommendations

Whenever a best interests determination is required, the following factors* shall be considered in the context of the child’s or youth’s age and developmental needs:

  • The physical safety and welfare of the child or youth, including food, shelter, health, and clothing
  • The development of the child’s or youth’s identity
  • The child’s or youth’s background and ties, including familial, cultural, racial, ethnic, language, and religious;
  • The child’s or youth’s sense of permanent attachments, including:
    • Where the child or youth actually feels love, attachment, and sense of being valued
    • The child’s or youth’s sense of security
    • The child’s or youth’s sense of familiarity
    • The least disruptive placement alternative for the child or youth
  • The child’s or youth’s wishes and long-term goals
  • The child’s or youth’s community ties, including church, school, and friends
  • The physical, emotional, mental health, and educational needs of the child or youth, now and in the future
  • The child’s or youth’s need for legal permanence (reunification, guardianship, and adoption)
  • The child’s or youth’s need for stability and continuity of relationships with kin, parent figures, and siblings
  • The risks attendant to entering and being in foster care
  • The probability of success of any (permanent or temporary) placement arrangement
Financial and programmatic support and services should be available to support any placement made in the child’s or youth’s best interests.

*NACAC adapted these factors from the Illinois state statute on best interests.

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Cognitive, Social, Emotional, Physical, Developmental, and Educational Needs of Foster and Adopted Children and Youth

Philosophy

Research has demonstrated that abuse, neglect, in-utero exposure to drugs and alcohol, and multiple placements in foster care all have damaging effects on children and youth, and that special services are often required to ensure the healthy development of children and youth who have spent time in foster care. Children and youth in foster care have been found to have disproportionately higher rates of physical, developmental, and mental health problems.

NACAC believes that the public child welfare system has primary responsibility to properly assess and address the cognitive, social, emotional, physical, developmental, and educational needs of children and youth who are or who have been in the foster care system. The child welfare system must partner with family and community to do a thorough assessment and must provide services and support that meet the child’s or youth’s full range of needs. Both assessment and service provision are necessary to ensure the best possible outcomes for every child and youth in care.

Practice Recommendations

  1. Within 30 days of a child’s or youth’s entry into foster care, the child’s or youth’s agency should be responsible for the completion of a comprehensive, racially and culturally competent assessment of the child’s or youth’s physical health (including dental health), mental health, and developmental and educational needs. The age-appropriate and developmentally tailored assessment should be anticipatory and preventive, focusing on early identification and interventions. The assessment should include the child’s or youth’s strengths, motor skills, cognition, speech and language function, emotional well-being (including interests, family connections, ability to form personal relationships), educational level and achievement, and behaviors. To ensure accurate background information and accurate identification of issues following the child’s or youth’s entry into care, each assessment should include:
    • a process—such as a family group conference meeting—for obtaining input from the child’s or youth’s family and community members who knew the child or youth before removal
    • conversations with the child or youth to determine who he/she is, what is important to him/her, and what he/she needs
    • detailed information about the child’s or youth’s entire family—including siblings, birth parents, and other family members.

The assessment should be updated at least every six months for the first year a child or youth is in care, and then annually thereafter. In some cases, based on the individual needs of the child or youth, updated assessments should be done more frequently.

  1. The child or youth must be given the opportunity to be a full participant in a meaningful and respectful assessment, and be given proper support to ensure an open, honest, and inclusive process. This support should include accommodations of age or ability or other special circumstances, the opportunity to participate by videotape rather than in person, and the chance to speak with the person of the child’s or youth’s choice (a birth parent or other relative, friend, foster parent, CASA, teacher, counselor, etc.) before the assessment and to bring that person to any meetings conducted as a part of the assessment.
  1. Courts should require and child welfare agencies must undertake the responsibility for identifying a community-based multi-disciplinary team to conduct a single, coordinated assessment. The team should include physicians, mental health providers, caregivers, birth and foster parents, educators, community resource providers, guardians/attorneys ad litem, court-appointed special advocates, the child’s or youth’s social worker, etc., and should use standardized instruments and assessment tools that accurately assess the child’s or youth’s developmental stage, attachment, physical health, mental health, and educational achievement and needs. The assessment must consider the child’s or youth’s history of abuse, neglect, and foster placement and how this has affected the child or youth. Practitioners conducting the assessments must be properly trained, and have experience, in these areas. After the assessments are completed, the team must develop a single written assessment report.
  1. To ensure the training of practitioners, schools of social work—in conjunction with child welfare experts—should develop BSW and MSW courses as well as post-certification programs that educate students and service providers on the effects of abuse, neglect, and foster care placement on a child’s or youth’s development as well as physical and mental health. Similarly, schools that prepare professionals who serve children in foster care (including schools of education, law schools, medical schools, nursing programs) should develop curricula materials and classes that highlight the effect of abuse, neglect, and foster care on a child’s or youth’s development as well as physical and mental health.
  1. Each assessment report should identify the services the child or youth needs (including educational supports such as tutoring), establish an effective plan for funding and delivering those services and supports, and identify a process for ensuring that services and support are actually provided. The agency should send the assessment report to all members of the assessment team, the judge, social workers, guardians/attorneys ad litem, and birth and foster parents. Teachers and others involved in caring for the child or youth should receive those portions of the assessment report that relate to the services they are providing to the child or youth. The agency should be held accountable for using the assessment in making the best placement decision for the child or youth, and determining whether, with appropriate services and support, the family of origin can meet the child’s or youth’s needs. When children are reunified with their family of origin, the agency should be held accountable for putting in place a plan to ensure that the needed services are available and accessible and ensure that those supports build on the family’s strengths. If reunification is not possible, the agency must use the assessment to make a placement decision with a caregiver(s) who can meet the child’s or youth’s needs and to assure that the appropriate subsidies and services are provided in the new permanent family. The agency must report to the court on the provision of services and supports, and the court should make a finding on whether the plan is being effectively implemented.
  1. The initial assessment should be considered a baseline to which subsequent assessments are compared to determine whether the supportive services are meeting the child’s or youth’s needs and enhancing the child’s or youth’s strengths. If the assessment identifies that the child’s or youth’s situation warrants, the supportive services should be changed to ensure the best possible outcomes. When services are successfully helping the child or youth, however, those services should remain in place.
  1. After a child is in a permanent family (whether through reunification, adoption, or guardianship), the family should have the option for an annual re-assessment of the child or youth’s needs and a plan for the provision of needed services. The plan should include a determination of how the services will be provided to the child or youth. When necessary, the services should be provided by the state or province/territory, so that financial issues do not prevent the child or youth from getting the help he/she needs. (In the long-term the provision of services is likely to be cost-effective since it can prevent the return of the child or youth to the foster care system.)

Policy Recommendations

To make services more accessible to families, the government should:

  1. Require private and public medical insurance entities to cover mental health services at the same level of coverage as physical health services
  1. Review Medicaid reimbursement rules and increase reimbursements and streamline the reimbursement process so that more providers are willing to accept Medicaid
  1. Require HMOs to hire and retain qualified, competent service providers, and when those providers are not available, to make referrals to and fully fund treatment received out of network
  1. Fully support the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program through which foster and adopted children can receive assessments and services through Medicaid.

To ensure educational continuity for foster children and youth, the government should pass legislation that:

  1. Allows foster children to remain in their school of origin for the duration of the school year, in spite of placement moves, when it is in their best interests
  1. Requires placing agencies to consider school stability as a factor during placement decisions
  1. When school moves are necessary, requires the placing agency to request, and the schools to comply with, immediate transfer of the child’s or youth’s records to the new school, and requires the new school to immediately use the records to facilitate the implementation of needed academic support services and appropriate class placement
  1. Allows a foster child to be immediately enrolled in school even if all typical requirements (records, immunizations, uniforms, etc.) are not available
  1. Requires districts to calculate and accept credit for full or partial coursework satisfactorily completed by the student and earned while attending a public school, juvenile court school, or nonpublic, nonsectarian school
  1. Ensures that foster youth will not be penalized for absences due to placement changes, court appearances, or related court-ordered activities.

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Data Collection

Philosophy

NACAC believes that effective permanency planning for children and youth is best done if there are accurate accountability systems that track the number of children in foster care and other out of home placements, as well as systems that assess and track each child’s well-being and permanency outcomes.

Practice Recommendations

Agencies with responsibility for foster children should track, and report to their state/province and national government, data on each child in their care, including:

  • data about the child’s well-being, including educational attainment and health status
  • historical data on the child and his or her birth family
  • a complete record of the child’s placement history, including disruptions and dissolutions

Data should be kept longitudinally so that accurate information is available on each child’s length of stay in care and specific placement outcomes. States, provinces, and federal governments should make collected data available in a timely fashion, so that data may encourage informed funding and policy decisions.

The U.S. federal Child and Family Service Reviews should include data on children’s well-being rather than simply tracking process results. The federal government should work with agencies and experts in child well-being to develop accurate well-being measures that can be used to assess the performance of states’ child welfare programs.

The federal government should adequately fund needed additional research to help guide child welfare practice. Research should include: (1) longitudinal prospective analysis of how youth who age out of care fare compared to children and youth who are adopted or are in the general population; and (2) analysis of what makes successful families, including any necessary pre-adoption preparation or post-adoption support.

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Eliminating Categorical Restrictions in Foster Care and Adoption

Philosophy

Children and youth should not be denied a loving family due to restrictions on particular types or categories of prospective foster or adoptive parents. Limitations that prevent classes of individuals or groups from becoming foster or adoptive parents hurt children and youth who are in need of loving families. Experience and research have shown that diverse and non-traditional families can successfully parent children and youth in foster care and adoption.

Practice and Policy Recommendations

NACAC opposes rules, legislation, and practices that prevent the consideration of current or prospective foster or adoptive parents based on any of the following characteristics: age, race/ethnic background, gender, family size (including single parent status or number of siblings in the family), marital status, health or disability status, sexual orientation, gender identity, prior professional relationship with the child or youth, or status as foster care or adoption agency employee.

All child-placing agencies should fairly and equitably consider each applicant for certification as a foster or adoptive parent based on the individual's or family’s ability to care for foster or adopted children and youth who need a family. Specific placement decisions should be made based on whether an individual or family can meet a specific child's or youth's needs.

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Fees in Adoption

Philosophy

Although there are legitimate costs in providing adoption services, financial issues should never be the deciding factor in matching a child or youth with adoptive parent(s). Rather, placement decisions must be based on each family’s ability to meet an individual child or youth’s needs, including his or her cultural needs. Unfortunately, adoption fees and other related costs often present a barrier to the prospective adopters who may be best able to meet a child or youth’s needs. NACAC believes that adoption fees should never serve as a barrier that keeps a child or youth from achieving a permanent family.

Policy and Practice Recommendations

For adoptions from public foster care, governments agencies—federal, state, provincial, territorial, and tribal—should fund adoption services so that prospective adopters bear no costs (including home studies, legal fees, pre- and post-placement support services, etc.). In the United States, all fees paid by state or county agencies should be reimbursable by the federal government through Title IV-E funding.

For private agency adoptions, adoption agencies should find creative ways to provide the entire array of culturally competent adoption services at no charge, including seeking government and private funding, partnering with legal organizations, and waiving fees for families.

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Financing of Child Welfare Programs and Services

Philosophy

NACAC recognizes the important role of national governments in providing policy leadership and financial support to child welfare programs. NACAC supports the creation of adequate and targeted federal funding streams for public child welfare programs that preserve safe and stable families, or when necessary find and support alternative permanent families for children and youth, through the implementation of best practices. NACAC also encourages states, provinces, territories, tribes, and aboriginal authorities to adequately fund child welfare best practices in order to provide the full array of services from prevention through post placement.

Policy Recommendations

Fiscal Incentives

NACAC recommends that national governments develop a policy of fiscal incentives that encourage the permanent placement (including reunification, adoption, and permanent placement with a relative, or guardian) of a child or youth, ideally within two years., State, provincial, territorial, tribal, and local governments should additionally be required to devote adequate resources to permanently place any child or youth who has been in care longer than two years.

Adoption Incentive Program

NACAC supports reauthorization of the U.S. federal adoption incentive program with the following changes:

  • The baseline should be based on the percentage rate of the jurisdiction’s foster children and youth who achieve permanence through adoption.
  • Incentive payments should be used solely for post-placement services and adoption promotion.
  • States should be alowed two full federal fiscal years to spend the adoption incentive awards.
  • Tribes should be directly eligible for the adoption (including customary adoption) incentive program.
  • Customary adoptions under tribal law should be eligible for inclusion in each jurisdiction’s adoption incentive statistics.
  • As part of reporting finalized adoptions for this program, states must provide data on adoptions that are dissolved after finalization.

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Gay and Lesbian Adoptions and Foster Care

Philosophy  

Children should not be denied a permanent family because of the sexual orientation of potential parents.  

Practice and Policy Recommendations

All prospective foster and adoptive parents, regardless of sexual orientation, should be given fair and equal consideration.

NACAC opposes rules and legislation that restrict the consideration of current or prospective foster and adoptive parents based on their sexual orientation.

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Implementation of the Hague Convention

Philosophy  

NACAC supports a system of safeguards and cooperation to protect the best interests of children, birth parents and adoptive parents in intercountry adoption.  

Policy Recommendation  

NACAC supports ratification and implementation of the Hague Convention on Intercountry Adoption, which provides for high quality, accessible services, and expediency of process. NACAC supports the development of an affordable accreditation process and standards based on quality of services other than size or structure of the providers. NACAC also supports a central authority system that functions to facilitate and oversee intercountry adoptions, recognizing that timely permanency is in the best interest of a child. The central authority should never use adoption as instrument of foreign policy.

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Kinship Care

Philosophy

NACAC recognizes that children and youth have a right to be connected to kin and to other significant family and community members. NACAC encourages kinship foster care as a preferred alternative placement when the kinship care provider is able to ensure the child or youth’s safety and well-being.

NACAC also supports placing children or youth with relatives as an alternative to placement in foster care, and believes that relative caregivers in such placements deserve support to help them ensure the safety and stability of the children or youth in their care. Too often, relative caregivers are told that they must accept responsibility for their kin or else the child or youth will be placed in foster care. These caregivers often need support, and should not be forced to choose between raising a child or youth with no support or having their kin enter the foster care system. Placement decisions should be made on an individual case-by-case basis based on the child or youth’s best interests.

NACAC recognizes that even if relatives are not able to provide care for a child or youth, they may have a positive role to play in the child or youth’s life.

Practice and Policy Recommendations

Kinship Foster Care

Diligent searches must occur for maternal and paternal relatives or others with established relationships with the child or youth in a timely and effective manner prior to or immediately when a child or youth enters care. A diligent search must include identifying, locating, contacting, recruiting, and supporting relatives and others with significant connections to the child or youth, and then exploring with them their interest and capacity to provide a temporary or permanent placement for the child or youth. Children and youth should be actively involved in identifying those connections.

If a diligent, culturally appropriate search has been completed and no kin placement resource has been identified, and the child or youth is in an approved permanent placement, any further searches, if conducted, should not be allowed to disrupt the permanent placement. Any searches after this point should be conducted solely to provide the new permanent family with relative or kin connections that can enhance the child’s or youth’s life.

Kinship foster families should be reimbursed at standard foster care rates, and adoption or guardianship should be options when they protect the best interests of the child or youth. When adoption or guardianship is considered the best option, the federal, state, or provincial government should also provide subsidies when they are in the best interests of the child or youth or when required by law. (see Adoption Assistance and Subsidized Guardianship statements)

Kin foster families should be evaluated to assure that the child or youth will be safe and nurtured in the care of the family. These families should also be provided support and services to ensure that the child or youth’s needs are continuing to be met.

Recognizing the unique value to children and youth of placing them with kin, NACAC opposes federal regulations mandating that all kinship foster parents be subject to the same licensing requirements as non-kin foster parents in order for states to be reimbursed through Title IV-E for payments made to kinship foster parents. Notwithstanding the exemption from licensing requirements, the safety of the child should be assured in any placement.

Placements with Kin to Avoid Placing a Child or Youth in Foster Care

Children and youth who are placed with kin through the child protection system or by the department of social services to avoid entry into foster care should be eligible for relative assistance payments equal to the foster care rate the child would have received if in care.

The department of social services should evaluate these kin caregivers to assure that the child or youth will be safe and nurtured in the care of the family. These kinship families should not, however, be subject to the same licensing requirements as foster care providers.

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LGBTQ Children and Youth in Foster Care  

Philosophy

NACAC believes children and youth in the foster care system who are—or who are perceived to be—lesbian, gay, bisexual, transgender*, and questioning (LGBTQ) deserve loving and permanent families and should be afforded the same rights, services, and protections as those who are [or are perceived to be] heterosexual. Statistics show that, at a minimum, 5 to 10 percent of children and youth in care are LGBTQ. The numbers are likely much higher due to the parental abuse, neglect, and rejection too often experienced by LGBTQ children and youth. Unfortunately, many LGBTQ youth are in care solely because of their family’s reaction to their sexual orientation or gender identity. Many LGBTQ youth in foster care are also members of minority groups whose cultures often support only traditional heterosexuality.

The prejudice, family rejection, and mistreatment experienced by LGBTQ youth —or those who are perceived to be LGBTQ— have a tremendous negative impact. Statistics shows that 20 to 40 percent of homeless youth are LGBTQ and that LGBTQ youth face higher rates of suicide and suicide attempts than their heterosexual peers. For LGBTQ foster children and youth, discrimination, neglect, and mistreatment by peers, foster families, caseworkers, and other agency staff compound the problems facing many foster youth, resulting in higher risks of health and mental health problems, school failure, homelessness, and suicide. LGBTQ children and youth have a right to live in an environment that is safe, understanding, and supportive of their needs.

Policy and Practice Recommendations  

1.   Programs and services for LGBTQ children and youth — Immediate measures must be taken to ensure the safety of LGBTQ children and youth in care. Agencies should work to:

  • seek and train foster and adoptive parents who are supportive of LGBTQ children and youth
  • identify and share information about existing national, state, and community resources available to LGBTQ children and youth
  • designate and equip specific foster and group homes as short-term safe havens for LGBTQ children and youth
  • make all group and family foster homes safe for LGBTQ children and youth
  • designate LGBTQ “ombudspersons” in child welfare offices to respond to questions and problems, and advocate for LGBTQ children and youth  

NACAC strongly opposes the use of conversion or so-called reparation services that are designed to involuntarily change the sexual orientation of youth.  

2.   Non-discrimination policies — States, provinces, tribes, and public and private agencies must adopt and enforce explicit policies prohibiting any discrimination based on the actual or perceived sexual orientation, gender identity, or HIV/AIDS status of children and youth in foster care, foster or adoptive parents and other members of their household, and child welfare staff.  

3.   Parent and staff training — To ensure that non-discrimination policies are effective, all foster/adoptive parents, child welfare staff, child advocates (such as guardians ad litem, children’s attorneys, and CASAs) should be required to participate in training that addresses:

  • the purpose and operation of non-discrimination policies
  • sensitivity about sexual orientation and gender identity issues
  • how to make supportive and sensitive placement decisions for LGBTQ children and youth
  • how to non-judgmentally support children and youth who are coming out
  • the availability of community-based resources for LGBTQ children and youth
  • how to educate the school system and protect LGBTQ children and youth in school
  • how to provide appropriate sexual health education  

*“Transgender” refers to individuals (regardless of their sexual orientation) whose appearance, characteristics, or personal gender identification differs from their biological gender or traditional gender stereotypes.

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Native and Aboriginal Children in Foster Care, Guardianship, and Adoption

Philosophy

NACAC recognizes that children and youth of Native American tribes, First Nations bands, and recognized aboriginal communities have an inherent right to continued and positive contact with their tribe or band. Such contact is in the child’s best interest.

All child protection and child welfare decisions should be made by officials of tribes, bands, or recognized aboriginal communities. In the rare cases when this is not possible, decisions must be made consistent with the cultural norms of the tribe or First Nations related to child rearing. NACAC strongly believes that all native children and youth deserve culturally competent permanency options.

Policy and Practice Recommendation

Federal, state, and provincial laws should be adopted that are consistent with the principles stated above.

NACAC encourages tribes and bands and other governmental (state, provincial, federal) organizations to collaborate to achieve children’s best interests. State, provincial, and federal governments should provide indigenous governments and organizations with adequate and sustained resources to ensure that indigenous children and their families receive equivalent benefits under laws impacting their safety, permanence, and well-being in Canada, Mexico, and the United States.

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Open Adoption

Philosophy

NACAC believes that openness is in the best interest of adopted persons. Open adoptions are one effective way to reduce the complications that adoptees face. By definition, adopted children are connected to both the family into which they were born and the family into which they have been adopted. Since those two families now belong to an extended family kinship network, open adoptions provide a greater potential for the families to work as allies on behalf of the well-being of the children.

Openness in adoption includes a range of options from no contact (confidential) to mediated (sharing non-identifying information through an agency intermediary) to ongoing fully disclosed adoptions (direct, identified contact) between birth and adoptive families. Examples of openness in this range include:

  • social, health, and cultural information is shared
  • pictures, ongoing information, or gifts are shared through an intermediary
  • contact is maintained through electronic means
  • birth and adoptive parents have met but plan no ongoing visits
  • adopted child visits with siblings or extended family relatives
  • adopted child maintains some form of contact with foster families and other significant people
  • adoptive family maintains phone or mail contact with birth family
  • adopted child visits with birth parents (either in neutral locations or in one another’s homes)
  • child has been legally adopted, but the child’s parental rights are not terminated and contact continues

Practice Recommendations

NACAC recommends that agencies and families pursue as much openness as possible, taking into consideration the best interests of each child on a case-by-case basis. Considerations for limiting openness should focus primarily on the child’s safety and well-being.

Research demonstrates that openness is most successful when all parties involved believe in the value of the connection. As a result, agencies and workers should work with birth and adoptive parents and the adopted person to explain the value of openness and to work out the most helpful adoption arrangement that is as open as possible.

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Orphanages

Philosophy

NACAC believes, and decades of research affirm, that children and youth fare better in families than in orphanages. Families are best suited to advocate for their children, teach them about culture, care for them when they are sick, and support them into adulthood. In families, children learn family skills, including how to parent the next generation of children. Institutions can never provide for children’s mental and social health the way that families can.

Research clearly demonstrates that institutions frequently produce adverse psychological effects that may affect people throughout their lives. In addition to the psychological harm done to children and youth, institutions are extremely expensive and create unnecessary financial burdens. Yearly care in an institution costs at least four times as much as foster care. The harmful effects of institutionalization for vulnerable children and youth do not only occur in places called orphanages. Today, orphanages may take many forms, and use many names: residential educational facilities, residential academies, boarding schools, and children’s homes. Regardless of the name, NACAC is opposed to the placement of foster children and youth in any congregate care facility that limits family involvement, isolates children and youth from their communities, does not focus on family preservation and permanency planning goals, and does not provide appropriate treatment. Long-term custodial care in orphanages for poor or abused children and youth is too costly, both in human and financial terms.

Practice Recommendations

NACAC believes that a child or youth in foster care should only be placed in an institutional setting when such a placement will meet a specific need for intensive residential treatment services that cannot be provided in a family setting. Residential treatment should engage parents or a person closely connected to the child or youth, plan for post-treatment support, be time-limited, and have a goal of preparing the child or youth to return to a family.

Tax dollars need to be directed to programs that find permanence for children and youth, either through effective family preservation or through adoption or other permanent family based solutions. NACAC acknowledges that the foster care system needs reform and improvement. While there is room for additional creative solutions, NACAC believes there is a need for commitment to improving the system and implementing comprehensive best practices. NACAC strongly recommends that child welfare policy makers look to birth, foster, and adoptive families to meet the needs of vulnerable children and youth. Child welfare practice should be guided by the principle that children and youth do best in families.

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Permanency Planning/Continuity of Relationships

Philosophy

NACAC recognizes that each child is an individual and therefore each situation requires careful evaluation, looking at the best interests of each child. In all placements, consideration of a child’s well-being must be paramount. The family should be selected based on the child’s needs and acknowledgment that age, race, and cultural considerations are necessarily important, as is appropriate input from the child. Agencies must prepare families to cope with the child’s physical, mental, learning, cultural, and emotional needs. Each adult who becomes a caretaker for a child should have a strong commitment to parenting the child, with an emphasis on developing a life-long relationship.

Practice and Policy Recommendations

Permanency planning must begin before a child