The authors would also like to thank colleagues at the Australian Institute of Family Studies for their valuable comments on the earlier drafts. In particular, our thanks go to Aaron Dohnt (usability testing), Sez Wilks (administrative support), Carol Jean and Gillian Lord (literature searching), Lan Wang and Lauren Di Salvia (editing), and to Kelly Hand for her support throughout the project.
Most importantly, we are grateful for the contributions of more than 100 service providers who gave of their time, intellect and creative ideas through consultations, participation in workshops and written submissions. Given that many of these people are also personally affected by forced adoptions, we acknowledge the significant personal insights they have brought, and trust that we have been faithful to the essence of their perspectives. We are most appreciative of the many agencies that helped facilitate the workshops by offering the use of meeting rooms in their organisations.
Views expressed in this publication are those of individual authors and may not reflect those of the Department of Social Services, the Australian Government or the Australian Institute of Family Studies.
Acknowledgements 2
Table of contents 4
List of tables 5
List of figures 6
Abbreviations 7
Executive summary 9
1Trauma 12
2Restorative justice 13
3Good practice principles 14
4A. Enhancing mainstream services 22
5B. Expand, enhance and build capacity in existing post-adoption support services 23
6C. Developing new—and improving existing—resources for professional development and training 24
7D. Increasing accessibility and coordination through development of a national web portal 25
8E. Community awareness and action 26
9Strategies for implementation 27
10Introduction 28
10.1Terminology and language 29
11Background 31
11.1History of forced adoption 32
11.2State inquiries into forced adoption 34
12Tasmania 35
13New South Wales 36
13.1Commonwealth Contribution to Former Forced Adoption Policies and Practices Inquiry 38
14Findings from the Senate Inquiry 39
15Responses to the Senate Inquiry 40
16Study methodology 45
16.1Literature review 46
16.2Stakeholder consultations 47
16.3Service mapping 48
16.4Environmental scan 49
16.5Service options/models for implementation 50
17A note on the terms of reference 51
18Literature review 52
18.1Framework of the literature review 53
19About the National Research Study on the Service Response to Past Adoption Practices 54
20Literature search 56
20.1The effects of forced adoptions 60
21Depression 61
22Grief and loss 62
23Pathological grief 63
24Anxiety 65
25Post-traumatic stress disorder (PTSD) 66
26Attachment issues 69
26.1Service utilisation 70
27Information, search and contact services 71
28Counselling and mental health care services 72
29Peer support 73
30Service and support needs 74
30.1Psychological treatment interventions for those affected by forced adoptions 80
31Trauma-informed approaches 81
32Practice example: Trauma-informed services for survivors of child sexual abuse 82
33Recognising trauma symptoms 86
34Trauma-informed services 87
35Trauma-specific services 88
36biological conditions; 88
37psychological conditions; 88
38substance misuse; 88
39psychiatric conditions such as depression, anxiety and PTSD; and 88
40psychiatric conditions such as personality disorders (Bloch & Singh, 2010). 88
41biological conditions; 89
42psychological conditions; 89
43substance misuse; 89
44psychiatric conditions such as depression, anxiety and PTSD; and 89
45psychiatric conditions such as personality disorders (Bloch & Singh, 2010). 89
46Specific trauma-based interventions 90
46.1Restorative justice 110
47Restorative justice practices in areas of criminal law 111
48Daly (2011) explained: 112
49Forced adoptions, trauma healing, and restorative justice 114
50Following on from the principles of restorative justice, restoration activities could focus on: 116
51Exclusion, transparency, or reparations by providers associated with past practices 117
51.1Modes of delivery 118
52Case management model 119
53Online therapy and web-based interventions 120
54Telephone counselling and support 122
55Service hubs 123
55.1Implications for addressing current needs 124
56Good practice principles 126
57Stakeholder workshops and consultations 132
57.1Workshop content and materials 133
58Activity 1: Strengths and weaknesses 134
59Activity 2: Pathways 135
60Activity 3: Good practice principles 136
60.1Workshop recruitment 137
60.2Consultations with other stakeholders 139
61Findings from consultations: Part 1 140
61.1Accountability 141
62Restorative justice 142
63Apologies 143
64Current adoption policies 144
65Access to information 145
66Addressing illegal practices 146
66.1Accessibility 147
66.2Quality/efficacy 148
67Births, Death and Marriages registries 149
68Training 150
69Evidence-based psychological and psychiatric interventions 151
70Standards 152
70.1Diversity 153
71Fragmentation in the philosophical approach to post-adoption support services 154
72Although peer supports were often seen as a strength, two key issues emerged: 156
72.1Continuity of care 157
73Networking across agencies/sharing clients 158
74Awareness raising 159
75Service system and referral pathway 161
76Service mapping 165
76.1Service types 166
77Adoption information services 167
78Search and contact services 171
79Post-adoption support services 172
80Peer-support groups 173
81Other services 174
82Online accessibility 178
82.1Services available by state and territory 181
83Australian Capital Territory 182
84New South Wales 194
85Northern Territory 206
86Queensland 208
87South Australia 221
88Tasmania 230
89Victoria 237
90Western Australia 249
91Findings from consultations: Part 2—Specific issues for different service types/sectors 259
91.1Post-adoption support services 260
92Referrals between service providers 261
93Referrals to mental health professionals 262
94Resources and service delivery 263
95Information and support 264
96Training and research 265
96.1State and territory funded adoption information services 266
97Resources and service delivery 267
97.1Search and contact services 269
98Resources and service delivery 270
99Funding 271
100Access to information 272
101Training and research 273
102Service-system and referral pathway 274
102.1Peer-support services 275
102.2Mental health practitioners 278
103Service delivery 279
104Training and research 280
105Information and research 281
106Service-system and referral pathway 282
106.1General Practitioners (GPs) 283
107Environmental scan 284
Find and Connect service: Parallels and divergence 285
108Family Law: Professional networks and “communities of practice” 287
109Veterans 288
109.1Knowledge translation and exchange (KTE) 289
110Definition 290
111Research use in policy and practice 291
112How KTE activities help 292
113Primary KTE activities 293
114Service model options for improving supports for people affected by forced adoptions 294
114.12012 AIFS study findings regarding service options 295
114.2Service enhancement/expansion options 298
115Enhancing mainstream services 298
116Expanding/enhancing existing post-adoption specific support services 298
117Developing new—and improving existing—resources for professional development and training 298
118Increasing accessibility and coordination through development of a national web portal 298
119Community awareness and action 298
120A. Enhancing mainstream services 299
121B. Expanding/enhancing existing post-adoption specific support services 302
122C. Resources for professional development and training 310
123D. Accessibility and coordination: Development of a national web portal 311
124E. Community awareness and action 313
124.1Web implementation options 314
125Expand Find & Connect website 315
126Integrate as part of a “clearinghouse” or knowledge translation and exchange service 316
127Web portal implementation 318
127.1Broader service delivery implementation implications 319
127.2Local network implementation options 321
128Implementation considerations 322
128.1Peak vs diversity 323
128.2Existing vs new service providers 324
128.3Information vs therapy 325
128.4General vs specialist 326
128.5Professional expertise vs personal experience 327
128.6Individual vs systemic responses 328
128.7Trauma model vs grief/attachment 329
128.8Scope of knowledge translation/exchange functions 330
128.9Role of National Committee of Post-Adoption Service Providers 331
128.10Organisational capacity vs service delivery 332
128.11National vs jurisdictional specific 333
129References 334
References continued 335
130References continued 337
131References continued 339
132References continued 341
133References continued 343
Attachment A: Senate Committee recommendations 345
Recommendation 1 346
Recommendation 2 347
Recommendation 3 348
Attachment B: Commonwealth Government response to Senate Inquiry recommendations 366
Attachment B: Commonwealth Government response to Senate Inquiry recommendations 366
Recommendation 1 367
134Response to recommendation 1 368
135Recommendation 2 369
136Recommendation 3 371
137Recommendation 4 373
138Recommendation 5 374
139Recommendation 6 376
140Recommendation 7 378
141Recommendation 8 380
142Recommendation 9 382
143Recommendation 10 384
144Recommendation 11 386
145Recommendation 12 387
146Recommendation 13 389
147Recommendation 14 390
148Recommendation 15 392
149Recommendation 16 394
150Recommendation 17 396
151Recommendation 18 398
152Recommendation 19 400
153Recommendation 20 402
Attachment C: Workshop Activity 1 worksheet 404
Attachment C: Workshop Activity 1 worksheet 404
Attachment D: Workshop Activity 3 worksheet 406
Attachment D: Workshop Activity 3 worksheet 406
154Response format: 408
Attachment E: Support service agencies approached 410
Attachment E: Support service agencies approached 410
Attachment F: Letter of introduction sent to stakeholders 419
Attachment F: Letter of introduction sent to stakeholders 419
Attachment G: Draft guidelines for good practice in forced adoption support service delivery 421
Attachment G: Draft guidelines for good practice in forced adoption support service delivery 421
Attachment H: Adoption Information Provided by State 428
Attachment H: Adoption Information Provided by State 428
Attachment I: Tasmanian Department of Health and Human Services: Adoptions and Permanency Services 431
Statement of Purpose 432
Attachment J: Government website usability testing 433
Attachment J: Government website usability testing 433
Attachment K: Overview of search tools (including electoral rolls) 434
Attachment K: Overview of search tools (including electoral rolls) 434
Attachment L: Information sheets, publications, training and resources 435
Attachment L: Information sheets, publications, training and resources 435
155Adoption Jigsaw, WA 437
156Past Adoption Resource Centre (PARC), Benevolent Society, NSW 438
157Centacare, TAS 440
158Children and Youth Services, Department of Health and Human Services, Tas. 441
159Department of Child Protection and Family Support, WA 442
160Family Information Networks and Discovery (FIND), Department of Human Services, Vic. 443
161Adoptions and Permanent Care Unit, Department of Community Services, ACT 444
162Adoption Information Unit, Department of Family and Community Services, NSW 445
163Relationships Australia, SA 446
164VANISH, Vic. (information pages for professionals and consumers) 447
165Salvation Army, NSW 448
166PARC training program 450
167VANISH training program 451
168Other training programs 452
169Information and Resource Kit—Post Adoption Resource Centre (PARC) 454
170VANISH guides 455
171Selecting and Working With a Therapist Skilled in Adoption 456
Attachment M: Terms of reference—National Committee of Post-Adoption Service Providers 457
Attachment M: Terms of reference—National Committee of Post-Adoption Service Providers 457