This study investigates the correlation over time between international adoption and institutional care. The results of this study found a positive correlation between institutional care and international adoption in Romania between 1997 and 2012. The findings for Romania demonstrated that there was no increase in the number of children in institutional care when international adoption ceased. A reduction in institutional care in Romania only occurred after the ban on international adoption. However, no correlation was found for Lithuania as both practices remained constant between 2000 and 2012. The findings for Lithuania showed that continued international adoption was not accompanied by a reduction in institutional care.