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Difference between revisions of "Adoption Parenting: Grade School"

(Created page with "==Grade Schoolers== Children between the ages of six and nine are often considered grade-schoolers. This is usually the stage in which children tend to push limits; for insta...")
 
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==Grade Schoolers==
+
School-age children—those between the ages of 6 and 12—are learning critical skills and gaining interests that will carry into adolescence and adulthood. Adoption can [[ADD|add]] layers of complexity to their developmental tasks. [[Adoptive Parents|Adoptive parents]] can
 +
best support their children by learning as much as they can about child development and by being aware of how adoption may influence their child’s emotional growth.
  
Children between the ages of six and nine are often considered grade-schoolers. This is usually the stage in which children tend to push limits; for instance, they may lie with little or no trouble and have a difficult time making “right” choices. They begin to make use of logic by reasoning and problem solving.
+
This information is designed to help you understand and respond to your [[adopted]] school-age child’s developmental needs. It provides simple, practical strategies you can use to foster healthy development, including approaches for building attachment, talking honestly with your child about adoption, acknowledging his or her adoptive history, using appropriate discipline, and enhancing your child’s school experience. Because some adoptive families will need extra help addressing their children’s mental health needs, this also discusses when and how to seek help.
  
==Elementary School Years: Further Steps in Separation and Identity Formation==
+
==Understanding Child Development and the Impact of Adoption==
 +
School-aged children go through many significant developmental changes. It is important for parents to understand the typical tasks and needs of school-aged children as well as how adoption-related experiences may affect children. Knowing what to expect will help you meet your child’s needs, strengthen your relationship, and identify and address important emotional or physical concerns.
  
Adoption studies of children in this stage of life are contradictory. While some say that [[adopted]] children experience no more psychological problems than nonadopted children (Hoopes and Stein), others find that teachers and parents report more personality and behavior problems and find [[adopted]] children to be more dependent, tense, fearful, and hostile (Lindholm and Touliatos, Brodzinsky).
+
The section below is an overview of growth and development patterns for school-age children; the sections that follow address
 +
issues related to adoption, their potential effects on child development and school experiences, and specific ways that you can help your child meet these challenges. It is important to remember that not all of these issues apply to all [[adopted]] children; personal histories and experiences vary greatly from child to child.
  
In general, children who have been [[adopted]] are well within the normal range academically and emotionally; however, emotional and academic problems may be greater if children were [[adopted]] after 9 months of age or if they had multiple placements before being [[adopted]]. Since these children are at greater risk of having attachment problems, their families should consider early intervention and treatment services similar to those available for other [[adopted]] children with [[Special Needs|special needs]].
+
====Developmental Overview====
 +
Developmental changes common to 6- to 12-year-olds include:
  
Middle childhood has often been described as a blissful period when children play and visit grandparents, get involved in interesting activities, and have few responsibilities or worries.
+
*'''Physical changes.''' Children in this age group develop rapidly in their physical strength, skills, and coordination. Both the large muscles (legs, arms, and body trunk) and the small muscles of the hands and fingers are developing.  
  
Nonetheless, as adults we know from our own experiences, that there is a different side to this period between the ages of 6 and 11. The more worrisome serious period is usually experienced in children's inner lives, as indicated by their dreams and fantasies. There their feelings are played out about themselves and their families, their wish to belong outside of the family circle, to have attributes that make others admire them and seek them out, and their contrasting fears that they are dumb, ugly, mean, and useless.
+
*'''Ability to process information from the senses (sensory integration).''' By grade school, most children are able to react appropriately to information they get from their five senses (sight, hearing, taste, smell, and touch).  
  
At the same time, their horizons are expanding and they are ready to learn from school, friends, and other adventures outside of their homes. Competitive games and team projects attract them and make them nervous; they search everything and everyone for signs that they are loved and acceptable, while worrying that bad things might happen to pay them back for their seemingly evil deeds and thoughts.
+
*'''Ability to process information from the senses (sensory integration).''' By grade school, most children are able to react appropriately to information they get from their five senses (sight, hearing, taste, smell, and touch).  
  
The chief task of elementary school-aged children is to master all of the facts, ideas, and skills that will equip them to progress toward adolescence and independent life. During this time, children are supposed to consolidate their identification with parents and cement their sense of belonging to their family. It is no wonder that in such a state, even without contemporary pressures resulting from divorce or other family disruptions, that emotional and behavioral problems frequently beset elementary school-aged children. Common problems include hyperactivity, poor school performance, low self-esteem, aggression, defiance, stubbornness, troubled relationships with brothers and sisters, friends, and parents, lack of confidence, fearfulness, sadness, depression, and loneliness. [[Adoptive Parents|Adoptive parents]] wonder whether and how much these problems are caused or influenced by adoption or a history of faulty attachment.
+
*'''Social and emotional development.''' School-age children learn to describe and control their feelings. As they mature, their relationships deepen. They discover empathy—the ability to consider others’ feelings and points of view.  
  
Smith and Miroff state in their book, You're Our Child: The Adoption Experience, "It is extremely important, and also reassuring, to realize that the most common source of problems are developmental changes which follow a child from infancy to adulthood, not the fact that the child was or was not [[adopted]]."
+
*'''Greater sense of self.''' In middle childhood, children develop an identity based on who they are in relation to their family, classmates, ethnic group, and community members. This is a major developmental task, particularly in the upper age range of this group.
  
 +
*'''Growing independence.''' School-age children become more independent and increase their activities and social contacts out of the home. Peer relationships become more important as they approach adolescence.
 +
 +
A child’s history and adoptive experience can affect his or her development. When thinking about their child’s progress, parents should consider factors around their child’s adoption, such as its social and emotional impact; developmental delays; and effects of prenatal exposure to alcohol or other drugs, child [[abuse]] and [[neglect]], or multiple moves.
 +
 +
====Social and Emotional Impact of Adoption====
 +
School-age children form a stronger sense of who they are. Much of that identity comes from their family and the relationships with the people in their lives. For [[adopted]] children, developing an identity is more complicated. They must merge two separate families and histories as they explore how they fit in. In middle childhood, children [[adopted]] as infants or toddlers often start thinking about themselves and their pasts more carefully. They begin to sort through critically important questions about who they are. Those who felt “special” and “chosen” because they were [[adopted]] may begin to realize, at least subconsciously, that someone else “unchose” them. Many struggle with issues of self-worth, self-esteem, and being different.Newly [[adopted]] children may be grieving for previous homes or caretakers. Some [[adopted]] children may have difficulty with social relationships outside the family. These emotional tasks can interfere with concentration and distract children from schoolwork.
 +
 +
Other social and emotional concerns that [[Adoptive Parents|adoptive parents]] should be aware of are:
 +
 +
*Children who did not spend enough time with emotionally healthy adults may have difficulty identifying and controlling their emotions.
 +
 +
*Children from orphanages or group care settings may not have had many opportunities to see or practice healthy social interactions.
 +
 +
*Children who were maltreated may not have learned how to empathize with others, may have learned to relate to others in a violent way, or many reenact trauma they have experienced.
 +
 +
*Children who have been separated abruptly from previous caretakers to their primary caregivers (see below) may be anxious when they are away from home.
 +
 +
What you can do:
 +
 +
*Use age-appropriate language, talk with your child about his or her relationships with others.
 +
 +
*Help your child remember the places where he or she has lived and the people who were in his or her life before coming to your home.
 +
 +
*Speak positively about birth family members and prior caretakers.
 +
 +
*Teach your child the words for various feelings.
 +
 +
*Explain to you child how to handle and express emotions.
 +
 +
*Be a positive example to your child as you express emotions. (“I feel so angry right now, I think I’ll take a walk until I cool down.”)
 +
 +
*Teach your child how to interact with others. Practice how to greet a playmate, how to ask for something, how to share.
 +
 +
*Coach your child on how to see things from another person’s point of view. (“I wonder how Sammy felt when no one chose him for their team.”) This helps children develop empathy.
 +
 +
*Make sure there is plenty of family time: routines, schedules, consistence, and a safe and secure environment.
 +
 +
====The Importance of Attachment====
 +
Attachment refers to the emotional connection that develops between an infant and his/her primary caregiver. This process is very important to all aspects of a child’s later development. Attachment is the basis for trust, and it shapes how a child will relate to the world, learn, and form relationships throughout life.
 +
 +
Healthy attachment occurs when the infant experiences a primary caregiver as consistently providing emotional essentials such as touch, movement, eye contact, and smiles, in addition to the basic necessities such as food, shelter, and clothing. A healthy primary attachment teaches young children that their needs will be met. This attachment frees them to explore, play, learn, and develop relationships.
 +
 +
If the attachment process is disrupted, the child may not develop the secure base necessary to support future healthy development. Factors which may impair healthy attachment include: spending early years in orphanages or large group homes, multiple moves from caregiver to caregiver, invasive or painful medical procedures, sudden or traumatic separation from the mother, hospitalization at critical developmental periods, [[neglect]], sexual or physical [[abuse]], prenatal alcohol or drug exposure, and neurological problems.
 +
 +
A child with insecure attachment might show traits of young child in the “oral
 +
stage,” with abnormal speech patterns and eating patterns. Children with insecure attachments may show developmental delays (see next section); however once these children are placed permanently in a family where there are stable parents and no substance [[abuse]], they often make great strides.
 +
 +
If your child had inconsistent care in his or her early years, you can parent in ways that repair and develop healthy attachments. Think about the age of your child at the time he or she experienced trauma (such as being moved from one caregiver to another). In some ways, your child may be
 +
“stuck” at this stage of development. When you interact with your child according to his or her emotional and physical needs, you improve attachment. A skilled adoption counselor or professional can help you and your child strengthen your attachment to each other.
 +
 +
''A word of caution:'' Avoid “attachment therapies” that use questionable techniques such as physically restraining, isolating, or placing children in residential care away from their families. Attachment runs along a continuum; most children with insecure attachments do not have the most severe form of attachment disorder, called [[Reactive Attachment Disorder]]. Beware of therapists who are quick to use that terminology or diagnosis
 +
 +
What you can do:
 +
 +
*Give your child the amount and type of structure, nurturing, attention, and supervision you could normally give a child several years younger.
 +
 +
*Establish consistent one-to-one parent/child time.
 +
 +
*Talk to and play with your child every day, even if only for a few minutes.
 +
 +
*Make eye contact and smile before you address your child.
 +
 +
*Offer gentle words of encouragement and praise often.
 +
 +
*Use “time in” rather than “time out” with children who have attachment issues.
 +
*Find age-approprate ways to have physical contact (hugs, combing hair, kneading dough together).
 +
 +
*Place notes with kind messages in lunch boxes and leave small surprises for after school.
 +
 +
*Engage your child in planning future events.
 +
 +
*Speak positively about birth parents and other caregivers from the child’s past.
 +
 +
*Fuss over your child at every opportunity.
 +
 +
*Nurture, nurture, nurture!
 +
 +
====Developmental Delays====
 +
Some [[adopted]] children may have developmental delays. A developmental delay is defined as a significant lag in one or more skill areas. Delays can be caused by genetic factors (such as [[Down Syndrome|Down syndrome]]) or environmental factors (including exposure to alcohol or other drugs during [[pregnancy]],
 +
trauma, [[neglect]], or insecure attachment). In some cases it is difficult to know what caused a developmental delay.
 +
 +
Children learn skills and develop at different rates, so don’t worry if your child is slightly behind peers in one or two areas. Also, learning a second language or adjusting to a new culture may create temporary delays. While many children will catch up developmentally, others will not.
 +
 +
What you can do:
 +
*'''Ask your school or doctor for a professional assessment if you notice''':
 +
**Significant lags in many developmental areas
 +
**[[Loss]] of previous skills
 +
**Extreme behavior
 +
**Signs of sensory difficulties, such as extreme reactions to touch, light, sounds, or motion
 +
*'''Access screening and other resources through Medicaid’s Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) service''', if they are available to your family: [http://www.cms.hhs.gov/MedicaidEarlyPeriodicScrn/Click here.]
 +
*'''If an assessment reveals that your child has a disability:'''
 +
**Focus on building and maintaining a strong foundation of attachment with your child (see previous section). Children with insecure attachment to primary caregivers may be cognitively younger than their actual age.
 +
**Advocate for school personnel to work with you to develop an [[Individualized Educational Plan]] ([[IEP]]) that will ensure special education services to address your child’s needs.
 +
**Learn about your child’s condition. For a list of [[organizations]] that provide information about children with [[Special Needs|special needs]], see [http://www.childwelfare.gov/pubs/reslist/rl_dsp.cfm?subjID=3&rate_chno=11-11286 here]
 +
*'''Join a support group, in person or online, for [[Adoptive Parents|adoptive parents]] or other parents of children who have your child’s specific disability.'''
 +
*'''Inform your child’s teacher about his or her condition. Provide specific information about how the delay or disability affects your child’s ability to succeed in school. Ask the teacher to:'''
 +
**Give your child more time to complete tasks
 +
**Assign worksheets or tests with fewer problems per page.
 +
**Provide him or her with extra classroom space or a quiet location to improve concentration.
 +
*'''Make sure your child’s teacher is sensitive/informed about adoption issues.'''
 +
*'''Create a less distracting environment for homework. Provide homework assistance or tutoring if needed.'''
 +
*'''There are many resources to help teachers and parents explore additional strategies.For more information, see the Resources for teacher section of the [http://www.childwelfare.gov/adoption/nam/teachers.cfm Information Gateway website]'''
 +
 +
 +
Continue to [[Adoption Parenting: Grade School Part 2]]
  
 
Return to [[Adoption Parenting]]
 
Return to [[Adoption Parenting]]
 +
 +
==Resource==
 +
Child Welfare Information Gateway. Available online at [http://www.childwelfare.gov/pubs/factsheets/parent_school_age/ ChildWelfare.gov]

Revision as of 17:06, 17 July 2014

School-age children—those between the ages of 6 and 12—are learning critical skills and gaining interests that will carry into adolescence and adulthood. Adoption can add layers of complexity to their developmental tasks. Adoptive parents can best support their children by learning as much as they can about child development and by being aware of how adoption may influence their child’s emotional growth.

This information is designed to help you understand and respond to your adopted school-age child’s developmental needs. It provides simple, practical strategies you can use to foster healthy development, including approaches for building attachment, talking honestly with your child about adoption, acknowledging his or her adoptive history, using appropriate discipline, and enhancing your child’s school experience. Because some adoptive families will need extra help addressing their children’s mental health needs, this also discusses when and how to seek help.

Understanding Child Development and the Impact of Adoption

School-aged children go through many significant developmental changes. It is important for parents to understand the typical tasks and needs of school-aged children as well as how adoption-related experiences may affect children. Knowing what to expect will help you meet your child’s needs, strengthen your relationship, and identify and address important emotional or physical concerns.

The section below is an overview of growth and development patterns for school-age children; the sections that follow address issues related to adoption, their potential effects on child development and school experiences, and specific ways that you can help your child meet these challenges. It is important to remember that not all of these issues apply to all adopted children; personal histories and experiences vary greatly from child to child.

Developmental Overview

Developmental changes common to 6- to 12-year-olds include:

  • Physical changes. Children in this age group develop rapidly in their physical strength, skills, and coordination. Both the large muscles (legs, arms, and body trunk) and the small muscles of the hands and fingers are developing.
  • Ability to process information from the senses (sensory integration). By grade school, most children are able to react appropriately to information they get from their five senses (sight, hearing, taste, smell, and touch).
  • Ability to process information from the senses (sensory integration). By grade school, most children are able to react appropriately to information they get from their five senses (sight, hearing, taste, smell, and touch).
  • Social and emotional development. School-age children learn to describe and control their feelings. As they mature, their relationships deepen. They discover empathy—the ability to consider others’ feelings and points of view.
  • Greater sense of self. In middle childhood, children develop an identity based on who they are in relation to their family, classmates, ethnic group, and community members. This is a major developmental task, particularly in the upper age range of this group.
  • Growing independence. School-age children become more independent and increase their activities and social contacts out of the home. Peer relationships become more important as they approach adolescence.

A child’s history and adoptive experience can affect his or her development. When thinking about their child’s progress, parents should consider factors around their child’s adoption, such as its social and emotional impact; developmental delays; and effects of prenatal exposure to alcohol or other drugs, child abuse and neglect, or multiple moves.

Social and Emotional Impact of Adoption

School-age children form a stronger sense of who they are. Much of that identity comes from their family and the relationships with the people in their lives. For adopted children, developing an identity is more complicated. They must merge two separate families and histories as they explore how they fit in. In middle childhood, children adopted as infants or toddlers often start thinking about themselves and their pasts more carefully. They begin to sort through critically important questions about who they are. Those who felt “special” and “chosen” because they were adopted may begin to realize, at least subconsciously, that someone else “unchose” them. Many struggle with issues of self-worth, self-esteem, and being different.Newly adopted children may be grieving for previous homes or caretakers. Some adopted children may have difficulty with social relationships outside the family. These emotional tasks can interfere with concentration and distract children from schoolwork.

Other social and emotional concerns that adoptive parents should be aware of are:

  • Children who did not spend enough time with emotionally healthy adults may have difficulty identifying and controlling their emotions.
  • Children from orphanages or group care settings may not have had many opportunities to see or practice healthy social interactions.
  • Children who were maltreated may not have learned how to empathize with others, may have learned to relate to others in a violent way, or many reenact trauma they have experienced.
  • Children who have been separated abruptly from previous caretakers to their primary caregivers (see below) may be anxious when they are away from home.

What you can do:

  • Use age-appropriate language, talk with your child about his or her relationships with others.
  • Help your child remember the places where he or she has lived and the people who were in his or her life before coming to your home.
  • Speak positively about birth family members and prior caretakers.
  • Teach your child the words for various feelings.
  • Explain to you child how to handle and express emotions.
  • Be a positive example to your child as you express emotions. (“I feel so angry right now, I think I’ll take a walk until I cool down.”)
  • Teach your child how to interact with others. Practice how to greet a playmate, how to ask for something, how to share.
  • Coach your child on how to see things from another person’s point of view. (“I wonder how Sammy felt when no one chose him for their team.”) This helps children develop empathy.
  • Make sure there is plenty of family time: routines, schedules, consistence, and a safe and secure environment.

The Importance of Attachment

Attachment refers to the emotional connection that develops between an infant and his/her primary caregiver. This process is very important to all aspects of a child’s later development. Attachment is the basis for trust, and it shapes how a child will relate to the world, learn, and form relationships throughout life.

Healthy attachment occurs when the infant experiences a primary caregiver as consistently providing emotional essentials such as touch, movement, eye contact, and smiles, in addition to the basic necessities such as food, shelter, and clothing. A healthy primary attachment teaches young children that their needs will be met. This attachment frees them to explore, play, learn, and develop relationships.

If the attachment process is disrupted, the child may not develop the secure base necessary to support future healthy development. Factors which may impair healthy attachment include: spending early years in orphanages or large group homes, multiple moves from caregiver to caregiver, invasive or painful medical procedures, sudden or traumatic separation from the mother, hospitalization at critical developmental periods, neglect, sexual or physical abuse, prenatal alcohol or drug exposure, and neurological problems.

A child with insecure attachment might show traits of young child in the “oral stage,” with abnormal speech patterns and eating patterns. Children with insecure attachments may show developmental delays (see next section); however once these children are placed permanently in a family where there are stable parents and no substance abuse, they often make great strides.

If your child had inconsistent care in his or her early years, you can parent in ways that repair and develop healthy attachments. Think about the age of your child at the time he or she experienced trauma (such as being moved from one caregiver to another). In some ways, your child may be “stuck” at this stage of development. When you interact with your child according to his or her emotional and physical needs, you improve attachment. A skilled adoption counselor or professional can help you and your child strengthen your attachment to each other.

A word of caution: Avoid “attachment therapies” that use questionable techniques such as physically restraining, isolating, or placing children in residential care away from their families. Attachment runs along a continuum; most children with insecure attachments do not have the most severe form of attachment disorder, called Reactive Attachment Disorder. Beware of therapists who are quick to use that terminology or diagnosis

What you can do:

  • Give your child the amount and type of structure, nurturing, attention, and supervision you could normally give a child several years younger.
  • Establish consistent one-to-one parent/child time.
  • Talk to and play with your child every day, even if only for a few minutes.
  • Make eye contact and smile before you address your child.
  • Offer gentle words of encouragement and praise often.
  • Use “time in” rather than “time out” with children who have attachment issues.
  • Find age-approprate ways to have physical contact (hugs, combing hair, kneading dough together).
  • Place notes with kind messages in lunch boxes and leave small surprises for after school.
  • Engage your child in planning future events.
  • Speak positively about birth parents and other caregivers from the child’s past.
  • Fuss over your child at every opportunity.
  • Nurture, nurture, nurture!

Developmental Delays

Some adopted children may have developmental delays. A developmental delay is defined as a significant lag in one or more skill areas. Delays can be caused by genetic factors (such as Down syndrome) or environmental factors (including exposure to alcohol or other drugs during pregnancy, trauma, neglect, or insecure attachment). In some cases it is difficult to know what caused a developmental delay.

Children learn skills and develop at different rates, so don’t worry if your child is slightly behind peers in one or two areas. Also, learning a second language or adjusting to a new culture may create temporary delays. While many children will catch up developmentally, others will not.

What you can do:

  • Ask your school or doctor for a professional assessment if you notice:
    • Significant lags in many developmental areas
    • Loss of previous skills
    • Extreme behavior
    • Signs of sensory difficulties, such as extreme reactions to touch, light, sounds, or motion
  • Access screening and other resources through Medicaid’s Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) service, if they are available to your family: here.
  • If an assessment reveals that your child has a disability:
    • Focus on building and maintaining a strong foundation of attachment with your child (see previous section). Children with insecure attachment to primary caregivers may be cognitively younger than their actual age.
    • Advocate for school personnel to work with you to develop an Individualized Educational Plan (IEP) that will ensure special education services to address your child’s needs.
    • Learn about your child’s condition. For a list of organizations that provide information about children with special needs, see here
  • Join a support group, in person or online, for adoptive parents or other parents of children who have your child’s specific disability.
  • Inform your child’s teacher about his or her condition. Provide specific information about how the delay or disability affects your child’s ability to succeed in school. Ask the teacher to:
    • Give your child more time to complete tasks
    • Assign worksheets or tests with fewer problems per page.
    • Provide him or her with extra classroom space or a quiet location to improve concentration.
  • Make sure your child’s teacher is sensitive/informed about adoption issues.
  • Create a less distracting environment for homework. Provide homework assistance or tutoring if needed.
  • There are many resources to help teachers and parents explore additional strategies.For more information, see the Resources for teacher section of the Information Gateway website


Continue to Adoption Parenting: Grade School Part 2

Return to Adoption Parenting

Resource

Child Welfare Information Gateway. Available online at ChildWelfare.gov