2019 Stats on Intercountry Adoptions: Declines and Omissions

The U.S. State Department has released the 2019 international adoption statistics. There were a total of 2971 children adopted to the U.S. last year. There were 4059 in 2018; numbers have been dropping for years. Of that 2019 total, about half came from 4 countries: China, Colombia, India and Ukraine combined. From the U.S., 56 children were placed for international adoption in Canada, Mexico, Netherlands, and elsewhere. In 2018, there were 81 U.S. children placed for adoption overseas, according to the State Department.

Please read through the report and look at the numbers. Here are some phrases you won’t find:


• “citizenship problems and deportations of adult adoptees,”
• “post-adoption services offered to birth parents,”
• “the tremendous need for better training for prospective parents in regard to racial identity and racism in the U.S.,”
• and “we are deeply involved with other nations to improve efforts for adoptee search/reunion and family preservation.”

You will absolutely see phrases like this:


“…to advocate for the protection, welfare, and best interests of children in need of permanent, loving families, and to assist prospective U.S. adoptive parents in realizing their dreams of creating or expanding their families.”


“…the ultimate aim of preserving and enhancing the viability of intercountry adoption in the United States.”


I have so much to say, and hope to provide a more detailed post later. In the meantime, here are some pull quotes from the report, followed by my brief comments in italics.


“In September 2019, we hosted an Adoption Symposium, “Strengthening Practice for the Future of Intercountry Adoption,” which convened more than 120 interested stakeholders, including representatives from adoption service providers (ASPs), advocacy organizations, U.S. government agencies, and the U.S. accrediting entity, Intercountry Adoption Accreditation and Maintenance Entity, Inc. (IAAME), as well as adoptive parents, birth parents, adult adoptees, and Congressional staffers.”


My understanding is that adoptees were few in number, and there was one birth mother, who was born and raised in the U.S., and placed a child here in the U.S. I’d guess that the ASP reps included many adoptive parents in their numbers. I do give credit for State reaching out for one of the first time to include adoptees and birth parents at the table, and I understand they did a great job, but there is still a very long way to go.

“While the overall number of intercountry adoptions to the United States declined from the previous year, 75% of that decline can be attributed to the decrease of intercountry adoption from two countries, China (a decrease of 656) and Ethiopia (a decrease of 166). In both cases, the reductions result from continued social, economic, or legal changes the Department previously observed and reported in those countries.”

In 2018, the Ethiopian Parliament officially ended international adoptions not, as is demurely phrased here, due to “continued social, economic, or legal changes,” so much as deep worry about the status of their children such as Hana Williams, who was murdered by her adoptive parents. The Ethiopian government also expressed concerns about the racism that permeates America, and stressed the need for in-country adoptions.


Additionally, there have been significant cases of fraud, corruption, and bribery in international adoption via U.S. agencies and/or their partner staff overseas. U.S. adoption agency staff have been indicted and convicted, and more than a few agencies have closed suddenly due to bankruptcy.


In any case, reports about the decline in the number of international adoptions should always include the perspectives of adult adoptees and of first/birth parents. When they are included in significant, meaningful numbers in these policy conversations, then perhaps genuine progress can be made in attributing reasons for the decline.


“The Department also hosted events overseas with members of the adoption community to discuss key issues in the adoption process. For example, U.S. Embassy Bogota hosted an Adoption Open House with more than 40 participants representing 15 U.S.-accredited ASPs, the Colombian Authorized Adoption Institutions, the Colombian Central Adoption authority, and the Office of Children’s Issues.”


Please note who is not listed as participating in the Open House: adult adoptees and first/birth parents. The U.S. Embassy in Bogotá missed a big opportunity there not to have the perspective of the thousands of Colombian adoptees and birth parents to discuss key issues in the adoption process.

“The Department’s new Senior Advisor for Children’s Issues, Michelle Bernier-Toth, appointed in December 2019, shares the commitment expressed at the Symposium and is actively engaging foreign government officials to advocate for the protection, welfare, and best interests of children in need of permanent, loving families, and to assist prospective U.S. adoptive parents in realizing their dreams of creating or expanding their families.”


There are elements of hope in this statement about advocacy for the protection, welfare, and the best interests of children, though there is tremendous disagreement in the adoption community as to what that should look like. What’s glaringly missing here is a strong, ethical call for family preservation, for orphan prevention, and for significant improvement in medical and mental health care for vulnerable women and children in particular. Arguably, I realize, that’s part of the mission of other U.S. government offices as well. Nonetheless, how great it would be to see it voiced in a report like this.


State’s ongoing focus on adoptive parents (mostly white, well educated, politically connected, and relatively well-off enough to both raise the $40,000-$50,000 to adopt and then get the adoption tax credit for it) and relative silence on, say, the post-adoption needs of international birth parents, or the citizenship status of adult adoptees, truly needs to change.(Citizenship is handled primarily through the Department of Homeland Security. State issues passports, a vital form of proof of U.S. citizenship.) Commenting this way about the help given to “adoptive parents in realizing their dreams of creating or expanding their families” continues the traditional and outdated Hallmark adoption narrative. I know: many adoptees do great, but many suffer abuse, neglect, depression, anxiety, and a disconnection with their culture and racial group. Imagine if we were routinely transparent and accurate about that. Imagine if our U.S. State Department worked with other countries to research status and improve outcomes of first/birth parents around the globe, after they placed their children for adoption. It is so easy to keep forgetting about that most vulnerable group. But: many international adoptees have found that they were never orphans, that their mothers thought about them every day, and that some of them were trafficked. The truth is coming out more every day.


Imagine if the State Department, working with other international governments, assisted international adoptees in realizing their dreams of searching for and reuniting with their families.


“Lastly, in FY 2019 families outside of the United States adopted 56 children from the United States to seven countries: Canada (24), the Netherlands (17), Mexico (6), Ireland (5), Belgium (1), Switzerland (1), and the United Kingdom (2).”


Most of the American children appear to have been placed from agencies in Florida and New Jersey. It’s often a shock to Americans to find out that the United States is also a sending country for the purpose of international adoption. I have heard, only anecdotally, that some black birth mothers decide to place their children overseas to escape the racism so prevalent here, and that some birth mothers wanted to place with gay couples and were prevented from doing so in the States. The U.S. didn’t used to keep any statistics about how many U.S. born children were adopted oversea. When the Hague Convention on Intercountry Adoption came into effect in the U.S. in 2008, we like every other sending country had to keep statistics on the numbers of outgoing cases. I do not believe statistics are kept on the race nor the outcomes of these placements. In any case, we do place our American children for adoption overseas.


Let me place the necessary “not all” disclaimers. Not all adoption agencies have corrupt, selfish, uncaring staff. Not all adoptees are unhappy. Not all birth parents suffer. There are efforts being made to help in terms of family preservation and orphan prevention. There need to be more of those efforts. So many more children could be helped.


Here’s the thing, though, about international adoption in 2020. There are hundreds if not thousands of international adult adoptees who are writing and speaking out about their experiences. We need to listen to them. The U.S. government has yet to agree that all international adoptees should be granted U.S. citizenship. That must change. Adoptees are still being left out of adoption policy-making. The post-adoption fate of first/birth mothers, fathers, siblings, grandparents, and other family members is rarely even considered, never mind studied or documented. The radical inequity of post-adoption services provided to international birth families compared to American adoptive families is astonishing, and we need to do a far better job here.


The statistics next year will be even lower, due to COVID-19, due to bans on air travel and closed visa offices. All around the world, nonprofits, governments, and businesses stopped. Adoptions have too, for the most part, during the pandemic.


So. Read the report. Listen to adoptees. Help empower women, educate girls, and support medical and mental health aid around the globe. Help preserve vulnerable families.

Who Is Responsible for the Decline in International Adoptions?

The U.S. State Department lays the blame on adoptive parents and adoption agencies. The adoption agencies, per the National Council on Adoption, say the decline is due to overly restrictive regulations and anti-adoption advocates. The voices we are not hearing enough of in this discussion are the birth/first parents and the adoptees themselves.

Last week, the State Department released figures showing the ongoing decline in numbers of children being placed to the United States for international adoption: 5372 children in FY 2016. You can read the report here.

The State Department cited three main reasons for the decline: adoptive parents failing to send post-adoption reports to the children’s country of origin; the incidences of adopted children being re-homed; and unethical practices by adoption agencies.

Post-Adoption Reports

The reports are a reasonable requirement. Sending countries want to know the outcome of children sent abroad for adoption, and adoptive parents are supposed to send the reports. Different countries have different requirements, which are essentially unenforceable once the adoption is full and final. The adoptive parents may have an ethical obligation, but their compliance is subject to their willingness. “Several countries have conditioned the resumption of intercountry adoptions on receiving post adoption reports from parents who previously adopted children from that county,” according to the State Department.

I’d be curious as to whether State has statistics on compliance, or has done research on why parents do not send the reports in. I’d guess a few reasons: Parents have so much going on with family life that the reports fall to the wayside. The parents are mad at the agency and refuse to work with them once the adoption is done. The parents don’t believe the country will ever read the reports. The parents don’t care about whether their failure to send reports will affect future adoptions. The parents are struggling with the child (or have disrupted the adoption, or have re-homed the child) but don’t want the country to know.

Some international adoption agencies have suggested to adoptive parents that the reports would also be sent to the birth/first parents. The birth/first parents may have been told they would receive reports. When the agency failed to get the reports to the families, which anecdotally I have heard many times, parents may have stopped sending them. Some send reports directly to the birth/first family, but not to the government.

Another aspect is the country of origin’s ability to maintain the post-adoption information in an archival, accessible way. That is, a country like China, Korea, or Ethiopia would potentially have received thousands of reports over many years. Does the government have the interest and the infrastructure to file and maintain the reports? Do they scan them and keep them well-organized?  The reports from the US are in English, and I doubt they would be translated into national or local languages. It is unclear to me whether the birth/first parents would have any access to the reports. However, I would argue there is an ethical obligation for the country of origin to provide it to the birth/first parents.

Unregulated Custody Transfer (UCT)

Unregulated Custody Transfer is a benign sounding phrase, but is frightening in its manifestation. The State Department equates UCT with “re-homing,” where adoptive parents hand over their adopted children, with little or no legal process or safeguards, to other people. It has happened more often than anyone would like to think, sometimes making the news, sometimes conducted in an underground. Reuters produced a significant report on the problem. Many US states have begun enacting laws and policies to reduce re-homing. The State Department has a UCT Working Group focused on “strategic for preventing UCT and for responding to UCT situations when they occur.”

Prevention, of course, is the best approach: better pre-adopt preparation, and better post-adopt resources and services.

Internationally adopted children also end up in US foster care, a legal means of moving a child to a new family. Some are listed on Second Chance, a program of Wasatch Adoptions. Both of these (US foster care and Second Chance) are technically not “re-homing,” because they are done through legal channels. Still, a great deal of controversy exists around internationally adopted children ending up in US foster care or with Second Chance.

There is, of course, an important link between the post-adoption reports and UCT, foster care, and Second Chance. Parents probably do not send reports when their children are moved from their original adoptive placement, whether legally or illegally. “Foreign countries frequently raise concerns about UCT whenever information about a child’s whereabouts is unavailable. These concerns impact their willingness to maintain intercountry adoption as an option for children,” says the State Department.

Adoption Service Provider Conduct

This issue–illegal or unethical practices by some Adoption Service Providers (ASPs) and about countries’ ability to appropriately monitor adoption activities–is far-reaching in time and complexity. The US Justice Department’s indictment of International Adoption Guides, and the subsequent guilty pleas by the top staff, for bribery and fraud is a well-known example. Other adoption agencies have been under scrutiny as well, some closing suddenly, even with full COA accreditation (i.e., Christian World Adoptions). European Adoption Consultants, an international adoption agency in Ohio, was raided in February by the FBI, with allegations around fraud and trafficking.

Agency workers in both the U.S. and in sending countries have been accused of misconduct. Facebook has regular comments in adoptive parent groups about false information about their children’s histories; adult adoptees have traveled to their home countries and found parents they had been told were dead, or mothers who had been deceived into placing their children in an orphanage. There’s no question that adoption agencies and their staffs have been under greater scrutiny in recent years than ever before, in part because of more adopted persons’ and birth/first parents’ voices being heard.

The State Department proposed new regulations last September that would attempt to address some problems in international adoption, around accreditation and other areas. Adoption agencies have been actively opposed to the proposed regs, saying that they are unnecessary, expensive, and rigid. Chuck Johnson, the head of the National Council on Adoption, told the Associated Press in January that “it was possible that under the incoming administration of President-elect Donald Trump, the State Department might adopt policies more to the liking of the adoption agencies.” It’s still early in the Trump Administration to see exactly what direction adoption policy will take, though the State Department’s comments on the newly released adoption numbers give us some sense. Update: While the State Department refers to the proposed regs in the narrative about the statistics, including saying they are “reviewing comments from the public on the proposed regulations,” the regs were withdrawn by State in early April. I’ll post more information when I get it.

In any case, adoption agencies frequently see administrative and regulatory policies to be more responsible for the decline in adoptions than the three issues cited by State.

Photo © Maureen McCauley Evans

The bottom line: A whole lot of work needs to be done, by a whole lot of folks (State Department, Office of Children’s Issues, adoption agencies, adoptive parents, state and federal legislators, international governments) if international adoption is going to continue in any meaningful way. Right now, there is a fairly strong current of anti-adoption momentum, via groups who view adoption as equivalent to trafficking as well as vocal individuals, primarily adult adoptees, who are demanding change.

And *if* international adoption is going to continue, adoption agencies and the U.S. State Department should make equity in pre-adoption preparation and post-adoption services to birth/first parents. Those 5372 children had families–we know that few children are actual full orphans, and many have grandparents and siblings. The birth/first families deserve excellent adoption services as much as U.S. adoptive parents do, to make sure adoption is the best option, and to encourage family preservation whenever possible.