Support for adoptive parents

Summary of findings from a systematic review

Support for adoptive parents: Summary of findings from a systematic review

Highlights

  • Our briefing identifies factors that adoptive parents report support engagement, the types of support they value, and the perceived benefits of support
  • Adoptive parents reported the following factors were important in facilitating engagement in support: practitioner warmth and passion, a space to focus on their own needs, interventions feeling relevant and effective, and clear, accessible information
  • Adoptive parents self-reported benefits of support relating to understanding and having a space for self-care, perceived improvements in emotional regulation and ability to engage in reflection, and perceived improvements in parental confidence and empowerment
  • Interventions identified as effective included core components of psychoeducation and relationship enhancement/promoting parental sensitivity.

Briefing: Support for adoptive parents

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Summary

Adoptive parents play a critical role in providing stability and care to children who may have experienced significant adversity. Being an adoptive parent can be uniquely complex, requiring parents to respond to a range of challenges such as attachment difficulties, behavioural dysregulation, and the developmental effects of early harm.

This briefing outlines findings relating to adoption from a systematic review which summarised evidence on the effectiveness of interventions for foster and adoptive parents.

Method

We commissioned the Centre for Evidence and Implementation and Monash University to carry out a systematic review on support for adoptive parents and foster carers.

It summarised existing evidence on support for adoptive parents of a child aged 0–18 adopted from care, as well as support for foster carers. The review focused on interventions involving direct participation of adoptive parents – one specific aspect of adoption support, not all the components that adopted children may need to thrive.

Our systematic review has informed a Foster Care Practice Guide and will later inform a Practice Guide on support for adoptive parents to be published in 2027.

Key Findings

Qualitative findings

Facilitating engagement in support:

  • Practitioner warmth and genuine passion are vital to building trusting relationships, fostering engagement, and making participants feel valued
  • Providing a space to focus on parents’ needs was welcomed and seen as useful
  • Parents have limited time and want to use it wisely; interventions need to be perceived as relevant and effective to maintain engagement
  • Clear, accessible information helps adoptive parents to engage with support
  • The assumption that primary caregivers are female can be a barrier to male parents, single women, and same-sex couples accessing support

Types of support:

  • Facilitated peer support provides parents with a much-needed space for emotional support, reciprocal learning, and feeling heard and seen
  • Adoptive parents value interventions that are structured but have room for flexibility, enabling facilitators to be responsive to individual needs
  • Adoptive parents value learning strategies that integrate theory and practice
  • Adoptive parents valued interventions that included multi-agency support and provided a network around the child

Perceived benefits of support:

  • Understanding and having a space for self-care
  • Perceived improvements in emotional regulation and ability to engage in reflection before responding to children
  • Perceived increases in parental confidence and empowerment

Quantitative findings

Effective interventions had the following common elements:

  • Psychoeducation, which provides information related to mental health, emotional wellbeing, and psychological processes to support understanding. This may include child development, parent-child interactions, parenting styles, the effects of abuse and trauma, and how parental well-being influences their children
  • Relationship enhancement/promoting parental sensitivity, for example, practice focused on parent-child play and communication, observation, and child-led interactions.

Implications for future research

Areas for future focus include:

  1. Robust impact evaluations of UK-based interventions for adoptive parents
  2. Robust impact evaluations of interventions for adoptive parents of older children
  3. Understanding how interventions work for different groups of adoptive families, particularly those from minoritised racial and cultural backgrounds.

Delivery Partners

Centre for Evidence and Implementation (CEI).

Linked Project

You can view the project linked to this publication here: 

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Cost ratings:

Rated 1: Set up and delivery is low cost, equivalent to an estimated unit cost of less than £100.

Rated 2: Set up and delivery is medium-low cost, equivalent to an estimated unit cost of £100–£499.

Rated 3: Set up and delivery is medium cost, equivalent to an estimated unit cost of £500–£999.

Rated 4: Set up and delivery is medium-high cost, equivalent to an estimated unit cost of £1,000–£2,000.

Rating 5: Set up and delivery is high cost. Equivalent to an estimated unit cost of more than £2,000.

Set up and delivery cost is not applicable, not available, or has not been calculated.

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Child Outcomes:

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Supporting children’s mental health and wellbeing: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Preventing child maltreatment: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Enhancing school achievement & employment: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Preventing crime, violence and antisocial behaviour: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Preventing substance abuse: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Preventing risky sexual behaviour & teen pregnancy: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

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Evidence ratings:

Rated 2: Has preliminary evidence of improving a child outcome from a quantitative impact study, but there is not yet evidence of causal impact.

Rated 2+: Meets the level 2 rating and the best available evidence is based on a study which is more rigorous than a level 2 standard but does not meet the level 3 standard.

Rated 3: Has evidence of a short-term positive impact from at least one rigorous study.

Rated 3+: Meets the level 3 rating and has evidence from other studies with a comparison group at level 2 or higher.

Rated 4: Has evidence of a long-term positive impact through at least two rigorous studies.

Rated 4+: Meets the level 4 rating and has at least a third study contributing to the Level 4 rating, with at least one of the studies conducted independently of the intervention provider.

Rating has a *: The evidence base includes mixed findings i.e., studies suggesting positive impact alongside studies, which on balance, indicate no effect or negative impact.

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