Welcome to ADAPT©

ADAPT© is an online questionnaire which gathers “biopsychosocial” (biological, psychological, and social) information about children in alternative care, ages 4-17. The ADAPT questionnaire was developed by a psychiatrist and a psychologist with many years of clinical experience in treating these children. ADAPT© can be filled out by the child’s/youth’s foster, kinship, or adoptive parent, caseworker, or therapist in about twenty minutes. A summary report is instantly generated which integrates answers into a format suitable for submission to mental health, social, and other helping professionals.

Mother & Child - foster care biopsychosocial report

Information That ADAPT Gathers
ADAPT Report Cover

ADAPT questionnaire gathers information about demographics (age, gender, grade in school), the child’s strengths, trauma history, psychological and behavioral problems, psychiatric signs and symptoms, psychotropic medication use, and medical concerns.

ADAPT Produces a Report:

Upon completion of the questionnaire, a report is instantly generated with a summary and analysis of the following areas:

  1. Confidential Information such as age, gender, and grade in school;
  2. Traumatic Childhood Events to which the child has reportedly been exposed and a list of related outcomes for which the child may be at increased risk;
  3. Psychological/Behavioral Problems which the child has shown;
  4. Potential Areas for Immediate Consideration which identify specific behaviors that may place the child, family or others at risk;
  5. Placement Instability Risk which is based on aspects of the child’s behavior and circumstances which may destabilize the placement;
  6. Psychiatric Disorder Risks drawn from the DSM-5*;
  7. Psychotropic Medication Utilization requiring ongoing supervision by a physician;
  8. Medical Concerns which may compromise the child’s general well-being and mental health;
  9. Strengths of the child related to resiliency and recovery; and
  10. Findings and Considerations related to the possible need for a mental health or psychiatric evaluation of the child or the family of origin; the importance of safety planning around specific child behaviors; the risk of placement instability; the risk of psychiatric disorder(s), and the use of psychotropic medication(s).

*Diagnostic and Statistical Manual, American Psychiatric Association, Edition 5

A 3-D View of Foster, Kinship, and Adopted Children

Using the Bio-Psychosocial Model to Better Understand Children with Multiple Negative Impacts.

A 3-D View examines the “big picture” of troubled foster, kinship and adopted children. Eschewing a single, narrow perspective of these struggling children, the authors support a three-dimensional viewpoint. The 3-D approach integrates information from biological, psychological, and social dimensions to furnish depth and breadth to the understanding and treatment of at-risk children. The book describes:

  • Foster, kinship, and adopted children who have suffered from “multiple negative impacts”, e.g. prenatal exposure to drugs and/or alcohol, chronic child maltreatment (“complex trauma”), and a growing list of caregivers and placements.
  • How damaging individual factors (negative impacts) add to and sometimes multiply the destructive influences of other factors.
  • Use of the “bio-psychosocial model” for a more complete, integrated understanding of multiply-impacted children and their mental health problems.
  • Practical design of treatment plans and interventions for troubled foster, kinship, and adopted children.
Book: A 3-D View of Foster, Kinship, and Adopted Children
Wow, this book is fantastic...so much of value to caregivers in such a few pages...Excellent resource for all tenured and new foster, kinship, and adoptive parents. A must read.
A 3-D View is a gift...It makes sense of the complex world of foster, kinship, and adopted children...(and) should be required reading...Successful parenting begins with this book.
I find this comprehensive perspective and approach to parenting interventions very practical and thorough…This book contributes greatly to our field…
I have not found a more concise, usable, accurate and clear description of what goes wrong with kids, and what to do about it.
This book is for anyone who is on the road to healing with a child who has experienced the biological, psychological, and social impacts of abuse or neglect. A 3-D View is a great resource!
Training & Workshops

Drs. Kagan and Delaney are available for Zoom training on ADAPT and many other topics related to foster, kinship and adopted children.


For information on ADAPT orders, scheduling trainings and/or book orders, contact:

icon 3contact@a3-dview.com

If you think you are having a medical or mental health emergency, call your doctor or 911 immediately. Do not rely on communication through this website for immediate, urgent medical or mental health needs. This website is not designed to address medical or mental health emergencies.