Abstract
Adopted children are disproportionately represented in residential treatment programs in the United States. Adopted children in the United States constitute only 2% to 3% of the U.S population. Nevertheless, they comprise approximately 16.5% of the population in residential care. This descriptive study evaluated a sample of 473 psychological evaluations of adolescents in wilderness and residential treatment centers. Results indicated that, compared with nonadopted youth, adopted youth had greater histories of recent trauma, higher rates of suicidal tendency and biological parents’ mental illness, and poorer academic achievement. However, there were no significant differences between adopted and nonadopted youths in terms of defiant behaviors, IQ, substance use/abuse, reasons for referral, impulsivity, anxiety, or depression. Study results suggest that wilderness and residential programs may need to target programmatic elements specifically to meet the special needs of adopted adolescents who comprise a significant percentage of their client population.
|
American Psychiatric Association . (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author. Google Scholar | |
|
American Psychiatric Association . (1987). Diagnostic and statistical manual of mental disorders (3rd rev. ed.). Washington, DC: Author. Google Scholar | |
|
American Psychiatric Association . (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author. Google Scholar | |
|
American Psychiatric Association . (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Google Scholar | Crossref | |
|
Benjamini, Y., Hochberg, Y. (1995). Controlling the false discovery rate: A practical and powerful approach to multiple testing. Journal of the Royal Statistical Society, Series B (Methodological), 57, 289-300. Google Scholar | Crossref | |
|
Bettmann, J. E., Lundahl, B. W., Wright, R., Jasperson, R. A., McRoberts, C. H. (2011). Who are they? A descriptive study of adolescents in wilderness and residential programs. Residential Treatment for Children & Youth, 28, 192-210. Google Scholar | Crossref | |
|
Bezdjian, S., Baker, L. A., Tuvblad, C. (2011). Genetic and environmental influences on impulsivity: A meta-analysis of twin, family and adoption studies. Clinical Psychology Review, 31, 1209-1223. doi:10.1016/j.cpr.2011.07.005 Google Scholar | Crossref | Medline | ISI | |
|
Biafora, F. A., Esposito, D. (2007). Towards a sociology of adoption: Historical deconstruction. In Javier, R. A., Baden, A. L., Biafora, F. A., Camacho-Gingerich, A. (Eds.), Handbook of adoption: Implications for researchers, practitioners, and families (pp. 17-31). Thousand Oaks, CA: Sage. Google Scholar | |
|
Bimmel, N., Juffer, F., van IJzendoorn, M., Bakermans-Kranenburg, M. (2003). Problem behavior of internationally adopted adolescents: A review and meta-analysis. Harvard Review of Psychiatry, 11, 64-88. Google Scholar | Crossref | Medline | ISI | |
|
Butcher, J. N. (1992). Minnesota Multiphasic Personality Inventory–Adolescent (MMPI-A). Minneapolis, MN: Pearson. Google Scholar | |
|
Butler, L., McPherson, P. (2007). Is residential treatment misunderstood? Journal of Child and Family Studies, 16, 465-472. doi:10.1007/s10826-006-9101-6 Google Scholar | Crossref | |
|
Feigelman, W. (2001). Comparing adolescents in diverging family structures: Investigating whether adoptees are more prone to problems than their nonadopted peers. Adoption Quarterly, 5, 5-36. doi:10.1300/J145v05n02_02 Google Scholar | Crossref | |
|
Harper, N., Russell, K., Cooley, R., Cupples, J. (2007). Catherine Freer Wilderness Therapy Expeditions: An exploratory case study of adolescent wilderness therapy, family functioning, and the maintenance of change. Child & Youth Care Forum, 36, 111-129. doi:10.1007/s10566-007-9035-1 Google Scholar | Crossref | |
|
Hussey, D. L., Guo, S. (2002). Profile characteristics and behavioral change trajectories of young residential children. Journal of Child and Family Studies, 11, 401-410. doi:10.1023/A:1020927223517 Google Scholar | Crossref | |
|
Ingersoll, B. D. (1997). Psychiatric disorders among adopted children: A review and commentary. Adoption Quarterly, 1, 57-73. Google Scholar | Crossref | |
|
Juffer, F., van IJzendoorn, M. (2005). Behavior problems and mental health referrals of international adoptees: A meta-analysis. Journal of the American Medical Association, 293, 2501-2515. doi:10.1001/jama.293.20.2501 Google Scholar | Crossref | ISI | |
|
Keyes, M. A., Malone, S. M., Sharma, A., Iacono, W. G., McGue, M. (2013). Risk of suicide attempt in adopted and nonadopted offspring. Pediatrics, 132, 639-646. doi:10.1542/peds.2012-3251 Google Scholar | Crossref | Medline | ISI | |
|
Keyes, M. A., Sharma, A., Elkins, I., Iacono, W., McGue, M. (2008). The mental health of US adolescents adopted in infancy. Archives of Pediatrics & Adolescent Medicine, 162, 419-425. Google Scholar | Crossref | Medline | |
|
Kreider, R. M., Lofquist, D. A. (2014). Adopted children and stepchildren: 2010. U.S. Department of Commerce, Economics and Statistics Administration, U.S. Census Bureau. Retrieved from www.census.gov/prod/2014pubs/p20-572.pdf+&cd=1&hl=en&ct=clnk&gl=us Google Scholar | |
|
Lancaster, C., Nelson, K. (2009). Where attachment meets acculturation: Three cases of international adoption. Family Journal, 17, 302-311. doi:10.1177/1066480709347357 Google Scholar | SAGE Journals | |
|
Lee, B. R., Thompson, R. (2008). Comparing outcomes for youth in treatment foster care and family-style group care. Children & Youth Services Review, 30, 746-757. doi:10.1016/j.childyouth.2007.12.002 Google Scholar | Crossref | Medline | ISI | |
|
Lee, R. M., Grotevant, H. D., Hellerstedt, W. L., Gunnar, M. R. (2006). Cultural socialization in families with internationally adopted children. Journal of Family Psychology, 20, 571-580. Google Scholar | Crossref | Medline | ISI | |
|
Miller, B. C., Fan, X., Christensen, M., Grotevant, H. D., van Dulmen, M. (2000). Comparisons of adopted and nonadopted adolescents in a large, nationally representative sample. Child Development, 71, 1458-1473. Google Scholar | Crossref | Medline | ISI | |
|
Miller, B. C., Fan, X., Grotevant, H., Christensen, M., Coyl, D., van Dulmen, M. (2000). Adopted adolescents’ overrepresentation in mental health counseling: Adoptees’ problems or parents’ lower threshold for referral? Journal of the American Academy of Child & Adolescent Psychiatry, 39, 1504-1511. doi:10.1097/00004583-200012000-00011 Google Scholar | Crossref | Medline | ISI | |
|
Millon, T., Millon, C., Davis, R., Grossman, S. (2006). The Millon Adolescent Clinical Inventory (MACI) Examiner’s Manual. San Antonio, TX: NCS Pearson. Google Scholar | |
|
Mogens, N. C. (2012). A study of adopted children, their environment, and development: A systematic review. Adoption Quarterly, 15, 220-237. doi:10.1080/10926755.2012.700002 Google Scholar | Crossref | |
|
Neuendorf, K. A. (2002). The content analysis guidebook. Thousand Oaks, CA: Sage. Google Scholar | |
|
Newes, S. L., Doherty, T. J. (2007, August). Evaluating wilderness therapy as an option for treatment resistant adolescents. Paper presented at 2007 American Psychological Association Convention, San Francisco, CA. Google Scholar | |
|
O’Connor, T. G., Marvin, R. S., Rutter, M., Olrick, J. T., Britner, P. A. (2003). Child-parent attachment following early institutional deprivation. Development and Psychopathology, 15, 19-38. Google Scholar | Crossref | Medline | ISI | |
|
Pomerleau, A., Malcuit, G., Chicoine, J., Séguin, R., Belhumeur, C., Germain, P., . . . Jeliu, G. (2005). Health status, cognitive and motor development of young children adopted from China, East Asia, and Russia across the first 6 months after adoption. International Journal of Behavioral Development, 29, 445-457. Google Scholar | SAGE Journals | ISI | |
|
Purvis, K., Cross, D., Pennings, J. (2009). Trust-based relational intervention: Interactive principles for adopted children with special social-emotional needs. Journal of Humanistic Counseling, Education and Development, 48, 3-22. Google Scholar | Crossref | |
|
Rampage, C., Eovaldi, M., Ma, C., Foy, C. W., Samuels, G. M., Bloom, L. (2012). Adoptive families. In Walsh, F. (Ed.), Normal family processes (4th ed., pp. 222-248). New York, NY: The Guilford Press. Google Scholar | |
|
Russell, K. C. (2001). What is wilderness therapy? Journal of Experiential Education, 24, 70-79. Google Scholar | SAGE Journals | |
|
Russell, K. C. (2005). Two years later: A qualitative assessment of youth well-being and the role of aftercare in outdoor behavioral healthcare treatment. Child & Youth Care Forum, 34, 209-239. doi:10.1007/s10566-005-3470-7 Google Scholar | Crossref | |
|
Russell, K. C. (2007). Brat camp, boot camp, or . . . ? Exploring wilderness therapy program theory. Journal of Adventure Education and Outdoor Learning, 6, 51-68. Google Scholar | Crossref | |
|
Russell, K. C., Farnum, J. (2004). A concurrent model of the wilderness therapy process. Journal of Adventure Education and Outdoor Learning, 4, 39-55. Google Scholar | Crossref | |
|
Slap, G., Goodman, E., Huang, B. (2001). Adoption as a risk factor for attempted suicide during adolescence. Pediatrics, 108, e30. doi:10.1542/peds.108.2.e30 Google Scholar | Crossref | ISI | |
|
Tan, T. (2009). School-age adopted Chinese girls’ behavioral adjustment, academic performance, and social skills: Longitudinal results. American Journal of Orthopsychiatry, 79, 244-251. doi:10.1037/a0015682 Google Scholar | Crossref | Medline | ISI | |
|
Thissen, D., Steinberg, L., Kuang, D. (2002). Quick and easy implementation of the Benhamini-Hochberg procedures for controlling the false positive rate in multiple comparisons. Journal of Educational and Behavioral Statistics, 27, 77-83. Google Scholar | SAGE Journals | ISI | |
|
Tienari, P., Wynne, L. C., Sorri, A., Lahti, I., Laksy, K., Moring, J., . . . Wahlberg, K. E. (2004). Genotype-environment interaction in schizophrenia-spectrum disorder. Long-term follow-up study of Finnish adoptees. British Journal of Psychiatry, 184, 216-222. Google Scholar | Crossref | Medline | ISI | |
|
van IJzendoorn, M., Juffer, F., Poelhuis, C. (2005). Adoption and cognitive development: A meta-analytic comparison of adopted and nonadopted children’s IQ and school performance. Psychological Bulletin, 131, 301-316. doi:10.1037/0033-2909.131.2.301 Google Scholar | Crossref | Medline | ISI | |
|
Von Korff, L., Grotevant, H. D. (2011). Contact in adoption and adoptive identity formation: The mediating role of family conversation. Journal of Family Psychology, 25, 393-401. doi:10.1037/a0023388 Google Scholar | Crossref | Medline | ISI | |
|
Warren, B. (1992). Lower threshold for referral for psychiatric treatment for adopted adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 31, 512-517. Google Scholar | Crossref | Medline | ISI | |
|
Wechsler, D. (2001). Wechsler Individual Achievement Test–Second Edition (WIAT-II) Examiner’s Manual. San Antonio, TX: The Psychological Corporation. Google Scholar | |
|
Whittaker, J. K. (2004). The reinvention of residential treatment: An agenda for research and practice. Child and Adolescent Psychiatric Clinics of North America, 13, 267-278. doi:10.1016/S1056-4993(03)00117-2 Google Scholar | Crossref | Medline | ISI | |
|
Young, M. C., Gass, M. (2010). Preliminary data from the NATSAP research and evaluation network: Client characteristics at admission. Journal of Therapeutic Schools & Programs, 4, 80-105. Google Scholar | Crossref |
Author Biographies
Joanna E. Bettmann, PhD, LCSW is the MSW Director and an Associate Professor of Social Work at the University of Utah. She has worked in and researched wilderness therapy programs for 20 years.
Pamela Clarkson Freeman, PhD, is a Research Assistant Professor at the University of Maryland School of Social Work. Her research focuses on program evaluation, intervention research with at-risk families, and social work practice with children.
Kimber J. Parry, MSW, received her MSW from the University of Utah. She works primarily with homeless veterans at the VA in Salt Lake City.

