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The anger and turmoil surrounding the unwanted transition both short circuits and intensifies the necessary grieving and mourning for the foster parent and the child. Edelstein et al. Reunification, or any transition, can have harmful short-term effects on the child, especially for those children between the ages of six and 24 months old. Infants often form secure attachments to substitute caregivers who have loved them and have attended to their daily needs. The person an infant trusts most to continue caring for him is naturally the person who has been changing his diapers, feeding him, bathing him, putting him to bed, and so forth.
Because an infant cannot understand why things have changed, removal from his substitute caregiver — even to [return him to] a parent with whom there is a healthy attachment and relationship — may cause distress similar to the initial removal. The longer the infant has been in out-of- home care and the more intense the attachment and sense of security associated with that placement, the more psychologically difficult the reunification process. Supportive therapeutic services and transition planning must be considered to promote a successful reunification.
To avoid another traumatic life event for the infant, transition planning should be part of any plan for reunification. Ideally, when reunification is the goal, parents and substitute caregivers will have developed a working relationship, allowing the young child to attach with both caregivers and to observe her primary caregivers connecting with each other. Visits should provide maximum opportunities for parent-child interaction. On top of that, it can be difficult to deal with the anger, guilt and anxiety you all feel, and to show each other the love and happiness you have inside.
In this issue, parents write about what helped their families become whole again. Principles and guidelines for developing visitation plans are applicable to developing transition plans.
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The following extracts are from visitation guidelines developed by Rose Marie Wentz. How often: 2 to 5 visits per week; each 60 minutes minimum. Where: Home or homelike environment. Who visits: Parents and siblings separate or together. Other key people with emotional attachment.
ISBN 13: 9780521012966
How often: 2 to 4 visits per week; each 60 to 90 minutes. Where: Home or homelike environment; Doctor appointments. Listen for who child likes to see. Community setting: parks, playgrounds, childcare, doctor appointments. What: Child chooses what to do during visit; which book to read, what toys, what game. Ask child about their life. Provide discipline. Who visits: Ask child who he wants to visit. Parents and siblings together or separate. How often: 1 to 2 visits per week; each 1 to 3 hours. Where: Child helps to choose home or homelike environment, or where child already is; school, sports, park, restaurant, therapist, doctor.
What: Child helps to choose: What child likes to do; sports, games. What child must do; homework, chores.
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Parents and sibings together or separate. Other key people emotional attachment. How often: At least once a week. Where: Teen helps to choose; Where teen already is; school, sports, park, restaurant, mall, therapist, home of parent or caregiver, doctor. What: Teen helps to choose. What child likes to do; sports, games, shopping. Ask child about her life. Who: Ask teen who he wants to visit. Parents and siblings together. What happened to me? Where am I going? How will I get there? By incorporating this model, workers and families conducting the preparation work, assist the child in grieving losses, formulating self-identity, establishing trust and security through attachments, and building relationships and openness to join families on a permanent basis.
Infants 2 to 6 or 8 months old should sufficiently establish a comfort zone with touch, smell and sight with 4 to 6 visits of 1 to 2 hours each. They should be held no more than one to two days apart. However, nearing 2 years and older, children can usually grasp that a change is about to occur. Explaining to the child that he is about to have a new home is important in preparing to accept that a move is about to occur…Attachments form at a young age. One to five year olds should take approximately 3 to 6 weeks.
The child will be comfortable if he knows that it is ok to have this stranger in his own territory.
The foster and adoptive parents should interact together with the child to make him comfortable. See his bedroom; ask about his favorite toys or games. Talk about what he or she likes to eat and play with.
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