A model for caregiving of adopted children after institutionalization.

TOPIC Optimizing caregiving for newly adopted postinstitutionalized children. PURPOSE To consider a template of care for postinstitutionalized children based on experiences that physiological measures suggest are expected by infants postbirth. SOURCES Published literature and clinical experience. CONCLUSION Based on an understanding of physiologically expected care postbirth, special care for postinstitutionalized adopted children might include: close physical contact via use of a sling and cosleeping; breastfeeding or nurturing through food; and responsive caregiving. In replicating earlier missed experiences, parents may assist emotional development in their child and promote attachment development.