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Attachment Issues & Therapists Options
mkuhlmann06
Posted: Wednesday, July 07, 2010 3:01:00 PM
Rank: Member
Groups: Member

Joined: 06/23/2009
Posts: 17
Points: 57
Location: Harrisburg, Pa.
We are considering the placement of a child (approx 8yrs old) with attachment issues. We are VERY early on and are still trying to figure out if this would be a good placement for our family, so in the meantime, I thought this might generate some discussion/useful information to other resource families that may consider a similar type placement.

So two main questions/areas:

1) What type of things have you dealt with as a foster/adoptive parent with a child with attachment issues? Have they gotten better? What advice can you give? What should I inquire/ask about? What behaviors should we address first? Specific rules/boundaries that were in place immediately? What impact did this child have on your family or other children?

2) Can anyone recommend a good attachment therapist in the area (Dauphin, cumberland, etc counties)? Do they take medical assistance insurance? Can a non attachment therapist be of any help?

Mom to 2 (soon to be 3) great kids (though they are driving me crazy):
T - placed 07/28/07 at age 11, adopted 10/10/07, now age 14 - my TALL young man
R - placed 02/01/09 at age 11, adopted 12/16/09, now age 13 - my drama queen
C - first visit 08/03/10 at age 10, to be foster placement w/current goal of RU - she's a total tomboy

Previous Placements:
B - 10/31/06-11/08/06, age 7
K&M - 11/23/06-04/15/07, ages 12 & 11
H - 10/09/09-01/22/10, age 18

peregrinerose
Posted: Tuesday, July 13, 2010 12:11:33 PM
Rank: Newbie
Groups: Member

Joined: 06/18/2009
Posts: 7
Points: 21
Location: Newport, Pa.
1. What we dealt with: Anger, violence, destruction of property, assault, verbal assaults, dishonesty. Have they gotten better? Dramatically so, primarily over the past six months.

Advice... never give up. These kids have been abandoned by so many people, they think everyone will abandon them. By giving up, you prove them right. It's hard. It's frustrating. It's scary sometimes. It's also do-able. www.radkid.org has a lot of good information.

Ask everything. When we interviewed with the county, we had about 3 pages of questions. In retrospect, I would have been more detailed... Is there a pattern of acting out? (ours is on a monthly cycle). How is acting out manifested? Has therapy been successful in the past? Does he participate in therapy? Does he want to be adopted? Why does he want to be adopted? What healthy connections does he have in his life? (ours still keeps in touch with a couple of previous foster homes and foster sibs, and we encourage that). Can he bond with people? What does that bond look like?

Specific rules... the big one that I wish I'd instituted early on was that he ask for everything. Ask for permission to get a drink, get a snack, even use the restroom. That's suggested in a lot of the RAD therapy books I've read and it makes sense. Our son asks for nothing at all... ever. He either waits for us to notice he needs something or he goes behind our back to avoid asking. He does not understand that he can ask for what he needs, and 99% of the time, the answer will be yes.

2. Lark Eschelman in Lancaster is supposedly amazing. Her wait for CBHMP insured kids is 6-12 months. Our success with non-RAD therapists was 50/50. The first one just didn't really connect with Tyson well and he'd shut down during every therapy session. Now we have FBMHS through Diakon, and Sue and Justin have been amazing.
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