The Truth About Adoption: All You Need Is Love, And A Safety Net

The author's son Nick, adopted from Russia, posing with Daisy

By Fran Cronin
WBUR Intern

The National Institutes of Health released a report this week stating “adopted children have higher rates of mental health problems than all other children.” As the parent of a child adopted from Russia, the news was more “duh” than revelatory.

For those of us in the adoption world, the report — the 15th in a series issued since 1997 by the Federal Interagency Forum on Child and Family Statistics – may state the obvious. But it is also throws a gauntlet at the feet of social service agencies and policy makers.

During the past twenty years, the adoption landscape has been radically transformed. From the secretive adoption of babies born to unwed and predominantly white mothers, the norm today is arranged, open adoption of newborns, children from foster care or children from institutions and orphanages in far flung parts of the world.

Recent statistics help put this shift into perspective. Out of the approximately 135,000 children adopted in the U.S. last year, 11,000 (most between the ages of one and two) were internationally adopted. Here in the U.S. just over 52,000 children were adopted into non-family member homes from foster care.

Adam Pertman, Executive Director of the Evan B. Donaldson Adoption Institute, said in an interview that, “many adopted kids today enter their new families with pre-adoption lives. For them, this means they’ve experienced abuse, neglect, or [if from an inter-country placement] institutionalization.”

Older parents who can’t have their own children are a key factor driving the demand for more international and foster care adoptions. Not only are these new adoptive families not genetically linked, many parents, like myself, don’t even know the genetic history of the children we end up calling our own.

The upside to this expanded adoption domain has been a tremendous surge in diversity. Parents don’t try and adopt children that look like them nor do they demand infants. The linear homogenous family model is out and the crazy quilt is in. The downside, though, is inadequate support to help parents understand the history of their child or to help prepare these families for potential difficulties, both behavioral and cognitive. In their giddy rush to form a family, naïve parents can be blindsided when confronted by the reality of their adopted child’s extreme needs. To help theses parents cope, an industry of medical, cultural and emotional support services have emerged.

Nothing could underscore the point more clearly than the return in April 2010 of adoptee Artyom Savalyev to his native Russia. His single mother, Torry Hansen, allegedly overwhelmed by seven-year old Atryom’s unpredictable and unstable behavior, determined she could no longer parent him. Instead, Hansen sent her son back on a plane to Russia, by himself, with a note pinned inside his jacket. Artyom remains in Russia at an undisclosed location while the case against Hansen languishes in limbo.

Dr. Lisa Albers Prock, a Developmental Behavioral Pediatrician at Children’s Hospital Boston, and a leading advocate of ‘adoption medicine,’ says she tries to prepare parents for what to expect, but it’s hard, she says, for anxious new parents to grasp the complexities of “kids that have been fully programmed and have to be reprogrammed” in a new setting.

The new NIH report highlights some of the realities on the ground. Of the families surveyed, almost 30 percent of adopted children had moderate to severe health problems and foster care children were the most susceptible. In addition to health problems, many of these children also had an assortment of cognitive deficits such as learning disabilities, ADD and ADHD, or behavior and conduct disorders. Exposure to alcohol or drugs during pregnancy is often thought to be the culprit behind these deficits, as is infant trauma, which can have serious and long-lasting implications later in life.

While this data is distressing, Pertman says reports like this are “helpful and a good wake-up call.” To Pertman, these findings demand that policy makers take notice. The once mandatory emphasis on placement should now shift, he says, “to looking at how to help these kids and families succeed.” The NIH findings also coincide with his Institute’s most recent policy and practice report on the need for post-adoption services.

The NIH report demonstrates families feel challenged. But instead of retreating or giving up, these parents are demanding help. Despite the old Beatles refrain, “Love is all you need,” sometimes you also need a safety net.

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  • AdoptAuthor

    I wonder if Fran Cronin – or anyone – would be kind enough to provide the page that contains the quote about mental health as I cannot locate it in the report. Thank you.

  • AdoptAuthor

    Two corrections to the previous comment:

    Is *he* suggesting helping only the newly formed adoptive family? What about helping the original family succeed and not need *to* be separated by adoption in the first place?

  • AdoptAuthor

    Excellent article. I was saddened to learn that Russia had reached an agreement to continue its adoption program with the US. Artyem was far from the only problematic Russian/American adoption.  In fact more than a dozen Americans who adopted children from Russia have been CONVICTED of murdering the children they promised to love and care for. Countless other children have survived unthinkable abuses and many have been shipped off to ranches or sent to an underground network of families who take in kids other adopters discard with no accountability.

    Adam Pertman speaks of “looking at how to help these kids and families succeed.” Is she suggesting helping only the newly formed adoptive family? What about helping the original family succeed and not need be separated by adoption in the first place? When does that humane, moral option become a priority?

    When do we begin to put some emphasis on prevention of family dissolution to meet a market demand?  How many children and families have to suffer before we seek better solutions for impoverished persons than exploiting their hardship and leaving the rest of the family in the same destitution with an added loss?

    When do we put the tens of thousands paid per child to the higher use of building schools and digging wells instead of supporting baby brokers and child traffickers so prevalent in international adoption?

    Mirah Riben, author, THE STORK MARKET: America’s Multi-Billion Dollar Unregulated Adoption Industry

    • huh

      Huh?    “…more than a dozen Americans who adopted children from Russia have been CONVICTED of murdering the children…” I have a hard time believing this is an accurate statement. Please include a sourse or a link to this statistic. 

  • Adam Pertman

    Anyone interested in more information on this can read the Adoption Institute’s report, “Keeping the Promise,” at I also deal with the issue in my new book, “Adoption Nation,” and on my blog, This is perhaps the most important issue in the field today, so thanks for writing this story. Adam Pertman, Executive Director.