(b) In addition to the orientation training required under paragraph (a) of this section, the agency or person provides initial training to newly hired or current employees whose responsibilities include providing adoption-related social services that involve the application of clinical skills and judgment (home studies, child background studies, counseling services, parent preparation, post-placement, and other similar services) that addresses:
- (1) The factors in the countries of origin that lead to children needing adoptive families;
- (2) Feelings of separation, grief, and loss experienced by the child with respect to the family of origin;
- (3) Adverse childhood experiences, and attachment and post-traumatic stress disorders;
- (4) Trauma-informed parenting;
- (5) Physical, psychological, cognitive, and emotional issues facing children who have experienced trauma, abuse, including sexual abuse, or neglect, and/or whose parents' parental rights have been terminated;
- (6) The long-term impact of institutionalization on child development;
- (7) Outcomes for children placed for adoption internationally and the benefits of permanent family placements over other forms of government care;
- (8) The impact of adoption on other children already in the home;
- (9) How adoptive parents can support children who experience racism and discrimination;
- (10) How adoptive parents can support and advocate for children discriminated against due to physical, cognitive, and other disabilities;
- (11) The most frequent medical, and psychological problems experienced by children from the countries of origin served by the agency or person, and the possibility that such problems may not be reflected in the medical reports transmitted to prospective adoptive parents;
- (12) The process of developing emotional ties to an adoptive family;
- (13) Acculturation and assimilation issues, including those arising from factors such as race, ethnicity, religion, and culture and the impact of having been adopted internationally; and
- (14) Child, adolescent, and adult development as affected by adoption.