*Families for babies* or babies for families?

In recent hearings of The Temple of Healing adoption PIL
<https://bit.ly/unfit-parent>, the Supreme Court is compounding
<https://timesofindia.indiatimes.com/india/shelter-home-kids-not-visited-by-kin-to-be-added-to-adoption-pool/articleshow/108906198.cms>
flawed adoption policy by wading into what is reading increasingly like a
demand and supply scenario.

Also, just WHO is a 'fit' parent, anyway?

What is unfolding currently harkens back to historical missteps
<https://www.cairn-int.info/article.php?ID_ARTICLE=E_ADH_142_0147> in
pursuit of the ‘best interests’ of the child - whether the Stolen
Generations of Australia
<https://www.aboriginalaffairs.nsw.gov.au/media/website_pages/research-and-publications/completed-research-and-evaluation/Stolen_Generations.pdf>
and North America
<https://ecampusontario.pressbooks.pub/indigstudies/chapter/lost-generations/>,
or closer home in Andamans
<https://www.thehindu.com/society/how-a-british-orphanage-in-the-18th-century-hastened-the-destruction-of-the-great-andamanese-tribe/article25336331.ece>
.

The unintended, potentially dangerous consequences of the decisions being
made currently will only impact groups with certain characteristics
<https://timesofindia.indiatimes.com/india/shelter-home-kids-not-visited-by-kin-to-be-added-to-adoption-pool/articleshow/108906198.cms>
- as per the November order that includes anyone indulging in substance
abuse (drugs or alcohol), having a criminal record, in need of care
themselves, mentally unsound etc.

Here's a viewpoint from one targeted group - persons living with mental
illness and their children.
https://www.newindianexpress.com/amp/story/opinions/2024/Apr/30/adoption-and-the-unfit-parent-nuance-may-serve-us-better
---
...







*Because such voices should be at the heart of policy-making, we draw
lessons from Abirami (name changed), a mental health service user who now
works as a psychologist and peer leader....When she entered The Banyan’s
acute care service, she was separated from her 3-year-old son, who stayed
with relatives since hospital environment was not conducive for him. She
shares this period was an emotionally devastating experience and the
thought of permanent separation was terrifying; equally, access to her
child through visits immensely helped.Now, 15 years later, she believes
living with her son after coming out of the institution—with supports like
respite care, access to education and livelihood, cash transfers, and
conflict resolution—played a significant role in recovery.Abirami’s son,
endorsing this view, rejects the idea that parenting barriers are
exclusively linked to mental illness; instead, he focuses on prejudice,
discrimination and impact of deprivation. “While some situations may be
challenging, it is important for the child to be close to the parent to
feel a sense of belonging and grow up with confidence and stability,” he
adds....Responses to these complexities must centre on the people most
affected by these implications. After all, we do not want well-intentioned
initiatives to alter societal perceptions around ‘fitness’ and infuse
feelings of fear in parents living with severe mental illness or their
children.*
---

Adoption and the ‘unfit’ parent: Nuance may serve us better
<http://newindianexpress.com/amp/story/opinions/2024/Apr/30/adoption-and-the-unfit-parent-nuance-may-serve-us-better>
Deepika Easwaran, Vandana Gopikumar
Updated:1st May, 2024 at 1:06 AM

The Central Adoption Resource Authority (CARA) recently issued a memorandum
<https://cara.wcd.gov.in/PDF/Circular/OM%2028-3-2024%20Registration%20of%20Children.pdf>
under which children whose guardians are found to be “unfit” due to mental
illness, among other conditions, are to be brought into the adoption pool.
It is in keeping with Section 38(3) of the Juvenile Justice Act, 2015, and
Regulation 6(18) of Adoption Regulations, 2022. Emotional and social gains
for the child and adoptive parents are innumerable. We only find the label
of ‘unfit guardian’ problematic and worry that vulnerable people,
particularly mothers with low social capital, may suffer irreconcilable
loss.

A global meta-study suggests 12–45 percent of mental health service users
have children. While the exact number is yet to be determined, it is likely
to be significant, considering the overall prevalence of mental health
conditions is estimated at around 14 percent. We are also a young nation
and it is likely that the parents of several young people may rely on
mental health services.

Because such voices should be at the heart of policy-making, we draw
lessons from Abirami (name changed), a mental health service user who now
works as a psychologist and peer leader. When she entered The Banyan’s
acute care service, she was separated from her 3-year-old son, who stayed
with relatives since hospital environment was not conducive for him. She
shares this period was an emotionally devastating experience and the
thought of permanent separation was terrifying; equally, access to her
child through visits immensely helped. Now, 15 years later, she believes
living with her son after coming out of the institution—with supports like
respite care, access to education and livelihood, cash transfers, and
conflict resolution—played a significant role in recovery.

Abirami’s son, endorsing this view, rejects the idea that parenting
barriers are exclusively linked to mental illness; instead, he focuses on
prejudice, discrimination and impact of deprivation. “While some situations
may be challenging, it is important for the child to be close to the parent
to feel a sense of belonging and grow up with confidence and stability,” he
adds.

For us, Abirami’s experience raises few concerns in the context of the
memorandum. While the intent to support distressed children in finding
stable homes as early as possible and transition them out of child care
institutions (CCIs) is meritorious, we argue the criterion outlined to
classify parents as unfit may require deeper deliberation. Consumers of
mental health services are a heterogeneous group and could include parents
with severe mental illness, homeless people, single parents who experienced
intimate partner violence and migrant workers. Each group has unique
challenges to be overcome, and unique capabilities to be an effective
parent.

Privileging either child or parent rights adversely affects both groups and
does not contribute to societal well-being. Rather than immediately
contemplate removal, we can explore alternatives.

When a parent experiences a mental health issue, different scenarios are
possible. First, the parent and child may only need short periods of
respite and support, including access to stable housing, kinship care and
psycho-education, resilience building and problem solving through support
groups, bibliotherapy and adaptive coping trainings, following which they
may be able to sustain gains. Second, the parent may need a longer recovery
period. During this time, the child requires an environment that is
nurturing, trauma-informed, alongside options of kinship care. This might
require a relook at facilities currently available outside CCIs and expand
the base to include hostels or group homes, with support provided to the
parent so co-habitation may be possible.

The third scenario might involve the parent being completely unable to care
for the child, or opting not to, or the child opting to not sustain the
relationship. This scenario requires that alternative long-term care be
made available to the child outside institutional facilities, but also
requires nuanced dialoguing, drawing from experiences of parent-child dyads
and professionals. Since people with mental health conditions display
varied trajectories of recovery and needs, imposing a common stipulated
time is perhaps not pragmatic.

The availability of respite care facilities for parents needing temporary
support, access to mental health care to help kids better understand their
situation, and access to peer networks are crucial. Interventions are also
integral from a systems level. For instance, schools require stronger
training to understand parental mental illness. Drawing from frameworks
that underscore the importance of ‘protective factors’ such as connections
and competencies, and asset-building approaches to spotlight training
programmes and multi-systemic therapeutic options, greater investments are
called for to strengthen childcare systems.

Towards this, a ‘wraparound’ approach to care is recommended that promotes
convergence between various departments such as health, housing, social
welfare and education, especially in the background of disadvantage and
structural barriers.

Responses to these complexities must centre on the people most affected by
these implications. After all, we do not want well-intentioned initiatives
to alter societal perceptions around ‘fitness’ and infuse feelings of fear
in parents living with severe mental illness or their children.


*With inputs from Ramesh Raghavan, professor at the NYU Silver School of
Social Work, and Vaishnavi Jayakumar, co-founder, The Banyan*
(Views are personal)
Deepika Easwaran | Psychologist and lead, Child and Adolescent Mental
Health Centre, The Banyan Academy
Vandana Gopikumar | Co-founder of The Banyan who has worked with children
of parents with mental illness

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