Over the past decade, the health and well-being of international adoptees have deteriorated significantly. Reasons for these changes include increased placements of children from economically troubled countries and a shift from foster to institutional care prior to adoption. Institutionalized children are at risk for a number of medical problems. However, developmental delays are far more common, particularly in children confined for more than 6 to 8 months within an orphanage. Early intervention programs play an important role in identifying these problems, rehabilitating the child, and supporting the family through this stressful period of parenting.
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Johnson et al. (1999) studied this question.