title: Intercountry adoption of Latin American children: the importance of early bilingual/bicultural services.
abstract: Because of major worldwide demographic changes, many Latin American children are frequently adopted in the U.S. This article presents an overview of the historical and contemporary circumstances and controversies surrounding intercountry adoptions (ICAs), and a review of possible risk factors for later child or adolescent maladjustment. Although a number of follow-up studies indicate a 70-80% positive outcome, some ICAs end in painful family-child disruptions. There is, therefore, a growing need for bilingual/bicultural mental health services to improve the initial adjustment process and to facilitate a positive long-term outcome. These services are especially needed when the child is older at arrival and the adopting family lives in a mostly homogeneous community. Suggested prearrival, arrival, and follow-up interventions with the family, the child, and the school are described. A case illustration of the interventions offered to a U.S. family and their recently adopted Latin American child is provided.
authors.affiliation: Department of Family and Child Development, College of Human Resources, Virginia Polytechnic Institute and State University, Blackburg 24061-0416, USA.
authors.forename: R F
authors.initials: RF
authors.lastname: de Verthelyi
mesh_terms: D000275:Adjustment Disorders / Q000208:ethnology* / Q000517:prevention & control*; D000300:Adoption / Q000208:ethnology*; D000367:Age Factors; D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D003144:Communication Barriers; D006301:Health Services Needs and Demand; D006801:Humans; D007843:Latin America / Q000208:ethnology; D008297:Male; D008605:Mental Health Services / Q000458:organization & administration*; D012307:Risk Factors; D014481:United States