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Although open adoptions are thought to be a relatively new phenomenon, most adoptions in the United States until the twentieth century were open. Until the 1930s, most adoptive parents and biological parents had contact at least during the adoption process. In many cases, adoption was seen as a social support: young children were adopted out not only to help their parents (by reducing the number of children they had to support) but also to help another family by providing an apprentice.
Many in the adoption community first learned of search and support resources through newspaper articles,[8] the Dear Abby column[9] and various TV shows and movies. Starting in the mid-1980s, many adoptees and their parents first learned about the possibility of reunion on the NBC (later CBS) television program Unsolved Mysteries hosted by Robert Stack. This was under their "Lost Loves" category, the vast majority of which involved closed adoption. More than 100 reunions have occurred as a result of the program, many of those being the adoption-related cases. Reruns of the program (with a few new segments and updates) were also aired on the Lifetime Television cable network until mid-2006, and very briefly on Spike TV in late 2008. In September 2010, the program returned to Lifetime from 4 to 7 pm ET/PT.

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.
In all adoption searches, it is uncommon to find both the birth mother and father at the same time. A separate search, if desired, can be done afterwards for the father. Since males seldom change their surnames, and the mother might have additional information, it is usually easier than the initial search for the birth mother. In many cases, adoptees are able to do this second search for their birth father by themselves (or they try before paying for assistance).
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