International Adoption Net has recently completed a training from the University of Minnesota Adoption Medicine Clinic. During this training they shared with our staff more in-depth ways of reading a medical referral, what types of special needs they have seen in the countries IAN works with, and what the quality of life is for specific special needs. Judith K. Eckerle, M.D. is very knowledgeable in the international medical field and was so helpful in answering all our staff’s questions with detailed information.
IAN is very grateful to have connected with this program to receive ongoing training about specific special needs. We are now referring families to University of Minnesota Adoption Medicine Clinic when reviewing a referral and needing medical professionals’ opinions. The Adoption Medicine Clinic has helped many families since 1986 review referrals, discuss the resources needed for the specific special need and what the severity of the need may be. The Clinic will look at the medical report, any background information on the child, and review pictures and videos. They then will discuss with the family any concerns they may see and discus how to best care for the child.
Families can connect with this clinic by going to their website at https://adoption.umn.edu/. They have many resources for families to learn from such as how to measure head growth, fetal alcohol syndrome, child development, mental health, etc.
They do have a fee for their different services. On their website they have a breakdown of what each service would cost. Their turn around time for looking at a referral is 1-3 days and can go quicker if it is time sensitive.
We recommend families look at the University of Minnesota Adoption Medicine Clinic when considering or in the process of foster care, domestic or international adoption.
At least when the adoption is done, I won’t have any more paperwork!
By the time adoptive parents are granted legal custody of their child, they have completed pages and pages—and what seems like books—of paperwork. Contracts, medicals, financial statements, letters of intent, employment documents, picture pages, THE HOMESTUDY, and so, so, so much more. Whole reams of paper, pens of ink and cartridges of toner are committed to the adoption process. It seems like a never ending battle to get that one last document finished. By the time the adoption is done, you are ready to just move on with life and never, EVER do another piece of paperwork as long as you live (or at least until your next adoption).
However, the point of adoption is actually the beginning of a whole other set of paperwork for many adoptions and especially so for those who internationally adopt. Most countries require at least one post-adoption report with many requiring multiple reports over the span of time. In most cases, the country has a set amount of required reports as determined by the country, but some cases may require more reports, especially in countries where a birth parent is involved in the process. Some countries even require reports until the child is 18 years old (that’s a lot of reports for kids who are adopted as babies or toddlers!). Even if the country does not require post-adoption reports, most placing agencies or at least home-study agencies require reports per agency or state policies.
Post-adoption reports are an important part of a country’s decision to move forward with their adoption program. Reports allow a country to measure the success of the program and the outcomes for children. It also allows them to know that the children are alive and still in the original adopted home, or in the case that they are not, where they are and whether the new adoption/placement was done correctly. (Note: post-adoption reports need to be honest and never cover up any issues. No one expects everything to be perfect and even knowledge of issues can be enlightening for change.) In some countries, birth parents/family and/or the orphanage that cared for the child have the right to review the reports in order to maintain knowledge of the child’s well-being.
At the onset of an adoption, parents are informed about the expected post-adoption reports (to the best of the agency’s ability as things do change over time), and parents sign documentation stating they understand the requirements and will abide by them. In addition, most countries require the adoptive family and/or placing agency to submit documentation as part of the dossier stating they will complete the reports as required. Unfortunately, not all parents fulfill this obligation to their child’s country and adoption agency. When that happens, there can be dire consequences for the children remaining in the country and/or for the children that could be placed by the agency in the future.
The Department of State recently published the 2016 Annual Report on Intercountry Adoptions. DOS reports that it met with 30 countries in 2016 regarding intercountry adoption. In these meetings, three main concerns were presented by countries as concerns—prominent among them was post-adoption report compliance. “Even after adoption, countries maintain a strong interest in knowing how children from their countries fare. Officials become concerned when they receive no reports about a child after adoption, often fearing that the adoption has disrupted or dissolved, or that the child has been harmed. When parents fail to fulfill the obligation they agreed to, it reflects badly on U.S. adoptions and may impact the country’s willingness to continue to engage and partner with the United States.” Countries have shut down over non-compliance in the past (for example, Ukraine closed for some time in October 2005 due to missing reports— link ) which hurts remaining orphans and potential parents in the short-and-long-run. “Several countries have conditioned the resumption of intercountry adoptions on receiving post adoption reports from parents who previously adopted children from that country.” (Quotes taken from the above mentioned report.)
The Department of State has since issued further notices regarding the importance post-adoption reporting. A May 8, 2017 notice states “Missing or delinquent post-adoption reports can negatively impact adoption service providers seeking authorization in affected countries, as well as U.S. citizen parents seeking to adopt in the future. The consequences of failure to comply with post-adoption reporting requirements are significant, particularly for thousands of children in need of permanency who would be adversely impacted if intercountry adoption programs are suspended or closed.” ( https://travel.state.gov/content/adoptionsabroad/en/about-us/newsroom/Post-AdoptionReportingOverview.html .)
It’s understandable that parents get busy and life moves on. In addition, it is clear to agencies that the vast majority of adoptive parents are devoted to the cause of the orphan and to the orphans and vulnerable children that remain in their child’s country. Agencies often see parents fundraise for or even create projects of humanitarian aid in their child’s country of origin. It is important for agencies and even countries to recognize these efforts made on behalf of the children. However, it is also important for adoptive families to realize that one of the most important things an adoptive parent can do to help orphans in their child’s country is to complete post-adoption reports on time and encourage others to do the same.
If you are an adoptive parent who has fallen behind on your reports, please contact your placing agency today to find out how you can help adoption remain a viable option for children in your child’s country of origin by catching up on missing reports. Please share this article and/or the Department of State’s notices in any way you can to encourage other adoptive families to do the same. If you have adopted a child after the dissolution of an international adoption, please contact your child’s original placing agency regarding reports as the countries still require them even if you are not legally bound to provide them. If your placing agency has closed, please contact the Department of State’s Office of Children’s Issues for information on how to comply with reporting.
/contact/ This is a guest post from our partner Diane Hogan. She is an adoptive parent twice over, adoption and education expert, and President of A Step Ahead Adoption Services.
Are you a family who want to start or build your family and don’t know if adoption is right for you? If so, you have probably been on the Internet looking at all the choices, options and decisions you would need to make to just take the first step into adoption. Hopefully this article will help you understand your choices, fine tune your options and guide your decision-making process.
There are 3 primary paths to adopting a child – domestic (US) adoption, international adoption and/or foster-to-adoption. How do you know which path is best for you? Consider the child you see coming into your home and ask yourself these 5 simple questions:
1) What age is this child? Most domestic adoptions are newborn-to-1 year of age placements; most international adoptions are toddler-thru-school aged; most foster-to-adoption placements are 1-year to 18-years of age (after 18, most children “age out” of the foster care system).
2) What race or races of child can you consider? In domestic adoption, you have children of all colors of the rainbow and racial combinations; however, the least placed race (in the US) is Asian. For foster-to-adoption, again all the possible racial combinations of children are eagerly awaiting their forever families. International adoptions, you have to be country-specific, thus you will be defining race(s) upon selecting a country. To get an overview of options in this area, see: https://travel.state.gov/content/adoptionsabroad/en/adoption-process.html
3) What timeframe are you considering? Most domestic (US) adoptions can occur in 1-year or less unless you are gender-specific and then that could take up to 2 years. International adoptions are country-specific and will be dependent on how well your US agency or attorney is connected with the foreign country’s embassy, orphanages and laws. Generally speaking allow a minimum of 2 years for the process. For foster-to-adoption, you would need to be able and willing to foster a child until they are eligible for the adoption rolls. That process is often 1-2 years depending on your county’s policy for a birth parents time to attempt reunification – the goal of the foster system.
4) Are you gender-specific? If so, then focus more on international or foster-to-adoption because it is much easier to select a boy or girl, or both! In domestic adoption, you become dependent on a gender-defining ultra sound or waiting for a born baby.
5) Do you have a budget defined? Most domestic and international adoptions are running $30,000 -$50,000 for the cost of preparing, adopting and traveling. Foster-to-adoption is more affordable as you may only be asked to pay for legal fees and travel. Remember, we currently do have an adoption tax credit that may assist you after you adopt. For more information, see: https://www.irs.gov/taxtopics/tc607.html
Still confused? Feel free to send us an email or give us a call. We provide adoption education, guidance, support and resource referrals for many various aspects of adoption. If you are a family desiring a domestic adoption or adoption education, we have consultants across the US to talk with you and discuss the process of domestic adoption. If you are considering an international or foster program, we can connect you with agencies speializing in the programs you are interested in.
Diane Hogan is an adoptive mom of two “babies” (now respectively 21 years of age and 18 years of age). Along with her husband she adopted domestically and has two open adoptions. She hold BS and MA degrees in education. Worked for 20 years in public education (classroom teacher, curriculum developer, program specialist, teacher trainer). Besides her two children, she is most proud of her 2-years or remission from Hodgkins’ Lymphoma! Diane now owns/operates A Step Ahead Adoption Services for the last 16 years from Colorado Springs, CO. A Step Ahead Adoption Services (ASA), in the big picture, is a consulting services designed to help adoptive parents seeking a domestic adoption through an agency or attorney in the US. We educate, guide, support our client families who are seeking a domestic or international adoption. ASA also provides education for agencies and law firms that work in adoption. They can offer 1:1 classes, workshops and seminars. They have an extensive online adoption & parenting library for client families (over 80 documents), a prerecorded 20-minute class on the domestic adoption procedure and 45 short vignettes of interviews with adoptees, adoptive parents and an occupational therapist. Our ASA clients have access to all of those educational materials. ASA contracts with consultants who work for us across the US to support adoptive families and agencies. If you prefer to go international or foster-to-adopt, we will happily refer you to professionals in your area. ASA website is: www.astepaheadadoption.com .
If you would like your article posted as a guest on our blog, please contact us.