Open adoption is now the most widely practiced form of adoption in the United States. In an open adoption, identifying information is shared, including names, phone numbers, and email addresses. Additionally, an open adoption includes varying degrees of openness after the adoption process is finalized. This typically includes the exchange of emails, letters, pictures, and phone calls. A fully open adoption also includes in-person visits. Fully open adoptions can also include extended family members, such as birthgrandparents and siblings.
Grotevant, however, sounded a note of caution to those who portray it as a panacea. The children of open adoption do not have higher self-esteem than those in closed adoptions, he observed. For children in each group, self-esteem is about the same, his research found. He stressed that more research is needed to assess the impact of open adoption on adolescents. (The research he did with McRoy studies children up to age 12.)
For those who do not want a completely open adoption, there is the option of semi-open adoption. Semi-open adoption is a great option to create an adoption relationship that meets the needs of a particular situation. Every adoption relationship is different, and semi-open adoptions can take many forms; a typical semi-open adoption involves communication without exchanging identifying information, along with sending pictures and letters on occasion.
Closed adoption, also called a confidential or traditional adoption, refers to an adoption in which there is no relationship between the adoptive family and birth parents. In a closed adoption, the birth parents and adoptive family arrange the adoption via a facilitator, attorney or a case worker at an agency. Neither member of the adoption triad knows identifying information about the other. By opting for a closed adoption, a future birth mother is trying to have as little involvement as possible with the placement process. For some women, this is a way to distance themselves from the emotional decisions associated with placement. However, the distance is something many adopters fear will make it easier for a birth mother to change her mind about placement.
There are also private search companies and investigators who charge fees to do a search for or assist adoptees and birth mothers and fathers locate each other, as well as to help other types of people searching. These services typically cost much more, but like search organizations and search angels, have far greater flexibility in regards to releasing information, and typically provide their own intermediary services. However, they may not circumvent the law regarding the confidentiality process.