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MINISTRY OF WELFARE

OF THE REPUBLIC OF LATVIA

28 Skolas str., Riga, LV-1331, Latvia

Phone 371 67021600

 Fax 371 67276445

E-mail: lm@lm.gov.lv

 

 

11.09.2014. No. 33-2-02-/694

                                                                                                                                                      To all recipients attached

Information on adoptable children

The Ministry of Welfare (hereinafter – the Ministry) appreciating the cooperation in the field of foreign adoption, and believing that every child has the right to live in a family, in accordance with the implementation in Latvia of Article 16 of the Hague Convention on Protection of Children and Cooperation in Intercountry Adoption (hereinafter – the Convention), hereby provides information on adoptable children for whom families are being sought abroad:

1. Adopted
 
2. Boy, born on April 22, 2012:
  • boy has grey eyes and brown hair. The boy is smiley, positive, recognizes his name, he enjoys individual attention, he responds to contact. He likes to catch toys, bring them or to move them aside. The boy likes water treatment. He observes carefully what adults do around, he is able to show “bye, bye” and to show if he is unsatisfied with something;
  • boy was born to a 25 years old mother from her 3rd pregnancy, in her 1st delivery, in 38th week of gestation, with weight of 2970 g and height 50 cm, 8/9 point by Apgar scale. The mother was under doctor’s surveillance during the pregnancy. There is no information about the early development of the child apart the fact that his first teeth came out at the age of 1 year and 1 month;
  • child has been treated in a hospital:
  • 27.04.2012. – 14.05.2012.  – unspecified specific perinatal period infection, Z20.6, VSD (0.2 cm) without cardiovascular failure;
  • 27.06.2012. – 05.07.2012. – purulent meningitis, hypoxic ischemic encephalopathy with hypertonia, secondary anemia;
  • 29.07.2012. – 31.08.2012. – multiple fractures of both parietal bones, severe brain contusion, bilateral chronic subdural hematoma –  hygroma, bleeding in retina of both eyes, heavy secondary hypoxic ischemic brain damage, seizure syndrome;
  • child has been consulted by:
  • ENT (28.06.2012.) – without signs of inflammation;
  • Hearing center (09.02.2013.) – hearing corresponds to the age;
  • oculist (08.05.2012.) – fundus oculi without pathology;
  • oculist (31.07.2012.) – Haemorrhagiae retinae;
  • oculist (11.02.2013.) – OU Astigmatism hypermetropia, control in October 2013;
  • oculist (11.10.2013.) – OD Astigmatism mixtus;
  • oculist (09.06.2014.) – astigmatism, myopia. Glasses prescribed for constant wearing;
  • EEG (31.07.2012.) – compelling epileptiform activity not observed;
  • CCT for head (02.08.2012.) – after subdural area drainage the hygroma collection is not reduced in dynamics;
  • CCT for head (24.08.2012.) – secondary hydrocephalus, extra axial collections mutually over fronto-parietal lobes. Fronto-parietal multicystic encephalomalacia;
  • neurosonology (28.04.2012.) – brain structure differentiates correctly;
  • neurosonology (28.04.2012.) – changes in fundus oculi not observed;
  • neurosurgeon (30.07.2012.) – child is in severe state, cerebral coma, taking into account the CT findings and the general condition of the child, urgent surgery is indicated;
  • USS (abdominal) (28.04.2012.) – kidneys, adrenal glands in norm;
  • cardiologist (12.05.2012.) – open oval hole 0,2cm, ventricular septal micro defect 0.2 cm in diameter, pulmonary hypertension is not observed;
  • rehabilitologist (03.09.2012.) – restless child, increased muscle tone in the upper limbs, does not follow a toy with eyes,  in a marked asymmetric position, abandons his head backwards. A rehabilitation course prescribed;
  • rehabilitologist (03.12.2012.) – severe brain damage with muscle tone imbalance;
  • rehabilitologist (26.08.2013.) – psychomotor development progress in all categories, but still child’s skills are below age norm. Needs to continue rehabilitation;
  • rehabilitologist (12.12.2013.) – slow positive dynamics in child’s psychomotor development;
  • neurologist (01.02.2013.) – condition after brain contusion. Upper spastic paraparesis, psychomotor development tempo delay;
  • neurologist (13.12.2013.) – post-traumatic (tetraparesis) double hemiparesis, hypotension and muscle dystonia syndrome. Secondary language acquisition difficulties;
  • infectology centre (15.08.2013.) – no  data on vertical transmission, the child is removed from the register (HIV negative);
  • dentist (20.03.2014.) – teeth healthy;
  • psychologist (25.02.2014.) – the child is responsive to a contact, it is especially marked at eye level – shows friendliness and joy about the received attention. Responds to name and is glad about bodily contact, which is accompanied by laughter and sounds. Overall, in various situations the boy expresses adequate emotions – he becomes sad when leaving, shows dissatisfaction bodily, responds to other children's feelings – expresses sympathy or interest. Closely observes adult activities, understands instructions and tasks, and  willingly tries to complete them, imitates well by showing will and effort and concentration, depending on the physical condition. He knows how to show "bye, bye", recognizes some of the parts of the body, such as his and other hair, eyes, nose. In his games and exploration of surroundings the kinesthetic activities dominate – touching different surfaces and materials, game of giving and taking, game of inserting smaller objects into larger objects, games of overturning, pouring out, collecting and hiding. These activities are characteristic for a 1 year old child, so the boy's mental development does not correspond  the age norm and is delayed for about 10 months;
  • speech therapist (04.02.2014.) – pronounces sounds, syllables, speaks one word (ball), tries to imitate the lip movements and the heard sounds. Understands prohibitions and approvals;
  • surgeon (31.10.2012.) – muscle tone imbalance, no data on hip joint dysplasia;
  • surgeon (26.03.2013.) – upper extremity spastic paraparesis;
  • Munich Functional Development Diagnostics (04.02.2014.) – child's psychomotor development is delayed in all categories according to Munich Functional Development Diagnostics, psychomotor development corresponds to a 9 months old child in average. Since the last assessment a minimal dynamics is observed. Crawling age - the child holds to a forearm support, as well as hand support, turns through both sides, moves around the navel. Sitting age – does not hold a posture when passively seated, very poor head control, does not try to sit down. Walking age - at verticalisation upright, takes over the body weight for a couple of seconds. Keeps his toes tight, sometimes intersecting legs. Capture age - can pick up a figure with each hand, claps them one against the other, takes a figure out of a box, takes off a ring from a ring stand. "Palmar" grip. Knowingly allows an object to fall. Perceptions age - tries to get an object, which can be attained only through changing position. Notices a figure in a container and tries to grasp it by hand. Listens to sounds and observes the surroundings. Responds to his name. Pulls a toy towards himself by a cord. Social age - smiles, laughs, follows by gaze adult activities, reacts to hiding behind furniture. Does not pass a toy or object;
  • physiotherapist (04.02.2014.) – spasticity in muscles both leg and arm (according to Ashford modified scale 1-1+ points), thumb inclined, hands> legs, distal> proximal, dx> sin. Poor head control in all positions, in which needs to operate against gravity, in vertical positions. Symmetrical positions. Have developed an amphibious reaction and "parachute" reaction. Positive Babinskis reflex. Takes a position on one side. Plays mostly while lying on stomach or on his back. Grasps objects with both hands, transfers them from one hand to another, intentionally throws away an object;
  • pediatrician (30.04.2014.) – condition after brain contusion. Post-traumatic tetraparesis, hypotension and muscle dystonia syndrome. Language development disorder. OD Astigmatism mixtus;
  • final medical diagnosis – condition after brain contusion. Post-traumatic tetraparesis, hypotension and muscle dystonia syndrome. Language development disorder. OD Astigmatism mixtus;
  • further necessary treatment – to continue rehabilitation. Oculist consultation. Speech therapy;
  • by a court verdict parents were deprived of custody rights in February 26, 2014. The boy was taken out of the biological family because the child was taken to hospital with severe head injuries, which occurred as a result of violence. Criminal proceedings were initiated against the mother. Criminal proceedings showed that both parents are to blame for the child's injuries. Both parents have mental retardation, they both studied in a special school and got acquainted there. Both parents also use alcohol, the father becomes aggressive when drinks alcohol. Since the child’s placement in the out-of-family care institution the parents have inquired about the child  a few times by phone, the mother has visited once, the father has visited  twice;
  • boy does not have any siblings.

3. Boy, born on January 25, 2003:
  • child resides in a current foster family since June 2009. The foster family does not want to adopt the boy;
  • boy has blue eyes and light colour hair. The boy attends regular school, his school results are average. He has unsustainable attention, therefore he needs adult assistance with homework, to understand it better and to complete it. The boy likes sports. He also attends dance classes. He has regular (at least once in a week) behavior problems – he may maltreat his peers or damage somebody’s or his belongings, he does not obey school teachers. He is also very stubborn and sometimes aggressive. According to the foster mother it is difficult to predict his behavior, but sometimes he may be a good boy, on occasions he may be helpful;
  • child was born to a 29 years old mother from her 5th pregnancy, in her 4th delivery, with weight of 2900 g and height 49 cm. The mother did not attend doctor during the pregnancy;
  • child has been consulted by oculist (21.06.2012.) – OU Hypermetropia;
  • child has been consulted by a psychologist (July 2013) – general cognitive abilities are on low level – borderline;
  • final medical diagnosis – OU Hypermetropia. The boy wears glasses (-2,5) and he has also strabismus;
  • further necessary treatment – oculist consultation;
  • by a court verdict parents were deprived of custody rights in April 2011. The boy was taken out of the biological family because children were neglected, the parents did not take care of them. Parents had problems with alcohol. The children were placed with a guardian. After 2 years the guardian died and the children were placed in various foster families. The boy had one foster family and after 4 months was moved to the current foster family together with his younger sister. The parents have not visited children in foster homes, but they have had episodic communications in Internet. Although siblings are in various foster families, they are all in one area and attend the same school. Nevertheless, siblings do not have very close relationship as one big family. The boy is not closely attached to any of his siblings;
  • boy has 6 siblings:  1 paternal older major half-sister and 2 older minor twin sisters and 2 older minor brothers who are in a foster care. He has also 1 younger sister who resides in the same foster family. The decision of the Orphans' Court on separation of the children in case of adoption has been made.

4. In the process of adoption

Girl, born on July 18, 2006:
  • girl has grey eyes and chestnut brown hair. The girl is positive and active, she finds it difficult to sit still for a longer time. She likes to play alone. Gladly communicates with adults rather than other children. She easily makes contact with other people. She is pleased if she has done something well and correctly. She attends dance classes. She also has drawing classes with art teacher. The child has a diagnosis of mild mental delay. Therefore the girl attends specialized school. The girl has weak memory, she is able to learn and do activities only under adult’s supervision. The girl needs a lot of attention and needs to visit specialists regularly. She is recommended to attend speech therapy, ergo therapy, massages, and to be under surveillance of a psychologist and a psychiatrist. The girl needs a full family (mother and father);
  • child was born to a 34 years old mother in her 2nd delivery;
  • child has been treated in a hospital:
  • 27.01.2011. – 02.02.2011.  – acute rhinopharyngitis. Bronchial asthma exacerbation. Bronchial asthma attack;
  • 03.11.2011. – 04.11.2011. – mixed specific developmental disorders. Specific speech articulation disorder;
  • child has been consulted by pulmonologist-allergist (09.06.2011.) – bronchial asthma, moderate pace;
  • final medical diagnoses – bronchial asthma. unspecified disorder of psychological development (F89);
  • child has had 2 unsuccessful pre-adoption care processes. The first was with Italian family in March 2014. The adoptive family decided not to continue the adoption process with the girl due to ill-judged and rushed decision of possible fear of the influence of the girl’s biological 19 years old sister. The girl and the Italian family developed hearty relationship and during the pre-adoption care it was discussed that the girl should say goodbye to her adult sister. The adult sister was informed that her little sister is going to be adopted to Italy and expressed her wish to visit her in Italy one day when she would go shopping to Italy. The Italian family interpreted this as a threat to their privacy and were afraid that the adult sister might wish to live with them. Due to these fears of the outcome of the contact with the adult sister, they made decision not to adopt the girl. The opinion of the authorities of Latvia is that the Italian family misinterpreted the situation and were not ready to adopt and accept a child with a past and with biological siblings. The second pre-adoption care process was with French family in July 2014. The family decided not to continue the adoption process because they are not ready to deal with the girl’s diagnosis of mild mental retardation;
  • by a court verdict the mother was deprived of custody rights in November 2009, the father – in November 2011. The child was taken out of the biological family because the parents were under the influence of alcohol, as a result they could not take care and supervise their daughter. The girl was in health and life-threatening conditions. Both parents are alcoholics. The girl does not have any contact with them anymore. The girl had a guardian from March 2010 until August 2013. The girl used to meet her older sister 2 times per year, although the older sister until the pre-adoption care with Italian family did not show any initiative to be in touch with her younger sister. Currently the girls have more opportunity to meet, because the adult sister resides in the same institution where the little sister is placed. There are no other relatives in the biological family;
  • girl has one older major sister.

5. 2 siblings, adoptable separately or together: older brother, born on January 5, 2012, and younger brother, born on April 25, 2013:
  • older brother resides in an out-of-family care institution since January 9, 2012, whereas younger brother resides there since April 29, 2013;
  • older brother has blue eyes and light brown hair. Characteristics of the child (02.07.2013.): the boy crawls, he also walks around if being held by both hands. He stands up by sticking to something. The boy makes a longer eye contact with an adult, he plays with toys, responds to his name. His appetite is good, he does not try to eat with a spoon, needs to be fed. Sleeps well, sometimes swings before falling asleep. Sometimes has a tendency to swing and beat his head against the floor;
  • child was born to the 26 years old mother, from her 2nd pregnancy, in her 2nd delivery, in 39th week of gestation, with weight of 2790 g, height – 52 cm, 7/8 points by Apgar. The mother was not monitored by a doctor during the pregnancy;
  • child started to sit at the age of 11 months, the first teeth came out at the age of 9 months. At the age of 1 year the child had 12 teeth;
  • child has been treated in a hospital:
  • 12.01.2012. – 23.01.2012. – new-born adaptation period;
  • 16.04.2012. – stenosis ductus nasolacrimalis. Rinsing of the right eye tear channel;
  • child has been consulted by:
  • orthopedist (12.04.2013.) – Physical development delay, bilateral limb hipotonus, control at the age of 2 years;
  • oculist (12.06.2012.) – OU hypermetropia, grade II, OU Nystagmus;
  • oculist (24.01.2013.) – OU astigmatism hypermetropia, OU Nystagmus. Esotropia, control at the age of 2 years;
  • neurologist (24.05.2012.) – condition after central nervous system hypoxia, congenital nystagmus, muscle hypotonic syndrome;
  • neurologist (01.02.2013.) – effects of neonatal central nervous system hypoxia in a state of diffuse muscle hypotonic syndrome, psychomotor retardation and balance disorder;
  • neurosonoscopy (13.01.2012.) – brain structure differentiates correctly;
  • USS (abdominal) (13.01.2012.) – without pathology;
  • echocardiogram (13.01.2012.) – no data on congenital heart disease;
  • speech therapist (19.06.2013.) – language development delay on the background of reduced general development. The boy understands instructions "come here", "give me" (sometimes). Reacts to sounds and language by turning his head. Pronounces inarticulate speech sounds and syllables. Weak child language features, no features of verbal communication, does not understand the prohibitions, no first words with meaning. At the same time the boy is responsive, smiling, shows willingness to cooperate and communicate;
  • speech therapist (07.03.2014.) – child is 2 years and 2 months old. According to the assessment by Munich Functional Development Diagnostics child’s speech corresponds to 15 months of age, language comprehension age corresponds to 19 months. The child has language development delay on the background of reduced general development. The boy uses some sounds to attract attention. The child has missed out a period of baby language, he does not have syllable imitation skills. There is a slight positive dynamics in speech understanding – prohibition and praise. Willingly participates in therapy classes, better understands and imitates the movements (rythm) in logorythmic classes. Improved understanding of instructions (with demonstration);
  • assessment by MFAD (Munich Functional Development Diagnostics) (13.05.2013.) – child's psychomotor development is lagging behind in all functions. Crawling, walking, capture, perception, speech understanding is delayed by 5 months, sitting for 6 months, talking about 8 months, the social function about 9 months. Gross motor skills – crawls on hands and knees with a cross-coordination; crawls and rises in a bear position. Can climb few steps on a stairway. Sits unsupported with his feet in front; sits up by holding to something from a lying on back position. Stands up by holding to something; walks sideways along furniture by holding to it. Tries to climb up on a couch. Capture age – captures objects with both hands purposefully. Grasps small objects in a ‘tweezers’ grip (straightened index finger and thumb) and sometimes in a "pliers" grip (bent index finger and thumb). Purposefully allows an object to fall. Perception age – interested in different objects, explores them, moves and bangs them, explores details by touching with index finger. Prefers musical objects. Deliberately throws away a toy. Moves large objects by pushing forward – chairs, carpets, etc. He likes to open and knock doors. Social age – smiles, laughs and makes an eye contact. His attitude towards known people and strangers are alike, treats them both safely. Likes physical contact, likes to be cuddled;
  • assessment by MFAD (Munich Functional Development Diagnostics) (03.03.2014.) – the child's psychomotor development is lagging behind in the following functions: walking lags behind for 3 months, sleight of hand for about 5 months, the social function for 11 months, autonomy for 4 months. Gross motor – the child walks independently, climbs stairs by holding with both hands, can bend down to pick something without holding. Unstable gait. Capture age – captures purposefully with both hands. Grasps small objects in a "pliers" grip (bent index finger and thumb). Turns pages of a book, draws points and scratches on a paper with a pencil, and pushes a car. Perception age – interested in various objects. Can combine two objects – put 3 containers one into another, can put lids on containers, can insert figures such as triangles, squares and circles in right positions. Prefers musical objects. Moves large objects by pushing forward – chairs, carpets, etc. Social age – smiles, laughs and makes an eye contact. His attitude towards known people and strangers are alike, treats them both safely. Likes physical contact, likes to be cuddled;
  • physiotherapist (13.05.2013.) – the basic muscle tone decreased, weak ligament apparatus, unstable joints, light muscle tone asymmetry (right side <left side), sits with a rounded back. Bends the body, makes various peculiar postures and repetitive movements;
  • physiotherapist (03.03.2014.) – decreased muscle tone, weak ligament apparatus, unstable joints, slight asymmetry in posture, sits on the floor with a rounded back, more straight when sitting in a chair;
  • caregivers’ observations (03.03.2014.) – good appetite, eats independently. Sleeps well, falls asleep by swinging sometimes. Sometimes hits his head against the floor. Likes bathing;
  • final medical diagnoses – effects of neonatal central nervous system hypoxia in a state of diffuse muscle hypotonic syndrome, psychomotor retardation. OU astigmatism, hypermetropia, OU nystagmus, esotropia. Language development delay;
  • further necessary treatment – neurologist control in dynamics in January, February 2014. Oculist consultation at the age of 2 years, to wear glasses. Podiatrist-surgeon's consultation at the age of 2 years. Physiotherapy sessions. Speech therapy;
  • younger brother has blue eyes and light brown hair. The child crawls, he does not eat independently, needs to be fed. The boy is emotionally labile, often cries, plays alones, likes musical toys;
  • child was born to the 27 years old mother, from her 3rd pregnancy, in her 3rd delivery, in 38th/39th week of gestation, with weight of 3000 g, height – 49 cm, 8/9 points by Apgar, in Caesarian operation. The mother was not monitored by a doctor during the pregnancy;
  • the first teeth came out at the age of 9 months;
  • child has been treated in a hospital:
  • 15.05.2013. – 28.05.2013. – neonatal encephalopathy with increased anxiety syndrome, neonatal adaptation period, acute respiratory viral infection, acute rynopharyngitis;
  • 02.02.2014. – 06.02.2014. – acute respiratory viral infection, acute nasopharyngitis, acute bronchitis, psychomotor development delay;
  • 19.02.2014. – 03.03.2014. – acute rotavirus etiology gastroenteritis;
  • child has been consulted by:
  • USS (abdominal) (17.05.2013.) – minor urinary reflux disorder in both kidneys, control after 3 months;
  • USS (abdominal) (14.10.2013.) – mild spleno-megaly (control after 6-7 months.), kidneys – in norm;
  • oculist (23.05.2014.) – OU Nystagmus horizontal, OU Astigmatism mixtus, OD Esotropia, control at the age of 2 years;
  • neurosonology (17.05.2013.) – brain structure differentiates correctly;
  • neurologist (09.07.2013.) – physiological hypertonia, congenital horizontal nystagmus;
  • speech therapy (30.05.2014.) – language development delay on the background of reduced general development. The boy reacts to sounds with eyes and/ or head movements. Pronounces various inarticulate sounds. Laughs, giggles. Makes variety of sounds at different volume and tonality. Does not form syllables, does not use sounds in communication to indicate his wishes, except for crying, does not make dialogue – does not repeat sounds;
  • assessment by MFAD (Munich Functional Development Diagnostics) (11.04.2014.) – the child's psychomotor development is lagging behind in all functions: crawling, capturing and perception –  for 2 months, sitting –  about 3.5 months, the social function – about 4 months, walking – about 6 months. Crawling age – crawls and rolls. Sitting age – actively rolls from back to abdomen. By holding to adult fingers rises from lying on the back position to a sitting position. Cannot hold a sitting posture. Walking age – passively verticalized, supports on the toes, straightens legs in knees, hips bent. Capture age – takes an object in each hand and holds them. Takes small disks with fingers and straightened big toe. Purposefully allows an object to fall. Cannot grasp small objects yet. Perception age – tries to get an object, which can be attained only through changing position. Notices a figure in a container and tries to grasp it by hand. Throws away a toy. Social age – smiles, laughs, follows adult activities for a short period of time. The boy is not afraid of strangers, treats equally known people and strangers;
  • physiotherapist (11.04.2014.) – muscle tone imbalance – distally (hands, feet) heightened, proximally (torso) basic tone lowered. Muscle tone asymmetry – left side> right side. Asymmetrical head shape deformation. Nystagmus. Sometimes repetitive swaying movements. The child reacts positively especially to the tactile contact;
  • final medical diagnoses – OU Nystagmus horizontal. OU Astigmatism mixtus. OD Esotropia. Psychomotor development delay. Speech development delay. Muscle tone imbalance;
  • further necessary treatment – pediatrician monitoring, oculist consultation at the age of 2 years. Physiotherapy sessions. Speech therapy;
  • by a court verdict the parents were deprived of custody rights on the oldest brother in May 2013 and on the youngest brother in April 2014. The reasons why the oldest boy was taken out of the biological family: the parents use alcohol on regular basis and are not able to take care of the newborn child. The parents have visited the child only 4 times and have phoned to inquire about him few times. They have not been interested in him since September 14, 2012. The reasons why the oldest boy was taken out of the biological family: the mother left the child at a hospital. The parents have not been interested in the youngest son and have not visited him in the orphanage. The mother has mental and physical developmental disorders since her childhood, the father disabled since his childhood and has moderate mental retardation. The parents are addicted to alcohol and smoking. The mother is aggressive and she has behavioral disorders.  The parents are unable to take care of their children;
  • brothers have 1 older minor maternal half-sister, who is in the guardianship. The Orphans' Court has made decision on separation of the brothers from each other and from the half-sister in case of adoption.

6. Adopted
 
 
7.Adopted

8.    3 siblings: older brother, born on September 23, 2006, middle half-brother, born on October 4, 2008, and younger half-brother, born on January 1, 2010:
  • older brother has brown eyes and hair. The boy attends 1st grade at the school, he loves drawing and he is good at it. The boy likes helping out teachers in the group works. The child particularly needs praises and support. The boy sometimes might have anger tantrums. Currently the child tries to control his feelings and he succeeds in this area. The boy wants to become a police officer when he grows up;
  • the child was born to a 22 years old mother, from her 3rd pregnancy, in the 1st delivery;
  • child was treated in a hospital from 04.04.2012. till 18.04.2012. – acute nasopharyngitis, acute trachio-bronchitis, bronchial obstruction syndrome dehydration syndrome;
  • child has been  consulted by:
  • oculist (21.05.2013.) – OU amblyopia, esotropia. OU astigmatism hipermetria;
  • neurologist (10.12.2013.) – increased neuroreflectory irritability, dislalia;
  • final medical diagnoses – hipermetria. OU amblyopia. Dislalia. increased neuroreflectory irritability;
  • middle brother has greenish brown eyes and light brown hair. The boy is inquisitive, communicative and active child. He likes when adults are around him, he talks a lot, asks lots of questions, and the boy memorizes what he has learned very well. He gladly participates in lessons and completes given tasks. The boy likes to draw, to color, to applique, to work with toy constructor and other developing toys, he enjoys putting puzzles.  The boy is very self-dependent and self-secure, he likes to receive praises and recognition from the adults. The boy loves his brother very much, but argues with them frequently. The child falls asleep well in the evening but he has difficulties to fall asleep in the noon. He has acquired self-service skills according to his age. The boy has good appetite, he loves all kinds of food, and especially he loves sweets. The child has poor vision, therefore he needs to wear glasses. The boy attends specialized kindergarten for children with vision problems. The boy frequently gets ill with cough and running nose;
  • child was born to a 25 years old mother. During the pregnancy the mother was not under the surveillance of a doctor;
  • child has been treated in a hospital:
  • 04.04.2012. – 18.04.2012. – acute respiratory viral infection, acute rhinopharyngitis, acute tracheitis, bronchial obstruction syndrome, dehydration syndrome, acute dermatitis outbreak syndrome, adenoids;
  • 24.05.2012. – 08.06.2012. – acute viral bacterial infection, rhinopharyngitis, bronchitis, enteritis, condition after bilateral otitis media;
  • 20.07.2012. – 01.08.2012. – acute respiratory viral infection, acute rhinopharyngitis, acute bronchitis with bronchial drainage problems;
  • 07.03.2013. – 08.03.2013. – adenoids surgery;
  • child has been consulted by:
  • oculist (02.07.2013.) – hypermetropia;
  • neurologist (16.09.2012.) – central nervous system astenization, dislalia;
  • speech therapist (25.03.2013.) – phonetic and phonemic language disorders;
  • pulmonologist (13.01.2014.) – bronchial asthma, moderate, persisting, exogenous, virus-induced;
  • pediatrician (18.03.2014.) – hypermetropia, CNS astenization, dislalia, phonetic and phonemic language disorders, bronchial  asthma, moderate, persisting, exogenous, virus-induced;
  • final medical diagnoses – hypermetropia, CNS astenization, dislalia, phonetic and phonemic language disorders, bronchial asthma, moderate, persisting, exogenous, virus-induced;
  • further necessary treatment – speech therapy, control of the allergist, to continue receiving inhaled medication;
  • younger half-brother has brown eyes and dark brown hair. The boy likes active games, he likes running around and playing with toy cars. The child is very dapper, he loves his brothers very much, but frequently argues with them. He gladly participates in lessons, completes given tasks. The boy likes to put puzzles meant for older children. He talks a lot and his speech is quite well but still – he needs a speech therapy. The boy has poor vision, therefore he needs to wear glasses, he attends specialized kindergarten for children with vision problems. The boy loves attention of the adults, praises and recognition. Self-service skills acquires according to his age. The boy is neat, self-dependent and he loves tidiness. The boy has good appetite, he loves almost all dishes except for vegetable stew, he loves sweets. The boy sleeps well in the noon and he has no problems to fall asleep in the evening too;
  • child was born to 27 years old mother, from her 3rd pregnancy, in 35th – 36th week of pregnancy, with weight 3060, height – 46 cm, head circumference –  33cm, chest circumference – 32cm. During the pregnancy the mother was not under the surveillance of a doctor, she was not examined. The child had premtureness I grade;
  • child has been treated in a hospital:
  • 04.04.2012. – 18.04.2012. – acute viral bacterial infection, acute rhinopharingotracheitis, dehydration syndrome, bronchial obstruction syndrome;
  • 18.07.2012. – 18.07.2012. – condition after wasp bite;
  • 19.11.2013. – 20.11.2013. – esotropia acomodativa partialis alternens (strabismus correction surgery);
  • child has been consulted by:
  • oculist (06.08.2013.) – esotropia. OU astigmatismus, hypermetropicus;
  • neurologist (10.05.2012.) – MCD, inward squint, language development delay;
  • speech therapist (25.03.2013.) – dislalia;
  • orthopedist (20.03.2012.)  – thorax deformity;
  • pediatrician (18.03.2014.) – esotropia, OU astigmatismus hypermetropicus, MCD, inward squint, language development delay, dislalia, thorax deformity;
  • final medical diagnoses – esotropia, OU astigmatismus hypermetropicus, MCD, inward squint, language development delay, dislalia, thorax deformity;
  • further necessary treatment – speech therapy, control of the oculist;
  • by a court verdict the mother of the children and the father of the older half-brother were deprived of custody rights in November 2013. Paternity for the middle half-brother and the younger half-brother has not been stated. Parents have alcohol consumption problems. Further residence in the family would threaten the health and wholesome development of the children. Children have suffered from negligence. The mother has not visited the children in the out-of-family care institution. By a  decision of the Orphans’ Court it is forbidden for the father to meet the older half-brother;
  • children have no other siblings.

9.    3 siblings: older half-brother, born on December 11, 2001, middle half-sister, born on April 25, 2005, and younger half-brother, born on April 26, 2008:
  • older half-brother has got calmer, verbal aggression in interaction is no longer observed. In a relationship tries to act nice, waits for praises. He likes making social contacts, has friends of the same age as he is. The boy loves doing household chores. Spends his spare time by the TV, likes cell phone games, sometimes plays with his little sister and brother. The boy likes inventing things, he has logically practical thinking. The boy has acquired knitting. He is in a correction class at the school. The boy does his homeworks in a prolonged school group, sometimes some tasks should be done at home though. He is not so good in mathematics, especially in solving math word problems. The boy packs his bag for school self-dependently, sometimes forgets something. The boy d his homeworks quickly but superficially, then characteristic phrase for him is “Everything will be fine!”. The boy needs control. He wants to be adopted together with his siblings;
  • child has been treated in a hospital from 09.12.2010. till 30.12.2010. –  hyperkinetic disorders (F90.0), nonorganic enuresis (F98.0);
  • final medical diagnoses – psoriasis vulgaris. Hyperkinetic disorders (F90.0), nonorganic enuresis (F98.0);
  • further necessary treatment – when aggravation (of the psoriasis) receive local treatment, recommended consultations of a psychologist and a psychiatrist;
  • middle half-sister has light hair. She has good school results, the girl has high intellect. The girl has superficial attitude towards studying. She loves singing. The girl contacts with biological family. Child has inner anxiety, impetuousness, which expresses as incessant fidgeting, she cannot stay still. The girl makes chaos and disarray around her. When the girl is doing some small works, she lacks patience completing them. The girl performs personal hygiene well. In her spare time, the girl likes to be outdoors. The girl is not so into the board games because she lacks patience. The girl is not able to occupy herself, she needs other person around her. The girl likes working by the computer;
  • final medical diagnose – healthy
  • further necessary treatment – not necessary;
  • younger brother has congenital feet defect and the right palm has 3 undeveloped middle fingers. The boy attends correcting gymnastics. He receives consultations of an ergotherapist, the boy needs supportive aids to train his muscles. The boy is right-handed but due to disability, he needs to learn writing with a left hand.  In general his health state is stable. Impetuousness of the boy has decreased, he is more and more aware of his emotions. The boy is calm at home. In interaction he differs good and bad actions, he may apologize with a phrase “It wasn't on purpose”. The boy regrets if he does something wrong, he understands his fault. Preschool educators indicate that the boy has slightly delayed development. The boy has good reasoning and logical thinking. The boy is able to name all parts of the body. He likes to be occupied with something, gladly plays with toy blocks. The boy does not like putting puzzles, but he gladly plays memorizing games. The boy enjoys books. He attends speech therapy sessions, sometimes mixes genders. Enjoys telling his own fairy tales. The boy wants to be adopted together with his siblings;
  • child has been treated in a hospital:
  • 25.08.2008. – 29.08.2008. – multiple developmental abnormalities (of palm and fingers, congenital clubfoot), psychomotor delay;
  • 07.11.2011. – 09.11.2011. – acute nasopharyngitis. Bilateral tubotitis. Acute bronchitis with obstruction. Syndactily of 2, 3 feet toes. Aplasia of right palm 2-4 fingers, hypoplasia of the left palm 2 finger;
  • child has been consulted by:
  • neurologist (24.02.2011.) – behavioral disorders;
  • surgeon (13.04.2011.) – multiple developmental abnormalities (feet and palm abnormalities);
  • pulmunulogist (21.04.2011.) – bronchial asthma, moderate, persisiting, exogenous. Atopic dermatitis;
  • final medical diagnoses – multiple developmental abnormalities – syndactily of 2, 3 feet toes. Aplasia of right palm 2-4 fingers, hypoplasia of the left palm’s 2nd finger. Clubfoot of left side. Behavioral disorders. Bronchial asthma, moderate, persisting. Atopic dermatitis;
  • child has a disability status, stated until May 2017;
  • further necessary treatment – by asthma aggravation inhalations. Possibly, consultation of  a plastic surgeon;
  • by a court verdict the mother of the children was deprived of custody rights in October 2012, the father of the middle half-sister – in November 2012. Paternity for the older half-brother and the younger half-brother has not been stated. The father of the middle sister is in the imprisonment. Children have suffered from negligence. The mother did not provide the children with appropriate childcare and supervision, she wandered around. The mother has not visited the children, but she contacts them via phone, then the mother is not asking anything about the younger half-brother. Children were under the guardianship of their maternal grandmother until October, 2010. In school holidays the middle sister visits paternal grandmother;
  • children do not have other siblings.

10.    3 siblings: older sister, born on February 15, 2008, middle brother, born on October 20, 2009, and younger half-brother, born on August 15, 2011:
  • siblings reside in a foster family since July 2012;
  • older sister has dark brown eyes and dark brown hair. The girl is able to perform self-service actions such as eating, dressing up and undressing. The girl likes playing, she quickly gets bored doing one action, she is chaotic, likes playing computer games, writes poorly. The girl has difficulties acquiring taught material, child attends specialized kindergarten, there are suspicions that the girl might have mental development disorders. The girl frequently gets ill with respiratory illnesses. The child needs checkups of a psychiatrist, neurologist, pulmonologist and once a year to be tested for tuberculosis. The child has already resided in an out-of-family care institution from September 2008 till February 2010, afterwards she was returned back to the biological family. The girl quickly got attached to the foster parents, the child does not remember her parents. The girl likes living in a foster family but she would also like to live with other parents;
  • child was born to a 18 years old mother, from her 1st pregnancy, in the 1st delivery, with weight of 3560 g, height – 52 cm. During the pregnancy the mother has been under the surveillance of a doctor. There is no information on the pregnancy of the mother and perinatal and further development of the child;
  • child has been treated in a hospital:
  • 01.03.2010. – 17.03.2010. – acute respiratory viral infection. Bilateral bronchopneumonia. Bronchial asthma;
  • 28.08.2012. – 31.08.2012. – latent TB infection;
  • 07.01.2013. – 12.01.2013. – salmonellosis. Acute enteritis;
  • child has been consulted by:
  • ENT (04.12.2013.) – healthy;
  • oculist (20.08.2012.) – age norm;
  • neurologist (22.10.2012.) – language development tempo delay. Hyperactivity. Enuresis nocturna;
  • nephrologist – proactive bladder. Urinary incontinence of day and night;
  • final medical diagnoses – bronchial asthma, moderate, persisting form. Expressive language delay;
  • further necessary treatment – medication for bronchial asthma Singulair, Flixotide, Ventolin;
  • middle brother loves playing outdoors. The boy might be aggressive if other children are around him, but he behaves like a little angel when there are no other children around him, he likes to be alone, the boy likes one-on-one interaction. He is quite overbearing, considers that his toys are only his, the boy does not share them with others, he looks after his toys, so no one can take them. The boy is nervous, chaotic and hyperactive, he acquires taught material slowly, attends specialized kindergarten. The boy talks poorly. The boy has one smaller palm than the other, it is a genetic defect and it is for life, the palm is not growing as it should, also one ear is a little smaller than the other. According to the doctor – the hand of the boy has developed as a hand of a child who is 2 years younger than the boy actually is, it is a genetic defect, the hand is functioning normally;
  • child was born to a 19 years old mother, from her 2nd pregnancy, in the 2nd delivery, with weight of 3100 g, height – 55 cm. During the pregnancy the mother has been under the surveillance of a doctor. There is no information on the pregnancy of the mother and perinatal development of the child;
  • child started to sit at the age of 8 months, to crawl – at the age of 9 months;
  • child has been treated in a hospital:
  • 01.03.2010. – 07.03.2010. – acute respiratory viral infection. Obstructive bronchitis;
  • 28.01.2013. – 31.01.2013. – celiac disease. Allergic dermatitis. Somnambulism;
  • 05.01.2014. – 08.01.2014. – celiac disease. Eosinophilia. Toxocariasis;
  • child has been consulted by:
  • ENT (22.08.2012.) – healthy;
  • oculist (20.08.2012.) – age norm;
                (24.04.2014.) – OU astigmatismus hypermetropicus;
  • neurologist (22.10.2012.) – language development tempo delay;
  • surgeon (13.03.2014.) – congenital hypoplasia of right palm;
  • dermato-venerologist (17.03.2014.) – allergic dermatitis;
  • gastroenterologist (22.01.2014.) – celiac disease;
  • allergist (2014.) – allergic dermatitis;
  • final medical diagnoses – celiac disease. Somnambulism.  Eosinophilia. (it has been treated now);
  • further necessary treatment – strict gluten free diet;
  • younger half-brother has dark brown eyes and brown hair. The boy is not very keen on talking but when the boy does talk, he talks in his own language. The boy has poorly developed language. The boy is not bale to express his opinion yet. He is going to attend mainstream kindergarten;
  • child was born to a 21 year old mother, from her 3rd pregnancy, in the 3rd delivery, with weight of 2260 g, height – 46 cm. During the pregnancy the mother has been under the surveillance of a doctor. There is no information on the pregnancy of the mother and perinatal and further development of the child;
  • child started to roll from the back to the belly at the age of 7 months, first teeth – at the age of 7 months;
  • child has been treated in a hospital from 16.08.2011. till 03.09.2011. – respiratory distress syndrome of a newborn. Chronic intrauterine hypoxia. Immature newborn. Influence of Caesarean;
  • child has been consulted by:
  • ENT (29.08.2011.) – hears;
  • oculist (29.08.2011.) – without pathology;
  • cardiologist  (22.10.2012.) – healthy heart;
  • final medical diagnosis – healthy, no chronical illness;
  • by a court verdict the mother of the children, the father of the middle brother and the father of the younger half-brother were deprived of custody rights in January 2014, the father of the older sister was deprived of custody rights in May 2009. Children have suffered from emotional abuse and negligence, they were left without supervision. Parents have alcohol consumption problems. Parents were physically aggressive to each other, children were not provided with necessary care. After children had been taken out of the family, they were placed in a crisis centre together with their mother;
  • children do not have other siblings.

11.  In the process of adoption
 
4 siblings: older half-brother, born on November 10, 2004, middle brother, born on October 11, 2006, younger sister, born on June 17, 2010, and youngest brother, born on October 28, 2011:
  • older half-brother has gray eyes and brown hair. The boy is calm, melancholic. He has responsible attitude towards studying. Learning ability is reduced, because while he resided in the biological family, the child did not attend school-preparation class. The boy likes playing chess, swimming, fishing and also computer games. He enjoys and participates in a theater plays at the school. The boy does not like physical works and active sport activities. The child is a friendly and sociable. The boy attends boarding school (the class for children with learning disabilities). The boy is nice and careful towards the younger ones – his siblings. Sometimes there are some conflicts between him and the middle brother, usually they are caused due to mutual competition. He has emotional attachment towards the mother. The boy is suffering about the situation with his biological family, but he wants to be adopted. He has close family relationship with his siblings. The boy takes care of the younger sister and youngest brother, he is defending them in conflict situations from other children. Separation of siblings is not recommended. The boy is very sensitive, he wants to be accepted and loved;
  • child was born to a 16 years old mother, from her 1st pregnancy, in the 1st delivery, with weight 3360g, height – 51cm. During the pregnancy the mother has not been under the surveillance of a doctor. There is no information on the pregnancy of the mother and perinatal development of the child. Child started to sit at the ag of 6 months;
  • child has been treated in a hospital:
  • 31.10.2011. – 17.01.2012. – tuberculosis pneumonia of the left upper lobe. Calcifications in intrathoracic lymph nodes. Contact with tuberculosis;
  • 19.01.2012. – 01.06.2012. – tuberculosis pneumonia of the left upper lobe.  Contact with tuberculosis. Acute respiratory viral infection;
  • child has been consulted by:
  • oculist (26.06.2014.) – amblyopia. Hypermetropia with astigmatism;
  • surgeon (04.05.2013.) – sprain of right ankle;
  • phtisiatrist (17.07.2013.) – state after tuberculosis pneumonia of the left upper lobe;
  • pediatrician (16.06.2014.) – somatically healthy;
  • final medical diagnoses – somatically healthy. Hypermetropia with astigmatism;
  • further necessary treatment –  recurrent consultations of the oculist;
  • middle brother has gray eyes and light hair. Physical and emotional development of the boy corresponds to his age. The child is physically well developed, manly and helpful. He likes to help out in the kitchen, the boy likes physical activities, active sports, fishing, berry picking and also computer games. He does not like doing homework in mathematics and Latvian language. The boy is friendly, positive and open. He has good relationship with siblings. The boy has emotional attachment to parents, he idealizes his mother. The boy endures the situation in the family, agrees to the adoption. The boy has close family relationship, with his younger brother and sister. Sibling separation is not recommended. The child wants to be the center of attention, to receive praises;
  • child was born to 18 years old mother, from 2nd pregnancy, in the 2nd delivery, with weight 3560g, height – 53cm. During the pregnancy the mother has not been under the surveillance of a doctor. There is no information on the pregnancy of the mother and perinatal development of the child. Child started to crawl at the age of 9 months;
  • child has been treated in a hospital:
  • 10.05.2007. – 18.05.2007. – bronchitis obstructiva;
  • 31.10.2011. – 17.01.2012. – intrathoracic lymph node tuberculosis in an absorption phase. Contact with tuberculosis. Hypermetropia;
  • 19.01.2012. – 01.06.2012. – intrathoracic lymph node tuberculosis in an absorption phase. Contact with tuberculosis;
  • child has been consulted by:
  • oculist (31.07.2013.) – healthy;
  • dermatovenerologist (16.06.2014.) – verrucae;
  • phthisisatrist (17.07.2013.) – state after tuberculosis infection in 2012;
  • pediatrician (26.05.2014.) – somatically healthy;
  • final medical diagnoses – somatically healthy;
  • younger sister has gray eyes and light hair. Physical and psycho-emotional development correspond to her age. The girl loves beautiful clothes, likes to play with the dolls and she enjoys attending Montessori school. She has a good memory. Child does not ask for her parents, she has an emotional attachment towards older half-brother and an educator. The girl is cautious towards strangers;
  • child was born to 22 years old mother, from her 5th pregnancy, in the 3rd delivery, child was born with a weight 3300g, height – 51 cm. During the pregnancy the mother has not been under the surveillance of a doctor. There is no information on the pregnancy of the mother and perinatal development of the child;
  • child has been treated in a hospital:
  • 31.10.2011. – 11.11.2011. – latent tuberculosis infection;
  • 21.02.2012. – 23.02.2012. – contact with tuberculosis;
  • 05.06.2014. – 09.06.2014. – viral infection with hyperthermia;
  • child has been consulted by:
  • ENT (06.06.2014.) – acute respirator viral infection;
  • oculist (31.07.2013.) – healthy;
  • dermatavenerologist (09.10.2013.) – atopic dermatitis, partial remission;
  • pediatrician (16.06.2014.) – somatically healthy;
  • child has not received all vaccinations corresponding to age, the child needs to receive Tetraxim III un HB III;
  • final medical diagnose – somatically healthy;
  • youngest brother has gray eyes and light hair. Physical development of the boy is now on target, but mental development is delayed. Child is in the register of a child neurologist. The boy is open and friendly. The boy likes putting puzzles and playing with Lego, he likes watching pictures in books. The boy needs love and patience and dedication of different methods for further development of the child. The boy has good relationship with all educators, he adapts well to new situations and is open of having new relationship;
  • child was born to 23 years old mother, from her 6th pregnancy, in the 4th delivery, with weight of 2090, height – 44cm. During the pregnancy the mother has been under the surveillance of a doctor. There is no information on the pregnancy of the mother and perinatal development of the child. Abnormal birth, caesarean surgery, child was born prematurely in 30th week of pregnancy;
  • child has been treated in a hospital:
  • 03.11.2011. – 30.11.2011. – premature born child. Jaundice of premature child. Intrauterine infection. Norovirus carrier;
  • 24.05.2012. – 01.06.2012. – psychomotor delay as effect due to perinatal CNS hypoxia. Strabismus convergens. Hipermetropia;
  • child has been consulted by:
  • ENT (23.09.2013.) – hearing corresponds to age;
  • oculist (05.06.2014.) – esotropia. OD hypermetropia;
  • neurologist (03.05.2014.) – symptoms and signs involving emotional state (R45), specific developmental disorders of speech  and language (F80). Psychomotor development delay;
  • speech therapist (23.09.2013.) – language development delay;
  • physiotherapist (14.05.2014.) – poor posture;
  • pediatrician (16.06.2014.) – somatically healthy;
  • phthisiatrist (10.05.2012.) – no data on tuberculosis;
  • final medical diagnoses – somatically healthy. Psychomotor development delay. Language development delay. Poor posture. Esotropia. Hypermetropia;
  • further necessary treatment – to repeat rehabilitation course, speech therapy, recurrent consultation of the oculist;
  • by a court verdict the mother of the children and the father of the middle brother, younger sister and the youngest brother were deprived of custody rights in May, 2014. Paternity for the older half-brother has not been stated. Children have been separated from their biological family due to parental alcohol abuse, children were neglected, they were left unattended and children rarely were taken to a family doctor. Parents regularly consume alcohol, but they do not admit that they have addiction problem. When the children were placed in the out-of-family care institution, parents visited children approximately once a month. Since November 2013, the mother has visited children once, together with the social worker. The mother often called and promised to visit children and do everything necessary so that the children can return to the family, but she did not fulfill her promises. In the out of-family-care institution children were provided with rehabilitation services: 1) regular medical check-ups by a family doctor; 2) individual sessions of a child psychologist, Montessori methods specialist and social worker; 3) sessions with educators; 4) trips outside the institution; 5) attending museums, theaters and various other events; 6) chess and pool. After received rehabilitation the health of the children has improved and psycho-emotional state has got stable. Older half-brother and the middle brother now have more serious attitude towards studying. Younger sister and youngest brother have learned new skills in everyday life and self-care;
  • children have 1 minor younger sister who is in the care of her parents. Orphans’ Court has made a decision on children separation in case of adoption.

12. Adopted
 
13.    Girl, born on December 27, 2003:
  • girl has brown eyes and dark hair. The girl needs to be fully taken care of, she frequently has epilepsy seizures and cramps. The girl is very restless, she frequently screams, has severe mental retardation. The girl ha serious health problems. The girl is not able to sit self-dependently, she is on a wheelchair, moves with the help of the staff of the out-of-family care institution. The child does not speak, she is not able to change her body position self-dependently, eats and drinks from the bottle with a help of caregivers;
  • child was born to 26 years old mother, from her 1st pregnancy, in the 1st delivery;
  • child has been consulted in a hospital from 22.11.2011. till 25.11.2011. – organic CNS damage. Microcephaly. Spastic tetraparesis. Severe mental retardation. Secondary epilepsy with tonic seizures. Secondary skeletal deformity, contracture;
  • child has been consulted by:
  • neurologist (02.09.2013.) – cerebral palsy. Microcephaly. Severe tetraparesis. Secondary epilepsy;
  • psychiatrist (07.08.2013.) – severe mental retardation. Cerebral palsy. Spastic tetraparesis. Secondary epilepsy;
  • pediatrician (02.01.2014.) – organic CNS damage. Microcephaly. Spastic tetraparesis. Secondary epilepsy. Severe mental retardation;
  • final medical diagnoses – organic CNS damage. Cerebral palsy. Microcephaly. Severe tetraparesis. Secondary epilepsy with tonic seizures. Severe mental retardation. Secondary skeletal deformity, contracture;
  • a disability has been stated for the child;
  • further necessary treatment – surveillance and of the family doctor, consultation of the neurologist, medication therapy, physiotherapy, massage;
  • by a court verdict parents were deprived of custody rights in December 2013. Child is disabled since childhood, due to parental irresponsible actions, further residence in the family would threaten the life, the health and wholesome development of the child;
  • child has no other siblings.

14.    Boy, born 22 July, 2010:
  • child  resides in a foster family since September 2012, the foster parents do not want to adopt the boy;
  • boy has dark eyes and light hair. The child is friendly, sociable, calm, likes to observe nature, plants and gladly listens to the music, he loves to play with toy cars and toy constructor. Since September 2013, the child attends preschool education institution. The child has motion coordination disorders, he often falls when runs. In September 2013, the child is not able to eat and dress up independently due to his health issues;
  • assessment on the results of psychological research (06.02.2014.) – foster mother informed that the biological mother of the boy had been treated by a psychiatrist, she took medication, had lasting alcohol dependency (the mother consumed alcohol during the pregnancy). The boy has epilepsy with frequent seizures. Seizures intensify along with emotional experiences the boy has, for example, before going to a kindergarten. The child takes medication. The child started to speak at the age of 2 years. Self-service skills are developed partially – he needs help with the dressing up and by washing, at the age of 3 years the boy started to go to a potty, until the age of 3 years the boy wore diapers. At the age of 3 years the child started to attend mainstream kindergarten, he had adaptation difficulties there, therefore he had epileptic seizures, but after 2-3 months epileptic seizures diminished. According to the foster mother, the boy has difficulties to fit into the group of kindergarten, because the child has non-persistent attention and behavioral peculiarities, such as the boy does not sleep in the noon, instead he is stereotypically rocking in his bed, the boy does not communicate with children, he does not start conversation with others, he is playing alone. The boy has sleeping disorders, he falls asleep badly and before falling asleep, the boy is rocking. The boy loves music, he has fear of water, then he becomes emotionally labile, rarely uses ‘I’ form. Observations during the research – contact with the boy develops well, the boy makes continuous eye contact, is emotionally responsive (to a smile responds with a smile), the boy smiles a lot, loudly expresses joy, quickly feels free in the new environment and explores everything with an interest. Generally – involves in action, but due to unsustainable attention has difficulties to act purposefully. Demonstrates interest on the milieu, various toys and offers toys to the psychologist and the foster mother. Emotionally labile. Willingly engages in two-way interaction, showing the joy about the game with a ball. Facial expressions and emotions are various. In rare cases, is able to answer to a question, mostly repeats a part of the question in an echolalical way. The activity level does not correspond to the age, the boy is dapper, psycho-motorocally restless, in a premise moves chaotically, unable to sit still for more than a few seconds. The boy is not able to find things he likes, quickly loses interest on toys or toy blocks. The child is trying to smell proposed cards, he really enjoys sounds. Sits down on a chair and begins jumping up and down for no reason. Understands only simple instructions. Research results – speech and perception age does not correspond to the age of the child. Actions while plying, language comprehension and sleight of hands does correspond to the age of the child. Summary – taking into account interfered perception, imperfect language understanding, non-persistent attention, it is not possible to assess accurately the level of boy’s intellect. Overall, the results obtained are considered to be as indicative. Currently the intellect of the boy does not correspond to his age, most closely it matches with psychic development delay, to precise the data, the boy needs to be observed in dynamic. Language development disorders are observed (reduced vocabulary, incomplete understanding of language). According to anamnesis and observations (social adaptation difficulties, sensitivity to sounds, echolalia, stereotyped motions, difficulties to imitate actions) an autism spectrum disorders cannot be excluded, this information needs to be specified in dynamic. It is recommended for the child to attend specialized preschool education program;
  • during the pregnancy the mother of the child has not been to the checkup of a family doctor. The child born with a weight of 3500 g;
  • child has been treated in a hospital:
  • 01.03.2013. – 05.03.2013. – epilepsy, generalized seizures;
  • 15.07.2013. – 18.07.2013. – congenital mutual radioulnar synostosis in the left side. Situation after osteotomy;
  • child has been consulted by:
  • ENT (31.10.2012.) – allergic rhino-sinusitis. Bronchial asthma, moderate, persisting, remission;
  • pediatrician (16.09.2013.) – effects of perinatal CNS hypoxia;
  • psychiatrist (17.09.2013.) – epilepsy;
  • doctor of the Children’s Hospital (26.09.2013.) – physiological phymnosis;
  • plastic surgeon (21.11.2013.) – the child has congenital deformities of both hands. Radioulnar synostosis of both forearms. IV - V finger deformities, camptodactyly;
  • doctor of rehabilitation and physical medicine (04.12.2013.) – posture disorders. Pes Valgus;
  • final medical diagnosis – epilepsy, generalized seizures. Bronchial asthma, moderate, persisting. Effects of perinatal CNS hypoxia;
  • a disability has been stated for the child;
  • further necessary treatment – an anticonvulsant therapy: Depakine syrup 2 ml 3 times a day. Ventolin 2 blows 3 times a day through repository. Flixotide 125 mg 2 times a day;
  • by a court verdict the mother of the child was deprived of custody rights in April 2013 and the father of the child was deprived of custody rights in June 2012. The mother has mental health problems, there were threats of violence against the child from the mother, the child was not provided with the necessary care. The child has suffered from emotional abuse and negligence. The child was placed in the foster family, who provides the child with appropriate care and supervision. The father of the child does not show interest on the boy. The mother does not visit the child, but she calls to the foster family approximately once a month and shows interest on the health of the child. The foster family provides the child with interaction with the grandfather, grandmother and the older half-brother, who is a under the guardianship of grandparents. The child is too young to understand that they are his relatives;
  • child has 1 older minor paternal half-brother, who is under the care of his father, and 1 older minor maternal half-brother who is under the guardianship. The decision of Orphan’s Court on separation of the children in case of adoption has been made.

15.   Adopted

16.    Girl, born on January 2, 2013:
  • girl has gray bluish eyes and brown hair. She has positive development dynamics, is interested in persons, grasps toys, rolls from the back to the belly. Emotionally positive. The girl baby-talks, eats well, is being fed by spoon. Emotionally observes and evaluates situation (turns her eyes to a person who is talking), facial mimics are not very expressive. When playing tries to imitate motions, draws her attention to game switch (towards what she answers with smile);
  • child was born to a 45 years old mother, from 7th pregnancy, in the 4th delivery, with a weight 2150g, height – 50 cm. The mother smokes, consumes alcohol. Home birth in the 35th week of pregnancy, stationed to a hospital, loud scream. First 6 hours child had hypotone, no sucking reflex;
  • child has been treated in a hospital:
  • 23.01.2013. – 12.02.2013. – prematurely born child (35th gestation week). Alcohol fetopathie. Encephalopathy of unknown aetiology with muscle hypotonia, general suppression, cramp syndrome. Exposure of Hepatitis B;
  • 07.03.2013. – 15.03.2013. – acute obstructive bronchitis;
  • 28.03.2013. – 08.04.2013. – bronchial asthma;
  • 27.08.2013. – 30.08.2013. – congenital heart disease, cardiovascular insufficiency II stage;
  • child has been consulted by:
  • neurologist (28.03.2014.) – psychomotor development delay;
  • speech therapist (28.03.2014.) – language development delay;
  • pediatrician (28.03.2014.) – psychomotor development delay. Congenital heart disease;
  • allergist (06.01.2014.) – moderate bronchial asthma, partially controlled;
  • cardiologist (30.08.2013.) – atrial septal defect 10mm. Cardiovascular failure of I-II stage. Therapy;
  • cardiologist (03.02.2014.) – congenital heart disease, atrial septal defect. Cardiovascular failure. Receives therapy;
  • infectologist (24.10.2013.) – hepatitis B infection;
  • infectologist (14.04.2014.) – child has not been infected with Hepatitis B;
  • geneticist (14.07.2014.) – Prader-Willi syndrome, G87.1, child has a disability due to this syndrome;
  • final medical diagnoses – psychomotor development delay. Congenital heart disease. Atrial septal defect. Cardiovascular failure I-II stage;
  • child has a disability status since March 2013 till March 2018;
  • further necessary treatment – consultation of a cardiologist and a speech therapist, examinations of a hepatologist, currently receives therapy assigned by a cardiologist;
  • by a court verdict the mother was deprived of custody rights in March 2014, the father was deprived of custody rights in November 2013. The mother refused to take care of her child already at the Maternity Hospital due to the health state of the child. The father was not reachable, he did not show interest about the child, he refuses to take care of the child considering he is not the biological father of the girl. The mother has alcohol dependency, she is socially disadaptive and has total incomprehension of social norms;
  • child has 1 adult paternal half-brother, 1 adult paternal half-sister, 1 older minor paternal half-sister, who is in the care of parents and 1 adult maternal half-sister and 1 adult maternal half-brother. Orphans’ Court is going to make a decision on separation from the minor half-sister in case of adoption.

17.    Boy, born on June 18, 2012:
  • boy has grey-bluish eyes and light hair. The boy is able to communicate while playing. Actions of the child are short term, he repeats them, the child is emotionally unstable. The boy had arm fracture at the age of 2 ½ months, according a pediatrician of the child it was not the first time. As an infant, the boy was shaken when he cried, therefore neurological problems have developed for him. The pediatrician of the child evaluates him positively since the boy makes progress which means lots of efforts should be invested to continue improving his health, the child needs to receive rehabilitation. Latest information from the pediatrician (20.06.2014.) – child has positive development dynamics. One month ago he started to walk. The child does not hold a spoon yet, does not have motivation to eat self-dependently. The child starts to understand language, but language development insufficiency is observed. The child reacts to his name. The child fears from an unusual situations or sudden noises. Weight of the child on June 20, 2014 – 11 800g, height 86cm, chest circumference – 53cm, head circumference – 46cm (on 18.12.2013. head circumference –  46cm), teeth – 8/8;
  • child was born to a 21 year old mother, in the 3rd delivery, with weight of 2500g. During the pregnancy the mother has not been under the surveillance of a doctor. Child was born in a spontaneous labor, in 35th gestation week. The boy resided in a hospital until 1 month of age. During this time in the hospital he gained weight up to 3300g;
  • child started to sit at the age of 18 months, to crawl – at the age of 17 months, to talk – at the age of 1 year and 9 months. Since the age of 1 year and 7 months, the child stands up on feet by holding to furniture, plays with all kinds of toys but with a partial understanding;
  • child has been treated in a hospital:
  • 17.08.2012. till 07.09.2012. – shaken baby syndrome. Head bruise. Protein energy deficiency. Cytomegalovirus infection (?);
  • 18.02.2013. – 25.02.2013 – acute respiratory illness. Acute rhinopharyngitis. Acute pneumonia of the right side on the background of bronchi obstruction. Prematurness – 35th gestation week. Psychomotor development delay;
  • 03.03.2013. – 12.03.2013. – acute respiratory illness. Acute bilateral otitis. Obstructive bronchitis. Atopic dermatitis;
  • 16.07.2013. – 24.08.2013. – purulent bilateral otitis;
  • child has been consulted by:
  • allergist (25.03.2013.) – bronchial asthma, persisting, moderate, partially controlled;
  • neurologist  (21.11.2013.) – other specified pathology of brain (G93.8). Post-traumatic CNS damage/encephalomalacia;
  • speech therapist (12.03.2014.) – poor language comprehension. Responds to his name;
  • pediatrician (12.03.2014.) – traumatic encephalopathy. Psycho-emotional disorders;
  • oculist (09.05.2014.) – hipermetropia. Cykloplegia +1,5/+2,0 un 1,5/+2,0;
  • psychiatrist (27.05.2014.) – organic personality and behavioral disorders due to brain damage (F07.8). Unspecified mental retardation and behavioral problems requiring attention (F79.1);
  • neurologist (12.06.2014.) – post-traumatic CNS damage,  other specified pathology of brain (G93.8). By walking stands on the full foot. Emotions are developing, he smiles, focuses on the person. Prescribed treatment: Encephabol, speech therapy and a physiotherapy;
  • final medical diagnosis – traumatic encephalopathy. Psycho-emotional disorders. Bronchial asthma, persisting, moderate pace, partially controlled;
  • child has a disability status on a basis of an assessment by a psychiatrist;
  • further necessary treatment – speech therapy, physiotherapy and musical lessons. Game, Montessori therapy;
  • by a court verdict parents were deprived of custody rights in January 2014. Child was taken out of the family because there were suspicions on physical violence against the child. Parents have alcohol dependency, they have no permanent employment, parents did not take care of the child. The child has suffered from physical violence. The father of the child might have mild mental retardation but is not observable in communication with him, although sometimes there might be slight expressions indicating it. The father communicates and understands everything. Parents do not visit the boy in the out-of-family care institution, the father has informed the Orphans’ Court that he would visit the child if the mother of the child would. No one has shown interest on the health of the child since he is placed in the out-of-family care institution;
  • child has 1 older minor sister. The decision of Orphan’s Court on separation of the children in case of adoption has been made.

18. Not adoptable
 
 
If there is information at your disposal on family or person who complies with the requirements stated in article 15 of the Convention and who would be interested to become personally acquainted with any of these children or obtain additional information, we kindly ask to inform the Ministry by September 25, 2014.
Additionally we would like to inform that due to the fact that the information on the children is provided simultaneously to Central Authorities and Accredited Bodies of several countries, additional information on the child or children will be provided after September 25, 2014 to the institution representing the family or individual who will be able to submit their adopters’ file sooner than other families if there are several families showing interest on the same child or children.







Deputy State Secretary                                                                                   I.Alliks










Bočkāne 67021619
Beate.Bockane@lm.gov.lv
Sergejeva 67021619
Kristine.Sergejeva@lm.gov.lv