Ncah issue 06 2015

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Psychological impact of forced adoption

The illegal and unethical forced adop-

tion practices that commonly occurred in

Australia through maternity homes, hospitals,

adoption agencies and privately from the 1940s

through to 1980s has affected thousands of

people.

Research shows forced adoption can have

long-term psychological impacts ranging from

complex and pathological grief and loss to

self-identity and attachment issues,

anxiety and attachment disor-

ders, personality disorders,

and symptoms of post-

traumatic stress disor-

der.

In 2012, the Aus-

tralian Institute of

Family Studies (AIFS)

conducted research

into past adoption

practices.

More than 1500

people participated in

the study, including 823

adopted persons, 505 moth-

ers, 94 adoptive parents, 94 other

family members, 12 fathers and 58 ser-

vice providers.

The study found mothers in labour had

been tied to beds or held down while pillows

or sheets were held up to obscure any view of

their newborn baby.

Others had been sexually assaulted by

medical professionals or experienced medical

neglect or maltreatment.

Parents had been told their newborn baby

was deceased, when the baby was alive, while

study participants also reported that their con-

sent to adopt was unethically and illegally ob-

tained.

Some babies were used for medical experi-

ments or placed with abusive adoptive parents

while adoptees were also lied to about the cir-

cumstances surrounding their adoption.

The results of the study are being used to

inform the development of guidelines for the

delivery of support and services for people af-

fected by forced adoption.

Australian Psychological Society (APS)

spokesperson and psychologist Dr

Daryl Higgins, who is the deputy

director (research) at the

AIFS, said an overwhelm-

ing majority of people

affected by forced

adoption practices

revealed the experi-

ence had negative

repercussions for

their health and well-

being.

“The kind of nega-

tive effects that we saw

there related to mental

health issues, such as anxi-

ety and depression and things that

would be consistent with what we would

call post-traumatic stress, so that really affects

every day functioning but also in particular it af-

fects relationships,” he said.

“One of the things that I found most dis-

tressing, about the impacts that people were

describing, were particularly the impacts on

their relationships.

“Their relationships with partners, their re-

lationships with children, with not only the chil-

dren they were separated from but particularly

other children that they may have had - that

they really feel these reverberations in their in-

terpersonal relationships throughout their lives.”

Dr Higgins said the Federal Government’s

apology in 2013 was a vital part of the healing

process for people who experienced forced

adoption.

“I think for anyone who has experienced a

significant loss or grief or trauma, a way of recon-

necting with a positive thing that signifies a move-

ment towards recognition of that loss is a way of

being able to heal, particularly because it’s about

that communal recognition,” he said.

“What really came home to me was the inten-

sity of the trauma, that a significant sub-group of

those who had experienced past adoption prac-

tices, were subjected to or were experiencing.

“That ongoing severity I think is in part due to

that lack of recognition up until the national apol-

ogy.

“Until there is recognition, it feels like peo-

ple’s experiences are being denied and silenced

and their trauma rendered irrelevant and incon-

sequential.”

The APS has received funding to develop

and deliver national training and resources to

assist health professionals, including psycholo-

gists, occupational therapists, mental health

nurses, Aboriginal Health Workers, GPs and

psychiatrists, working with people affected by

forced adoption.

While the resources are still being devel-

oped, Dr Higgins said there are several key

measures health professionals can utilise when

working with people affected by forced adop-

tion.

Be accepting and be aware. Clients may not

disclose an experience with forced adoption.

“Be willing to ask the question in an open

way when taking a general kind of intake on

family history,” Dr Higgins suggested. “Often we

don’t ask those questions as practitioners and

therefore we miss out on a part of the story that

actually might help inform an understanding of

what the particular issues are with a client who

is presenting for either a health or medical or

allied health concern. It could be that they are

the parent, it could be that they are the adult,

who as a child was adopted, or it could be an-

other family member, such as a sibling.”

Use the right language. “Often people have

very firm views about how they want to have

their experience described so it is being sensi-

tive, and often phrases like biological or birth

mother might be quite offensive to a mother

who involuntary had a child removed,” Dr Hig-

gins said. “She might see herself as the mother

and to use any adjective to describe that might

diminish her experience. Most importantly, mir-

ror the kind of language a client might be using

in relation to their experiences.”

Do your research. Read about the his-

tory of forced adoption and its impacts. “Link

in more broadly with the kind of research and

understanding that sits behind the apology,” Dr

Higgins said. Health professionals can access

research including the Senate Committee Re-

port on Former Forced Adoption Policies and

Practices. There is also AIFS research including

the Impact of Past Adoption Practices: Summary

of Key Issues from Australian Research (2010),

Past Adoption Experiences: National Research

Study on the Service Response to Past Adoption

Practices (2012) and the Forced Adoption Sup-

port Services Scoping Study (2014). “There are

a range of other researchers around who have

documented either individual case studies and

particularly qualitative research that explores

the experience of a wide variety of people with a

past adoption experience,” Dr Higgins said.

For more information visit www.aifs.gov.au/

pae/paffs.html

Leave a comment on this and other articles by visiting the ‘news’

section of our website http://healthtimes.com.au

Have your say!

Nursing researchers to receive international honour

Griffith University patient safety nursing re-

searcher Professor Wendy Chaboyer is one of

two Australian researchers set to be inducted into

the International Nurse Researcher Hall of Fame.

Professor Chaboyer will join Queensland

University of Technology’s Professor Elizabeth

Beattie and 17 nursing researchers from the

United States, Belgium and Canada to be recog-

nised at the Sigma Theta Tau International’s (STTI)

26th International Nursing Research Congress in

Puerto Rico in July.

Professor Chaboyer, who is originally from

Canada and first became interested in research-

ing ways to improve patient care while working

as an intensive care nurse, said the honour rec-

ognises 15 years of her work in nursing research.

“To be recognised by our international com-

munity of nurses - I’m very proud of that,” she

said.

“My colleague Professor Claire Rickard re-

ceived it last year, so Australian researchers are

starting to get a bit of a reputation for the good

quality research we are doing at the international

level.”

Professor Chaboyer’s research focuses on

patient participation in patient safety activities

from clinical handover to pressure injury preven-

tion in a bid to promote active patient engage-

ment in hospital care.

“We know from international work that when

patients are more active in their care, they actual-

ly have better outcomes and there’s less adverse

events,” she said.

Professor Chaboyer, from Griffith’s Centre

for Health Practice Innovation, a part of the Men-

zies Health Institute Queensland, said her early

research work focused on patients being trans-

ferred from intensive care to the ward.

“We found that a liaison nurse role that

helped in that transition actually was beneficial

for the patients, the staff and actually made the

transfer more efficient,” she said.

“More recently, I’ve been working in the area

of the nursing handover. I’ve developed stand-

ard operating protocols for how nurses can give

handover at the patient’s bedside and involve

the patient and the family of the patient.”

Professor Chaboyer is now involved in a

large National Health and Medical Research

Council (NHMRC) study examining how patients

can become more actively involved in pressure

injury prevention care.

The study is being conducted with about

1600 patients spanning eight hospitals, in both

the public and private sectors, across three Aus-

tralian states.

Professor Chaboyer said if the study’s inter-

ventions are a success, it will suggest patients

can play a simple but effective role in pressure

injury prevention.

“We’ve come up with three simple things

that patients can do in partnership with nurses,”

she said.

“Just keep moving - it’s amazing how just

even wriggling in bed makes a difference, eat a

healthy diet and look after your skin,” she said.

“We’ve done preliminary research to show

that patients were willing to participate and so

if the study is positive then the next thing would

be to try to ensure it’s got wide dissemination

and uptake by hospitals both within Australia

and internationally.

By Karen Keast

for the full article visit HealthTimes.com.au




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Namaste Nepal: Volunteering in the Himalayasby Mary Hickson

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Article continues overleaf


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Have your say!




Male nurses earn more than female nurses

M

For more articles visit HealthTimes.com.au

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Karen Keast

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people.









der.

In 2012, the Aus-



conducted research

into past adoption

practices.

More than 1500






vice providers.




their newborn baby.








tained.















affected by forced

adoption practices


ence had negative

repercussions for


being.























adoption.













ogy.




sequential.”







forced adoption.





tion.














































pae/paffs.html



Have your say!




















said.





level.”
































tralian states.




injury prevention.



she said.










By Karen Keast





CQ Nurse



ENA Care Group

Hamilton Island

Hays Healthcare

Lifescreen

Nissan Fleet

Nurse at Call


Pulse Sta�ng




Smart Salary

Troll Dental

University of Derby











Next Publication:

Publication Date:Monday 20th April 2015



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Skin Science1300 817 524








CQ Nurse



ENA Care Group

Hamilton Island

Hays Healthcare

Lifescreen

Nissan Fleet

Nurse at Call


Pulse Sta�ng




Smart Salary

Troll Dental

University of Derby











Next Publication:

Publication Date: Monday 20th April 2015



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Skin Science 1300 817 524









Superior Oral Care





Call us for a catalogue ora sample today


Nodeposit

Nodeposit

Nodeposit

Nodeposit





No deposit to pay NEW MAZDA CX-5

Maxx (FWD) 2.0i AutoPer fortnight

$395*

Package

includes




Auto

$420*Per fortnight


$340*Per fortnight


Auto

$330*Per fortnight


Auto

$345*Per fortnight

2014

State


NCAH-125 x 180_Time for a new car_March 2015.indd 110/03/2015 10:13:22 AM







people.









der.

In 2012, the Aus-



conducted research

into past adoption

practices.

More than 1500






vice providers.




their newborn baby.








tained.















affected by forced

adoption practices


ence had negative

repercussions for


being.























adoption.













ogy.




sequential.”







forced adoption.





tion.














































pae/paffs.html



Have your say!




















said.





level.”
































tralian states.




injury prevention.



she said.










By Karen Keast


www.HealthTimes.com.au HealthTimes - Issue 6

Prin

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by B

MP

- Freecall 18

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62

3 9

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POSTAGEPAID

AUSTRALIA

PRINTPOST100015906



healthtimes.com.au

Aged Care feature

Issue 607/04/2015


ncah.com.au

506-008 1/2PG FULL COLOUR CMYK PDF 505-011 1/2PG FULL COLOUR CMYK PDF 504-009 1/2PG FULL COLOUR CMYK PDF 503-017 1/2PG FULL COLOUR CMYK PDF 502-023 1/2PG FULL COLOUR CMYK PDF 501-027 1/2PG FULL COLOUR CMYK PDF 424-002 1/2PG FULL COLOUR CMYK PDF 423-001 1/2PG FULL COLOUR CMYK PDF 422-002 1/2PG FULL COLOUR CMYK PDF 421-001 1/2PG FULL COLOUR CMYK PDF 420-002 1/2PG FULL COLOUR CMYK PDF 419-001 1/2PG FULL COLOUR CMYK PDF 418-001 1/2PG FULL COLOUR CMYK PDF 417-002 1/2PG FULL COLOUR CMYK PDF 416-001 1/2PG FULL COLOUR CMYK PDF


�Attractive fee structure for our Graduate Entry Program.�Over 150 students currently enrolled and over 50 graduates

in Australia, New Zealand, Samoa and USA.�Home-based Pre-Clinical Study under top international


�Clinical Rotations can be performed locally, Interstate or Internationally.

�Receive personalised attention from an Academic Advisor.�OUM Graduates are eligible to sit the AMC exam or NZREX.


RNtoMD




Time for a new job?



Abu Dhabi

Throughout Victoria



www.HealthTimes.com.auHealthTimes - Issue 6

Pri

nte

d b

y B

MP

- F

reecal

l 18

00

62

3 9

02

POSTAGEPAID

AUSTRALIA

PRINTPOST100015906



healthtimes.com.au

Aged Care feature

Issue 607/04/2015


ncah.com.au

506-008 1/2PG FULL COLOUR CMYK PDF505-011 1/2PG FULL COLOUR CMYK PDF504-009 1/2PG FULL COLOUR CMYK PDF503-017 1/2PG FULL COLOUR CMYK PDF502-023 1/2PG FULL COLOUR CMYK PDF501-027 1/2PG FULL COLOUR CMYK PDF424-002 1/2PG FULL COLOUR CMYK PDF423-001 1/2PG FULL COLOUR CMYK PDF422-002 1/2PG FULL COLOUR CMYK PDF421-001 1/2PG FULL COLOUR CMYK PDF420-002 1/2PG FULL COLOUR CMYK PDF419-001 1/2PG FULL COLOUR CMYK PDF418-001 1/2PG FULL COLOUR CMYK PDF417-002 1/2PG FULL COLOUR CMYK PDF416-001 1/2PG FULL COLOUR CMYK PDF


� Attractive fee structure for our Graduate Entry Program.� Over 150 students currently enrolled and over 50 graduates

in Australia, New Zealand, Samoa and USA.� Home-based Pre-Clinical Study under top international


� Clinical Rotations can be performed locally, Interstate or Internationally.

� Receive personalised attention from an Academic Advisor.� OUM Graduates are eligible to sit the AMC exam or NZREX.


RN to MD




Time for a new job?



Abu Dhabi

Throughout Victoria



Documents

Ncah issue 06 2015