Building Trust After Trauma: Supporting Children in Adoptive and Foster Families 

Building Trust After Trauma: Supporting Children in Adoptive and Foster Families 

Building Trust After Trauma: Supporting Children in Adoptive and Foster Families 

Placement, no matter how well-intended, is a significant transition. Children and youth who have been impacted by child welfare often experience early trauma, loss, disrupted attachments, and grief, which causes adaptive survival responses that can be mistaken for challenging behaviors. Because these children have adverse childhood experiences, such as exposure to neglect, substance use, violence, and placement instability, they are more likely to encounter mental health challenges. These challenges shape how they view the world, interact with caregivers, and assess safety.  

When a child is subject to an unsafe or unstable environment, they develop survival strategies that help them cope, but those strategies can cause conflict within a family. Common behaviors include:  

  • Emotional withdrawal (as evident by pushing people away, specifically caregivers) 

  • Social relationship deficits 

  • Emotional dysregulation 

  • Poor inhibitory control 

  • Increased psychological reactivity 

Rather than viewing these behaviors as destructive or defiant, parents and caregivers should respond with empathy, a focus on strengthening attachment, and recognize that trust-building is an ongoing process. Behavior often reflects fear, not defiance. By lea ing practical ways to respond to a child’s unmet needs as reflected through behavior, parents and caregivers can create a safe, stable environment that increases permanency and strengthens familial relationships over time.  

Safe Space: The First Step to Building Trust 

Parents and caregivers of children affected by child welfare can begin building trust by understanding the importance of safety. Safety extends beyond physical care to emotional security. Safety is fostered by sensitivity, consistency, and emotional presence. Some ways that caregivers can support children in feeling safe include:  

  • Respond with EmpathyShowing love, empathy, and support while allowing children to identify and express their feelings  

  • Create PredictabilityMaintaining consistency in routines, boundaries, and expectations so a child doesn’t have to guess what happens next 

  • Model Positive Behaviors: Modeling patience, resilience, emotional regulation, consistency, and accountability 

  • Address Physical Safety: Assuring children that they are physically safe can help them develop feelings of trust and openness to psychological and emotional well-being 

Image of Caregiver (Parents) embracing adopted/foster children.

Connection, Not Control 

Caregivers must prioritize relationship-building over compliance. Although structure is an integral part of a child’s development, children who have experienced complex trauma benefit more when they experience a connection that makes them feel seen, valued, and supported.  There are several ways for caregivers to foster connections. They include: 

  •  Family FunEngaging in family activities and meaningful interactions without pressure 
  • You BelongImplementing parts of the child’s life into everyday family life to make them feel included 

  • Get to Know MeExpressing genuine interest in a child’s life, preferences, and experiences 

  • I’m Here for YouShowing empathy and curiosity about their behavior, rather than just condemning it or rushing to implement consequences 

  • I Understand: Identifying and validating a child’s emotions without judgment 

When caregivers focus on relationships rather than control, children internalize an essential message: my caregiver is safe, even when I face challenges. 

Image of Caregiver (Parents) interacting with adopted/foster child in a playful matter.

Securing Attachment 

Secure attachment develops when a child recognizes a caregiver as consistent, reliable, and emotionally available. Securing attachment after experiencing trauma takes time and work on the part of both the child and the caregiver. Still, it provides a sense of safety that children who have been impacted by child welfare may not have ever experienced in their short lifetime. Caregivers can support secure attachment by:  

  • Responding to emotional needs, even when those emotions may feel overwhelming or repetitive 

  • Foster an environment that allows children to depend on adults, rather than pushing for them to be independent 

  • Working with an adoption competent therapist who can assist in implementing interventions and strategies that can foster parent-child attachment 

Securing attachment takes time and patience, as many children may not be receptive at first. Some children may initially resist attachment behaviors, such as seeking comfort or asking for help. Others may appear overly clingy or anxious. Both responses are normal and reflect a child’s past experiences, not their future potential. Regardless of how children respond, caregivers must be present during their most difficult moments.  

How Can Adoption Competence Help? 

Parenting children impacted by trauma is complex, but caregivers do not have to do it alone. Adoption competent mental health providers understand how early adversity, attachment disruptions, and loss affect children and families. Seeking support early can make a significant difference, not because something is wrong, but because healing occurs best in safe and supportive relationships.  

The National Center offers an array of resourcestraining, and support to help children and families affected by child welfare heal, thrive, and achieve permanence. The National Center trains mental health providers who can support caregivers in understanding trauma-driven behaviors, provide interventions that focus on strengthening relationships rather than just reducing symptoms, and help families navigate challenges without shame or blame.  

Hope and Healing 

Building trust after trauma is a gradual process. Progress might seem slow, uneven, or difficult to measure. There may be setbacks, regressions, and moments of doubt. But every calm response, every repaired moment, and every consistent act of care matters. Children heal through relationships, and caregivers play a vital role in helping them understand that adults can be safe, reliable, and loving. Trust is built one interaction at a time, and over time, these moments add up to something enduring. By approaching parenting with patience, empathy, and trauma-aware understanding, families affected by child welfare foster the conditions for healing, connection, and stability. 

Image of a family consisting of caregivers (Parents) and adopted/foster child interacting with a counselor in their home.

 

Looking for Additional Resources?

Visit the Knowledge Hub to access models of intervention, training resources, and practical tools to strengthen cross-system collaboration and improve outcomes for children, youth, and families. 

Utilizing NTI to Enhance the Adoption Competency of Parent Peer Support Specialists in Child Welfare 

Utilizing NTI to Enhance the Adoption Competency of Parent Peer Support Specialists in Child Welfare 

Meeting the Moment: Utilizing NTI to Enhance the Adoption Competency of Parent Peer Support Specialists in Child Welfare 

By the National Center’s Community Engagement Team (CET)

As families and caregivers face ongoing challenges within the child welfare system, one solution is quietly transforming outcomes and restoring hope—parent peer support. Facilitated by individuals with lived experience, peer support programs offer connection, guidance, and healing where traditional services often fall short. 

These programs—ranging from mentorship initiatives to support groups—are vital for families navigating child welfare. Yet access to peer support is increasingly limited due to funding constraints, staffing shortages, and time demands. Meanwhile, demand for peer support professionals continues to rise, even as direct services decline. As systems seek more sustainable, trauma-informed approaches, peer support is gaining recognition as a critical component of care. 

In both mental health and child welfare, parent peer support goes far beyond mentoring. It includes helping families navigate complex systems, attending court proceedings, assisting with insurance and service access, and advocating in school settings. To meet growing demand, parent peer support professionals need specialized training to effectively support families. The National Adoption Competency Mental Health Training Initiative (NTI) is the only nationally accredited training designed to enhance competencies for professionals in adoption, guardianship, and foster care—including those in peer support roles. 

NTI supports professionals working with families impacted by kinship placements, reunification, foster care, and adoption. Its core principles, understanding, connection, and healing, align closely with the foundation of peer support. Drawing from voices of lived experience, peer support professionals embody these values by fostering trust, guiding families, and promoting emotional resilience. Both NTI and peer support elevate the voices of those impacted by child welfare and emphasize compassionate, strengths-based care. 

At the heart of NTI is the recognition of the multifaceted mental health needs of children and families who have experienced child welfare. These needs are shaped by grief, loss, trauma, attachment disruptions, and struggles with identity. Peer support is uniquely positioned to address these needs by creating safe, empathetic spaces where lived experience can be shared without judgment. Mentors and group facilitators have lived experience themselves, allowing them to validate emotions and foster a sense of belonging—critical for those who may feel isolated or misunderstood. 

NTI emphasizes the importance of helping parents and guardians reframe children’s behaviors through a trauma-informed lens. In peer support groups, caregivers often explore how behaviors that may appear as defiance or dysfunction are, in fact, expressions of unmet needs, unresolved trauma, grief, or loss. Sometimes, these behaviors are misdiagnosed as mental healtlh conditions before proper assessment of the impact of earlier life experiences. Peer support professionals play a vital role in helping caregivers understand that challenging behaviors often reflect the emotional impact of a child’s involvement in the child welfare system. This shift in perspective encourages caregivers to respond with empathy and patience rather than labels in order to strengthen attachment, build trust, and foster healing. 

Adolescence is a pivotal time for identity formation, and youth peer support programs are especially impactful during this stage. These programs help young people integrate their stories, build confidence, and develop advocacy skills. Just as importantly, they help youth realize they are not alone. By connecting with peers who’ve faced similar challenges, young people find validation, community, and hope. 

Given the importance of peer support and its alignment with NTI principles, it is essential to equip peer support professionals with the training, resources, tools, and encouragement they need to sustain their work and prevent bu out. As demand continues to outpace workforce capacity, strategies to retain and uplift these professionals are more critical than ever.   

Looking for Additional Resources?

Visit the Knowledge Hub to access models of intervention, training resources, and practical tools to strengthen cross-system collaboration and improve outcomes for children, youth, and families. 

Rhode Island Deepens Commitment to Children’s Mental Health Through Partnership with National Center 

Rhode Island Deepens Commitment to Children’s Mental Health Through Partnership with National Center 

 

 

 

Rhode Island Deepens Commitment to Children’s Mental Health Through Partnership with National Center

  Rhode Island has taken an important step toward strengthening mental health outcomes for children and families by partnering with the National Center for Adoption Competent Mental Health Services. This collaboration reflects Rhode Island’s ongoing work building trauma-informed, family-centered systems of care that meet the mental health needs of children and youth impacted by child welfare and juvenile justice involvement.    “Engaging with the National Center, Rhode Island aims to strengthen its systems and workforce to enhance the state’s ability to deliver trauma-informed care, foster cross-system collaboration, and strengthen general understanding of adoption competence,” said Ellie Robinson, Director of the Children’s Behavioral Health System of Care at Rhode Island’s Executive Office of Health and Human Services. “The interagency Rhode Island team looks forward to embarking on this work in collaboration with families, youth, and key community partners.”    The partnership launched in May with an in-person event at the Rhode Island Nursing Education Center in Providence. The gathering brought together 24 community, gove ment, and family leaders to build shared understanding around adoption competence and strategize ways to improve mental health outcomes for youth involved in child welfare. Participants in the event have since become members of Rhode Island’s new TA Steering Team, which began meeting in June to develop a statewide action plan.    Early listening sessions with families revealed clear priorities: equip providers and educators with tools to address trauma and adoption-related needs, simplify access to services before crises arise, and strengthen coordination across systems. Families also emphasized the value of parent-to-parent networks, resources responsive to family needs, and father engagement.    In the coming months, the National Center will support Rhode Island in delivering targeted workforce training, building easier service navigation tools, and expanding youth and family voice in systems change. The collaboration will also focus on public awareness efforts, workforce development, and cross-system alignment to ensure children and families receive the right support at the right time.    For more information about the National Center’s TA work, visit our website. 

 

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Navajo Nation Begins Intensive TA Partnership to Advance Mental Health Services for Children and Families 

Navajo Nation Begins Intensive TA Partnership to Advance Mental Health Services for Children and Families 

 

 

 

 

Window Rock, AZ — The National Center for Adoption Competent Mental Health Services is proud to announce its formal partnership with the Navajo Nation to deliver Intensive Technical Assistance (TA) aimed at improving mental health outcomes for children, youth, and families impacted by the child welfare system.    This collaboration marks a significant milestone in the National Center’s mission to build responsive, adoption competent mental health services across the country.  The National Center was delighted to welcome Navajo Nation as its first tribal site to walk alongside leadership in child serving agencies to positively impact youth and families in New Mexico, Utah, and Arizona.     This partnership was officially launched in February 2025 with a signed commitment letter followed by a two-day onsite meeting held May 28–29 in Window Rock, Arizona. This first in person meeting was attended by Navajo Nation Division of Children and Families (DCFS), The Navajo Nation Treatment Center, and The National Center Team.    Noteworthy themes from the meeting included cultural preservation with emphasis on maintaining Navajo language, traditions, and identity for youth in custody; workforce development; and systemic change including joint planning, cross-sector collaboration and community-driven feedback loops.    During the May onsite meeting, a clinical family therapist from Crown Point, NM, shared, “We did a lot of referrals out for counseling for children and families, and all they had to produce was one appointment – then we closed the case. I wonder where these kids are going? So, I decided to get my schooling and obtained my master’s and license in counseling. I really enjoy what I do, working with children out in the remote and isolated areas of the Easte agency.”    Her words underscore the urgent need for sustained culturally grounded support in rural and underserved areas of the Navajo Nation.    For more information about the National Center’s TA work, visit our website. 

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Illinois Family Leaders Highlight the Value of Adoption Competent Mental Health Support 

Illinois Family Leaders Highlight the Value of Adoption Competent Mental Health Support 

Illinois Family Leaders Highlight the Value of Adoption Competent Mental Health Support 

As part of its ongoing Intensive Technical Assistance (TA) work in Illinois, the National Center for Adoption Competent Mental Health Services recently hosted a virtual event with several of the State’s leading family-run organizations to build healing-centered, family-informed systems of care. The convening was designed to deepen partnerships and explore how adoption competent services can support families who have experienced child welfare, regardless of whether adoption is part of their story.

The session included an overview of the National Adoption Competency Mental Health Training Initiative (NTI) and a walk-through of the National Directory of Adoption Competent Professionals, a tool designed to connect families and providers to qualified mental health professionals nationwide. Participants reflected on how these resources could be expanded to meet the unique needs of Illinois’ children, youth, and caregivers.

An important conversation stemmed from a question raised by a meeting participant: How can adoption competent services benefit all families impacted by child welfare, not just those who have experience with adoption? This question sparked a thoughtful dialogue about the broader value of adoption competent care in addressing trauma, grief, and the complexities of identity for all children who have experienced separation or loss. 

A representative of an Illinois family organization using the NTI-school based curriculum shared how their organization is using the NTI School-Based Curriculum to train educators across the State to better meet the needs of children from kinship, foster, and adoptive families. iCARE4’s Connection Kits and training initiatives are helping schools become more inclusive, responsive, and trauma-informed spaces for children navigating system involvement or family transitions.

This event is one of many efforts underway in Illinois to build a healing-centered, family-informed system of care. The National Center will continue its technical assistance work with the state through training, cross-system collaboration, and resource development that uplifts lived experience and community wisdom.    For more information about the National Center’s TA work, visit our website. 

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Addressing Grief in Preparation for Permanency

Addressing Grief in Preparation for Permanency

 Addressing Grief in Preparation for Permanency

Exploring a Young Person’s Emotional Journey to Permanency   

Permanency, whether through adoption, reunification, or guardianship, can be seen as the ultimate goal for youth in foster care. However, for many, the jou ey to permanency is fraught with challenges that go beyond logistical and legal hurdles. One significant barrier to successful permanency is the unresolved grief and trauma that many foster youth carry. Understanding and addressing these emotional burdens is crucial for making permanency not just a goal, but a sustainable reality.    For many youth in foster care, grief is a constant companion. This grief can stem from a variety of sources: the loss of biological family, the loss of stability and routine, and even the loss of self. Each new placement can trigger a fresh wave of grief, compounding the emotional load and making it difficult for youth to fully engage with new potential permanent families. This persistent grief can impact their behavior, emotional health, and ability to form new attachments. When a young person is facing the loss (whether through death or separation) of biological family – whether it be parents, siblings, grandparents, or otherwise – foster care’s regular disruption of stability and routine may only exacerbate this grief. For foster youth, every move to a new placement disrupts their sense of normalcy and forces them to adapt to an unknown environment. This constant state of flux can hinder their ability to form trusting relationships and maintain emotional stability.   

“You’re never okay as a foster kid–it’s abrupt, scary. It’s traumatic. Very traumatic… For my first six months in the system, I slowly developed depression because with the life I was in and the life I lived, I thought that was my normal. And when I was given a normal life, my world came crashing down.” 

Anthony Rey, age 18, 3 years in Missouri foster care system:Healing from this deep-seated grief is not just important, it is essential for the success of any permanency plan. Without addressing these emotional wounds, youth may find it difficult to trust and bond with new caregivers. Healing requires a supportive environment where youth can process their experiences, feel safe to express their emotions, and begin to rebuild their sense of self-worth.    Recognizing the trauma that foster youth have experienced is the first step. Understanding how that trauma reflects in a young person’s behavior is the next. In order to create safe spaces for expression and begin to provide consistent emotional support, recognizing how a young person’s trauma shows up daily in their words, thoughts, and actions is critical.”   

“A lot of situations could show up, like, it could make you look like you’re a juvie, but really it’s because of your mental health.” 

Trinity Mathews, age 23, 8 years in New York foster care system:Many youth in foster care share that professional mental health support has been important in navigating their grief and beginning the healing process. They describe therapy and counseling as providing valuable tools for understanding and managing emotions, developing healthy coping mechanisms, and building resilience. Consistent and trauma-informed mental health care can help them feel more prepared for the emotional demands of permanency. However, this kind of support is not always accessible to every young person in foster care.”   

“I feel like they need to have more… support like therapy, grief counseling because a lot of the girls I lived with in my home, they had lost parents and they had lost siblings and everything and they kind of just were told to ‘thug it out.’ And if they did give a therapist, the therapist did the bare minimum to help them.” 

Cloud Wilkins, age 21, 4 years in Michigan foster care: “Preparing youth for permanency involves more than just finding the right family; it requires ensuring that both the youth and the family are ready to navigate the complexities that come with it. The journey to permanency for youth in foster care is closely linked with their emotional healing and the resolution of grief.”

Experiences shared by Anthony Rey, Trinity Mathews, and Cloud Wilkins reveal how unresolved trauma and inadequate mental health support are common challenges for many young people in care. True permanency goes beyond securing a permanent placement; it necessitates addressing the emotional wounds left by past experiences. It also means creating an environment where the youth feels consistently understood and supported, not just immediately after placement, but for years to come.