PACT- Pre & Post Adoption Consulting & Training


Adoption is such a complex issue, and everyone has much to learn - not only the parents (by birth and by adoption), adult adopted people, but also the institutions, professionals, neighbors, and friends who assist them.  Who has the ability to provide effective training?

For many, the answer is PACT - and has been for well over 50 years



  • Individual

  • Couple

  • Family Consultation

  • Search Support

  • Reunion Coaching

  • Parent Coaching
  • Transracial & International
  • Donor, Surrogacy, NPE & MPE
  • Open Adoption Mediation

  • Consultation: For pre- and post-adoptive families (including birth families) and other complex blended families to clarify issues and identify options and resources.  For clinicians and other professionals working with complex blended families who need guidance with special issues (i.e. disruption, adolescent issues, search, openness, etc.)

  • Therapeutic Consultation and Coaching: For individuals, couples, and families touched by adoption (including step-families, foster, guardianship, and kinship issues of emotional adoption).

  • Training and Case Consultation: For therapists, private and public agencies, hospitals, residential treatment centers, lawyers, judges, educators, clergy, and others who work with the complex family system.

  • Clinical Supervision: 

    AAMFT Approved Supervisor, Adoption competent supervision, or additional supervised hours for licensure- contact for scheduling.  

    I possess expertise, and years of training and experience providing clinical supervision to providers at all stages of training. 

  • Community Consultation and Education: For educating community resources: local groups, clinics, schools, and agencies through workshops, seminars, and conferences.

Dr. Joyce Maguire Pavao

Dr. Joyce Maguire Pavao was the Founder and CEO of Center for Family Connections, Inc. (CFFC, 1995-2012) in Cambridge and New York, Founder and Director of Riverside After Adoption Consulting and Training (AACT, 2012 to 2015), PACT (Pre/Post Adoption Consulting and Training, 1982-present), and Pavao Consulting and Coaching.

Dr. Pavao has done extensive training, both nationally and internationally. 

She is a lecturer in Psychiatry at Harvard Medical School, and she has consulted to various public and private child welfare agencies, adoption agencies, schools, and community groups, as well as probate and family court judges, lawyers, and clergy.  Additionally, she has worked closely with individuals and families touched by adoption, foster care, NPE, MPE, surrogacy and other complex blended family constructions.

She has developed models for treatment and for training using her systemic, intergenerational, and developmental framework, The Normative Crises in the Development of the Adoptive Family, and her book, The Family of Adoption (Beacon Press), has received high acclaim.

Dr. Pavao has received many awards and honors, including the Children’s Bureau/U.S. Department of Health and Human Services Adoption Excellence Award for Family Contribution (2003) and the Congressional Coalition on Adoption award for Angels in Adoption (2000).

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