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.)

In 2013, the film Philomena based on the book The Lost Child of Philomena Lee, opened in cinemas worldwide. It tells the true story of Philomena's 50-year-long search for her forcefully adopted Irish infant son, who was sent to the United States. She is eventually assisted by BBC journalist Martin Sixsmith, which takes up the majority of the film. Starring Judi Dench as Philomena and Steve Coogan as Sixsmith, it was nominated for four American and four British Academy Awards.
Before the 1980s, most adoptions were kept closed. This is because women who go through unexpected pregnancy simply relocate while pregnant, give birth and then return to their homes. The doctor or an agency then looks for an adoptive family for the child without the mother knowing. This kind of setup can bring about a lot of complications and confusion within the adoptive family, particularly on the adopted child.
We’re honored to offer our services to women and couples throughout the United States. If you live in Oregon or Washington and would like to meet in person we have offices in Portland and Eugene, Oregon and Seattle, Washington or we’ll come to you. We can also meet via Skype. (OA&FS can place children in adoption up to the age of three and one-half.)
A semi-open adoption in Texas allows you to stay in contact with the adoptive family through American Adoptions without having to share identifying information like your last name or home address. American Adoptions can mediate contact of a semi-open adoption for up to 18 years. However, most adoptive parents and birth parents today share a more open adoption, which involves direct communication without the agency’s involvement.

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It's equally important adopters understand that in a closed adoption little to no information will be exchanged with the birth parents, including their choice to arrange an adoption with the couple. This can feel like a distant business deal for some adoptive couples who want to know the nuances and personality of the mother of the child they're being placed with. Other adoptive parents may feel the separation of adoptive and birth parent eliminates possible instability an openly known birth mother's lifestyle may bring into a family dynamic. Also, in an open adoption, if communication is lost between the birth mother and adoptee, the child may become confused and hurt.
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