The Adopting Together Service: how innovative collaboration is meeting the needs of children in Wales waiting the longest to find a family

Abstract

<jats:p> Significant concerns remain in many countries about the high numbers of children needing an adoptive placement relative to the low numbers of prospective adopters, the high level of long-term therapeutic support needs for many adopted children and their families, and whether there are appropriate services to meet them. There has been an increase in ‘priority’ children waiting over 12 months to find a family. These are often children aged four years and over, in care with siblings, with additional needs or developmental uncertainties and from minority ethnic backgrounds. The financial and emotional costs of long-term fostering when plans are changed are huge. This article describes a major development in child care practice in Wales that has occurred over the past two years. The Adopting Together Service (ATS) involves a unique, innovative and multi-layered collaboration between the voluntary adoption agencies (VAAs – non-governmental charities) and regional adoption teams (statutory agencies) to secure permanence for children who wait the longest to find families. It explains how the ATS has been developed and embedded, including an account of the referral process, the approach to recruitment, linking and matching, and therapeutic activity before, during and after placement. It also describes the process of securing sustainable social procurement under the guidance of the British Standard for Collaborative Working (ISO 44001; British Standard Institute, 2017), the creation of a Joint Relationship Management Plan between VAAs, and the implementation of service level agreements between the voluntary and statutory sectors. These developments are considered in the context of the Welsh Government’s implementation of the Well-being of Future Generations (Wales) Act 2015, which lays out collaborative expectations to the statutory sector as one of its sustainable development principles. The article concludes with an initial evaluation of progress, noting challenges to the service and the views of the social workers, foster carers and adoptive parents involved. </jats:p>

Early adversity predicts adoptees’ enduring emotional and behavioral problems in childhood

“…Our results attest to the value of having as much relevant biographical information about a child's life before and during care as possible and for this to be shared with foster carers (pre-adoptive placement) and adopters in a professional and judicious manner. In this way, our findings support recent recommendations and new service developments (in the UK) which emphasize soliciting information and views from everyone involved in the care of children pre-and post-adoption with regard to their psychological development and experiences before and in care [28,29]. This may make an important contribution to parents' capacity to understand, anticipate, adapt, and respond to children's needs and behaviors after placement.…”

Embedding social value in procurement: practice case studies

“…One of the significant decisions and challenges facing local authorities to protect vulnerable children is deciding whether to keep them in long term foster care or child adoptionthe placement of both options presents further debate to either manage inhouse (via the local authority) or to outsource using specific charitable fostering and adoption organisations (Shelton et al, 2020). Therefore, organisations such as St David's find themselves in a position where they may be in direct competition with local authorities and in the case of adoption, needing to collaborate.…”

A rapid review of what organisational level factors support or inhibit the scale and spread of innovations in children’s social care

“…Two of the primary research studies were carried out in Wales; one qualitative study (Rees & Handley 2022) and one service evaluation (Shelton et al 2020). For this review we also included five additional innovations implemented in Wales to enhance the Wales perspective.…”

“…Rees et al (2019) Fostering Wellbeing 2 Shelton et al (2020). Adopting Together Service (initial findings)1: Fostering WellbeingDelivered by the Fostering Network (https://www.thefosteringnetwork.org.uk), Fostering Wellbeing is a multi-agency programme funded by Welsh Government.…”