Reactive Attachment Disorder in Children
Introduction to the Diagnosis
According to Bowlby, the founder of attachment theory, a dependable, safe, and caring relationship with a primary caregiver is vital to an infant’s psychological health (Bowlby, 1951). In particular, children lacking a secure attachment with their primary caregivers are at risk of developing emotional and behavioral issues (Blakely & Dziadosz, 2015). Unfortunately, the human bonds normally formed in infancy are fractured in neglected and abused children suffering from RAD (Shi, 2014). As a result, these children become withdrawn, distrustful, and fearful of the world (Shi, 2014).
RAD is located under Trauma and Stressor-Related Disorders in the Diagnostic and
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Notably, one quarter of children living in the United States will suffer from neglect and/or abuse during their lifetime (CDC, 2016). As a consequence, the welfare system places at risk children in foster homes, group homes, and institutions (Department of Health and Human Services (US Department of Health and Human Services Administration for Children Youth and Families, 2015). According to the Adoption and Foster Care Analysis and Reporting System (AFCARS), in 2014, over 400,000 children were placed into foster care with over 100,000 were waiting to be adopted (US Department of Health and Human Services Administration for Children Youth and Families, 2015). The majority of children in foster care are White (42%), the second highest are Blacks (24%) and third are Hispanics (22%) (US Department of Health and Human Services Administration for Children Youth and Families, 2015). Also, 52% are male and 48% are female (US Department of Health and Human Services Administration for Children Youth and Families, 2015). Most children, 46%, were placed in a non-relative home and 29% with a relative (US Department of Health and Human Services Administration for Children Youth and Families, 2015). Additionally, 6% were sheltered in a group home and 8% in an institution (US Department of Health and Human
In America it is stated that 1 in every 84 children live in foster care circumstances via "Statistics on Foster Care". There is a numerous amount of contrasting children from various backgrounds and ages living within these special housing homes, and many are repeatedly in and out from unstable circumstances. As children grow and mature into the new faces of the world, they face many obstacles and tribulations that will alter their lives. Living in fostering homes is a substantial example and the effects of living in these institutions can truly be great.
“About two-thirds of children admitted to public care have experienced abuse and neglect, and many have potentially been exposed to domestic violence, parental mental illness and substance abuse” (Dregan and Gulliford). These children are being placed into foster care so that they can get away from home abuse, not so they can move closer towards it. The foster children’s varied outcomes of what their adult lives are is because of the different experiences they grew up with in their foster homes. The one-third of those other foster children usually has a better outcome in adult life than the other two-thirds, which is a big problem considering the high percentage of children being abused in their foster homes. Although, the foster care
Infant attachment is the first relationship a child experiences and is crucial to the child’s survival (BOOK). A mother’s response to her child will yield either a secure bond or insecurity with the infant. Parents who respond “more sensitively and responsively to the child’s distress” establish a secure bond faster than “parents of insecure children”. (Attachment and Emotion, page 475) The quality of the attachment has “profound implications for the child’s feelings of security and capacity to form trusting relationships” (Book). Simply stated, a positive early attachment will likely yield positive physical, socio-emotional, and cognitive development for the child. (BOOK)
Recently it has been seen that most children who are available for adoption are in the foster system and have, experienced trauma in some capacity. Similarly, it is estimated that the average Ace Score of a child in foster care is 7.8 out of 10. This is extremely important to recognize because it means that these young people are experiencing trauma before they even reach the age of 18. The ACE score indicates that these children may have experienced physical, verbal, and sexual abuse; physical and emotional neglect; a family member with a mental illness, or who has been incarcerated, or is abusing alcohol or other drugs; witnessing a mother being abused; losing a parent to divorce or separation. These are issues that some people never experience their lifetime, but children in the foster care system are experiencing almost all
The Foster Care System with the kids who are in it is a massive social issue that America is facing today. There are more than 640,000 foster children in the United States every year. There are 23,000 foster children living in group homes at one time. There are 32,000 who live in institutions, and twenty-seven states do not meet federal abuse and neglect standards. (Attention) Personally, I am a foster sister, because my family currently fosters. Therefore, we see the issues and needs of fostering, daily. (Rapport and Credibility) This speech will discuss the importance of the nature of foster care, the catastrophic problems of foster care, and the proposed solution for the foster care system in America. (Preview)
The number of children in the foster care system continues to increase. While the foster care system is essential in helping abused, abandoned, and neglected children, many children remain in foster care for long periods of time when family reunification or adoption is planned. Court delays can often extend the time between when children enter the foster care system and when they are placed into permanent homes. Significant differences exist in the quality of care and outcomes for children depending on their race and ethnicity. The percentage of children of color in the foster care system is larger than the percentage of children of color among the general U.S. population. However, the occurrence of child abuse and neglect is at about the same rate in all racial/ethnic groups.
Foster care is a multifaceted service. It serves children who have experienced abuse or neglect at the hands of their birthparents and families, and their foster parents. Children in foster care may live with unrelated foster parents, with relatives, with families who plan to adopt them, or in group homes or residential treatment centers. Foster care was designed to intervene on behalf of the children during their time of crisis, with hope of reuniting the children with their families in a safe, stable and loving environment. Some children remain in foster care for extended periods of time. Many “age out” and go on to live on their own. This research looks
Foster Care Nowadays, neglect and abuse is happening underneath the noses of all americans. The main focus of individuals currently is to shape and mold children using their education, but the real shaping of character is happening throughout all homes of America. What is not being given is the equal opportunities for all children to be raised in a safe and encouraging environment.
The overrepresentation of African American children in the foster care system is a major issue in the United States. African American children only represent about fourteen percent of the child population in the United States, yet represents for thirty percent of the children in the foster care system (Lorthridge, 2011). Ards (2012) stated that African American children are one and a half times more likely to be involved with child protective services and two times more likely to be placed in an out-of-home placement compared to any other race. Being a minority in a country, but the majority in an institution, such as foster care, is a significant problem. Not only is the overrepresentation of African American children a matter of question, but their experience while in foster care is concerning as well. African American children are overrepresented at every aspect in the foster care system and the numbers are not decreasing. According to Anyon (2011), African American children are overrepresented at every stage/decision point in the foster care system. The five stages are known as the five key decision points, which are, report of abuse and/or neglect, referral of report for investigation, reunification, out-of-home placement and termination of parental rights, and exiting the foster care system (Harris, 2008).
Although secure attachment during infancy is the foundation for continued healthy positive development during the lifespan, it is important to understand that other factors can have a significant effect on development later in life (i.e. illness, loss, and trauma). However, research has shown the importance of consistent care giving that is responsive and nurturing and the caregivers’ ability to effectively accommodate more difficult temperament characteristics ,as well as other factors, influence the development of healthy attachment{{64 Bakermans-Kranenburg, Marian 2003}}. Research has also shown that infancy and early childhood is the period of development where scaffolding begins and continues (Vygotsky, 1978; Zhao & Orey,1999).
Everywhere across the world, more and more children are being placed into foster care or a welfare type system. Foster care can benefit children or harm them; the effects of foster care differ for every individual. These types of systems often have a major effect on young children’s physiological state. Children entering in foster care are often malnourished and have untreated health problems. A high percentage of children who are placed in these types of systems have mental health, physical health, and/or developmental issue which often originates while the individuals are still in the custody of the biological parents. Children in foster care should be provided with a healthy and nurturing environment which often provides positive long term results. The age of children in a foster care varies across the world, but it is often seen that majority of these children are young (George para. 1). There are more young children in the system because younger children require more adequate care than older children that are already in the system. Placing these children in welfare systems is supposed to be a healing process for them. Although this is supposed to be a healing process, statistics say these children have a negative experience while being in these systems, but this is not always the case. A number of children in foster care fall sucker to continuous neglect and recurrent abuse with the lack of nurturing and an unstable environment. These same children often have unmet
Imagine growing up without a family, moving constantly and never having a permanent home. Envision being taken away from an abusive parent and left to survive in foster care for an undefined period of time. Think about lingering within the system for years and suddenly loosing any kind of aid at the age of eighteen. This is a reality for thousands of children in America’s foster care system. There are kids that are searching for a home and family -- and many of them never get one. These youths are all hoping and wishing for a permanent place to go back to. The number of children aging out of the foster care system annually is a serious problem because many children leave foster care without support and suffer consequences in their adult life that could have been avoided if they had been adopted.
The first one a child forms in their life is between themselves and their mother, which soon becomes the foundation and is representative of how the child will form relationships with the world around them. Reactive Attachment Disorder is a condition in which a child has difficulty forming lasting relationships and forming attachments’ with caregivers. “They often show nearly a complete lack of ability to be genuinely affectionate with others. They typically fail to develop a conscience and do not learn to trust. They do not allow people to in control of them due to this trust issue” (American Academy of Child/Adolescent Psychiatry, 2012, Causes of Reactive Attachment Disorder, para 1). They also state that, “if a child is not attached- does not form a loving bond with the mother- he does not develop an attachment to the rest of mankind.” There are two types of behavior that a child with RAD can inhibit. Some children have symptoms of just one type, while others exhibit both types of
This supports that it is important to be mindful of how attachment theory and child physical abuse are interconnected and impacts the direction of services that will be provided to the client and
The numbers of children in foster care continue to increase annually with minimal attempts to intercept the causes of the escalation. Children are generally placed into foster care as a result of parental abuse or neglect; however, there are many racial inconsistencies circulating general foster care involvement. In the year of 2014, the Adoption and Foster Care Analysis and Reporting System reported a total of 415,129 children in the foster care system. Depending on their situation, children in the system are in need of some sort of home, whether that be temporary or permanent. When experiencing this type of shift in their lives, many children tend to act out. Foster care in the United States is a