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Adoption: a forgotten paediatric speciality.

¹Greenwich Healthcare Trust, Market Street Clinic, 16-20 Market Street, Woolwich, London SE18 6QR, UK. MaryMather@doctors.org.uk

Archives of Disease in Childhood

|November 26, 1999

Summary

Children needing permanent substitute care often have complex medical, emotional, and developmental needs. This highlights the importance of specialized medical assessments for adoption and fostering services.

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Area of Science:

Pediatrics
Child Health
Social Work

Background:

Children in permanent substitute care, including adoption and fostering, present unique health challenges.
Previous assessments indicate a need for comprehensive medical, emotional, and developmental evaluations for these children.

Purpose of the Study:

To delineate the medical, emotional, and developmental profiles of children evaluated for permanent substitute care.
To inform the development of specialized medical services supporting adoption and fostering.

Main Methods:

Retrospective analysis of 100 adoption/permanency medical reports.
Utilized British Agencies for Adoption and Fostering forms C (under 5) and D (over 5).
Included physical examination, vision, hearing, emotional, behavioral, and school progress data.

Main Results:

A significant majority of children (69%) presented with complex medical, developmental, or emotional issues.
Only 31% of the children were assessed as unlikely to have significant problems.

Conclusions:

Adoption medical services require specialization and standardized minimum standards for healthcare professionals.
The medical input for adoption and fostering should be recognized and resourced as a specialist pediatric service within the NHS.
Adequate resources and training are crucial for supporting children in permanent substitute care.

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