Children who were older than four at the time of their adoption experience more psychological problems than those who were younger.According to study in the UK, adopted children can have mental health problems that do not improve even four years after their adoption. Children with multiple adverse childhood experiences are more likely to have mental health problems. The study suggests that to identify and tread mental health problems early, care professionals and the adopting parents need detailed biographical information about the childs life. Another study in the UK suggests that adopted children are more likely to suffer from post-traumatic stress (PTS) than the general population. Their PTS symptoms depend on the type of adverse experiences they went through and knowledge of their history offers an option for tailored support. Adoptees of LGBT parents
There is evidence that shows the adoptees of LGBT families and those in heterosexual families have no significant differences in development. One of the main arguments used against same-sex adoption is that a child needs a mother and a father in the home to develop properly. However, a 2013 study of predictors for psychological outcomes of adoptees showed that family type (hetero, gay, lesbian) does not affect the childs adjustment; rather the preparedness of the adoptive parent(s), and health of relationship to partner, and other contextual factors predicted later adjustment in early placed adoptees.
Reform and reunion trends
Adoption practices have changed significantly over the course of the 20th century, with each new movement labeled, in some way, as reform. Beginning in the 1970s, efforts to improve adoption became associated with opening records and encouraging family preservation. These ideas arose from suggestions that the secrecy inherent in modern adoption may influence the process of forming an identity, create confusion regarding genealogy, and provide little in the way of medical history. Family preservation: As concerns over illegitimacy began to decline in the early 1970s, social-welfare agencies began to emphasize that, if possible, mothers and children should be kept together. In the U.S., this was clearly illustrated by the shift in policy of the New York Foundling Home, an adoption-institution that is among the countrys oldest and one that had pioneered sealed records. It established three new principles including "to prevent placements of children...", reflecting the belief that children would be better served by staying with their biological families, a striking shift in policy that remains in force today. In addition, groups such as Origins USA (founded in 1997) started to actively speak about family preservation and the rights of mothers. The intellectual tone of these reform movements was influenced by the publishing of The Primal Wound by Nancy Verrier. "Primal wound" is described as the "devastation which the infant feels because of separation from its birth mother.