No abstract

The vast majority of the almost 2 million adopted children in the United States remain with their adoptive family throughout their life. For an estimated 1% to 25% of adopted children, adoption ends in dissolution or disruption. This article provides an overview of the A Step Further (ASF) program as experienced by two adoptive families that were at risk of dissolution. The ASF program is an intensive educational and supportive program that provides services to help adopted children and their families remain together through challenging times. A case study design is utilized and describes case characteristics; utilization of the ASF program; staff characteristics and training; and a summary of the interventions, support services, and materials provided for families enrolled in ASF services. Cases presented reported substantial progress on parent-identified personal goals and clinically significant improvements in child behavior problems at conclusion of the program. At 1-year post ASF services, parents reported that the child of focus remained with his adoptive family. Preliminary evidence suggests that ASF is targeting families at risk of dissolution and having a high level of success at keeping adoptive and guardianship families intact. Limitations and implications for clinicians and students are discussed.