darbinieku_nosutisana.png - 4.79 KBsocialo_pakalpojumu_sniedzeju_registrs.png - 5.98 KBlatvija_100_logo.png - 10.36 KB

balsosanas-baneris-epastam_png.png - 82.52 KB 

strukturfondi.jpg - 22.31 KB 

logo_cmyk.jpg - 1.8 MB

gimidraudzkomers_logo.png - 16.12 KB 

e_paraksts_logo.png - 3.03 KB

 

Jautājums

Kā Jūs rīkojaties gadījumos, kad bērns slikti uzvedas?

Cenšos izprast bērna sliktas uzvedības cēloņus

Uz laiku liedzu datora/telefona lietošanu vai citus izklaides pasākumus

Sarāju, brīdinot par sodu nākamajā reizē

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

 

02.07.2015. No. 33-2-02/509

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. 2 siblings: older brother, born on April 11, 2003, and younger brother, born on February 22, 2011, included in the list repeatedly due to separation of other siblings:
  • older brother has brown eyes and dark brown hair. The boy is active, helpful, kindhearted, he likes participating in different events and enjoys dancing. The boy wants to be a leader among peers;
  • child was born to a 20 years old mother, from her 1st pregnancy, in the 1st delivery, with weight of 3000g and height – 48cm;
  • child started to sit at the age of 8 months and to walk independently at the age of 12 months;
  • final medical diagnosis – bronchial asthma (in remission);
  • the younger brother has blue eyes and light blond hair. The boy plays with toys according to his age. He attends kindergarten, his speech gradually develops. His physical development is good, but he still has slight problems with apprehension, he still has mild delay in mental development;
  • child was born to 28 years old mother, from her 5th pregnancy, in the 5th delivery, with weight of 1428g and height 42cm. During the pregnancy the mother was not monitored by a doctor. The child was born in spontaneous labour in 31st gestation week, in ambulance car. Brain ischemia, neonatal encephalopathy, premature born child grade 2, progressing intrauterine hypoxia;
  • child started to sit at the age of 12 months, to walk independently at the age of 24 months, first teeth –  at the age of 10 months;
  • child has been treated in a hospital from 10.07.2013. till 11.07.2013. – erosive gastropathy. H. pylori positive. Duodenopathy. Physical development delay;
  • child has been consulted by:
  • neurologist (05.08.2011.) – psychomotor development delay;
  • neurologist  (10.12.2012.) – physical and psychomotor
  • development delay;
  • neurologist    (04.03.2013.) – psychomotor development delay. Malabsorption;
  • medical diagnosis – erosive gastropathy (in remission);
  • the mother of the children deceased in June 2013, paternity for the children has not been stated. Children were taken out of the family due to the health condition of the mother;
  • children have 1 minor sister who is under the guardianship and 2 minor sisters, who are in the adoption process. Orphans’ Court has made decision on children separation in case of the adoption.

2.    2 siblings, adoptable together or separately: brother, born on September 15, 2005, and sister, born on October 30, 2006:
  • brother has light blue eyes and light brown hair. The boy likes to play with Lego, he is able to concentrate for a long time and to make beautiful buildings from Lego blocks. The boy is able to find activities for himself. He is rather peaceful, prefers to play alone as he finds it difficult to make friends with other children. The boy likes to watch cartoons, to spend time outside, is able to help adults with some chores. The boy attends specialized boarding school, his grades are average. The boy has marked speech, cognitive and emotional disorders, and difficulties to adapt to new surroundings. Relationship with his sister is not very cordial. The boy often has a course of medical treatment and periodically he stays in psycho-neurological hospital;
  • final medical diagnosis – autism with behavioral disorders and speech deficiency on organic background. The boy has disability status;
  • sister has light blue eyes and light brown hair. The girl likes to play with a doll, to wheel the doll around in a toy pushchair. She likes to be in the centre of attention, she tries to participate in other activities, but her actions are not always productive. She likes to watch cartoons sometimes, and to spend time outside. The girl is not able to concentrate for long. The girl attends specialized boarding school. The girl has marked cognitive and emotional disorders, difficulties to adapt to new surroundings, and sometimes sexualized behavior. The girl often has a course of medical treatment and periodically she stays in psycho-neurological hospital;
  • medical diagnosis – F70.1 (mild mental retardation with significant impairment of behavior requiring attention or treatment). Language development delay. The girl has disability status;
  • further necessary treatment – surveillance of a child’s psychiatrist;
  • by a court verdict the mother was deprived of custody rights in May 2013, the father deceased in October 2006. The children were taken out of the biological family due to the mother’s addiction to alcohol, unemployment, and violence in the family, the mother’s aggressive behavior and inappropriate living conditions. The children suffered from negligence, emotional and physical violence. Since October 2011 until July 2014 the children had a guardian (male relative), the guardianship was discontinued mainly due to suspicions of possible sexual abuse in the guardian’s family. The children received rehabilitation and continue to receive psychologist’s consultations in the orphanage. Currently children no longer show signs of sexualized behavior. The mother does not visit her children and the relationship is alienated;
  • children have 1 younger minor half-sister who resides in the same orphanage, and 1 younger minor half-brother, who is in the care of his parents. Orphans’ Court has made decision on children separation from half-sister and half-brother in case of the adoption as well as separation also from each other in case of adoption.

3.  Adopted
 
4.    In the process of adoption
 
Girl, born on September 25, 2003:
  • girl resides in a foster family since March 2013, the foster family does not want to adopt the girl;
  • girl has gray eyes and hazel hair. Her school results are average, motivation is rather low. She is good at arts and crafts, and English, but she has some difficulties with Mathematics and Latvian. The girl gladly cooperates and is sincere in relationship with adults. She is generous and happy to receive attention. In December 2014 the girl was hospitalized in a psycho-neurological ward. She has marked behavior disorder at home and at school, as well as urine incontinence almost every night. The girl sometimes oversteps the limits, she pays a lot of attention to her look. Factors that adopters should take into consideration – the girl needs to get to know family in a longer period of time, needs lots of love, the girl needs special approach, it will take lots of efforts for the girl to open herself to others. The girl was under the guardianship since she was 2 years of age but then one day the guardian decided to refuse from her duties and took the girl to the Orphans’ Court with all her belongings. A psychologist work with the girl, she attends boarding school. Most likely the girl has suffered from sexual abuse while living in the guardians’ family, possible abuser was 16 year-old teenage boy with moderate mental retardation. A criminal proceeding had been initiated but it was discontinued because the boy deceased. The girl had sexualized behavior;
  • child was born to a 30 years old mother, form her 3rd pregnancy, in the 3rd delivery. During the pregnancy the mother was monitored by  a doctor;
  • final medical diagnosis – F 92.8 (Other mixed disorders of conduct and emotions), 98.0 (Nonorganic enuresis), Z60.1 (Atypical parenting situation), Z61.9 (Negative life event in childhood, unspecified);
  • further necessary treatment – psychiatrist’s consultation and therapy (to take Fluvoxamini 25 mg every evening at least 6 months (until June 16, 2015). To continue sessions with psychologist and social worker. To wake at night for toilet;
  • by a court verdict the mother was deprived of custody rights in October 2006, the father deceased in April 2003. Due to neglect of the mother the child was left without care in conditions dangerous to life and health. Since August 2005 the girl was under the guardianship. In November 2011 there were disagreements between the guardian and the girl, the child has received rehabilitation course. In the provided assessment it is indicated that the guardian does not show interest and is not ready to cooperate with specialists and to change her upbringing methods. It was recommended to place the child in a foster family, to accept child’s personality peculiarities;
  • child has  1 older major brother, as well as 1 younger minor half-sister and 1 younger minor half-brother, who are in the care of their father. The decision by the Orphan’s Court on separation of the children in case of adoption has been made.

5.     Boy, born on December 22, 2007, included in the list repeatedly due to separation of other siblings:
  • greenish-grey eyes and grayish-brown hair. The boy is quick by nature, unpredictable and stubborn. The boy has marked new skills and knowledge acquirement disorder, as well as social integration problems. The boy often has anger attacks – then he punches, bites and kicks others. When he calms down he is unable to explain his actions. The boy likes other children, may be friendly, but due to his unpredictable aggression attacks children do not wish to make friends with him;
  • child was born to a 26 years old mother, from her 2nd pregnancy, in the 2nd delivery, with a weight of 3250 g, height – 51 cm;
  • child has been treated in a hospital from 02.07.2013. – 15.08.2013. – attention deficit syndrome. Language development delay. New skills and knowledge acquirement disorder. Self-care and social integration problems;
  • medical diagnosis – mental and language development disorders. Behavioral disorders. The disability granted since 13.08.2013.;
  • further necessary treatment – observation in dynamics of an oculist and psychiatrist. Currently uses Relaxen 1 time per day;
  • the boy has participated in a hosting program in the USA together with his half-sister, but their hosting was discontinued due to bad, aggressive behavior;
  • by a court verdict the mother was deprived of custody rights in June 2013, the paternity for the child has not been stated. Mother did not provide care of child's health and safety. The boy was neglected. There is no information about mother’s addiction problems. The mother has not been interested in her child since he was taken out of the family;
  • the boy has 1 older minor half-brother, who is in the care of a guardian, 1 younger half-sister, who resides in a foster family and is currently in adoption process, and 1 younger half-brother, who is adopted. The decision of Orphan’s Court on separation of the children in case of adoption has been made.

6.  In the process of adoption
 
3 siblings: older brother, born on March 10, 2008, middle sister, born on April 12, 2009, and younger sister, born on November 18, 2010:
  • children reside in a foster family since March 2011, the foster family does not wish to adopt the children;
  • the brother has grey eyes and light color hair. The boy is quiet. He likes to play with Lego, and toy cars. He is good at drawing, coloring pictures and handicrafts;
  • the child was born to a 26 years old mother, from her 2nd pregnancy, in her 1st delivery, with a weight of 3000 g and height – 53 cm;
  • final medical diagnosis – physical development delay. Language delay. Urinary incontinence (neurosis);
  • further necessary treatment – neurologist and oculist control. Psychologist consultations;
  • the middle sister has brown eyes and brown hair. The girl is clever, musical. She likes to sing and dance, and also draw and color pictures as well as do various handicrafts. The girl is sometimes disobedient and tearful in both – kindergarten and home. The adopters should take into account that the girl is nervous and tearful, she needs to be in neurologist’s surveillance. The girl has enuresis;
  • the child was born to the 27 years old mother, from her 3rd pregnancy, in her 2nd delivery, with a weight of 2730 g and height – 51 cm. The mother was not under a doctor’s surveillance during the pregnancy;
  • final medical diagnosis – psychomotor development delay. Neurosis – urinary incontinence, neurotic reactions;
  • further necessary treatment – neurologist and oculist control. Psychologist consultations;
  • the youngest sister has grey eyes and light brown hair. The girl is clever for her age. She is very musical and she has a good memory – she knows many songs and she likes to dance. She is also good at drawing and coloring pictures as well as in various handicrafts. The girl is disobedient by character and wishes to do only what she wants. The girl is nervous, adopters should be patient in explaining everything calmly to her;
  • the child was born to the 29 years old mother, from her 5th pregnancy, in her 3rd delivery, with a weight of 2230 g and height – 47 cm. The mother was not under a doctor’s surveillance during the pregnancy;
  • the child started to sit at the age of 7 months, to crawl at the age of 7 ½ months, to walk independently at the age of 1 year, and she had her first teeth at the age of 10 months;
  • the girl has been treated in a hospital from 18.11.2010. – 13.12.2010. – newborn feeding problems. HCV positive. Hernia umbilicalis;
  • laboratory tests on HBsAg (13.12.2010.) – negative, HIV ½ (13.12.2010.) – negative, HCV (13.12.2010.) – positive. It is planned to repeat the HCV test in the nearest future;
  • final medical diagnosis – hypostature (physical development delay), asteno-neurosis;
  • further necessary treatment – neurologist’s prescribed therapy: to take Magne B6. Remedial gymnastics. Psychologist’s therapy. Control for HCV;
  • by a court verdict the father was deprived of the custody rights in December 2013, the mother deceased in December 2010. The children were taken out of the family, because there were unsanitary conditions at home, the mother was in hospital after the birth of the last child (and later she died). The mother most probably was addicted to drugs and was ill with hepatitis C. The father was addicted to drugs and gambling. The father was physically violent towards the mother, especially when under the influence of drugs and he was emotionally violent towards children. Currently the father lives and works abroad. The father states that he has changed and he no longer takes drugs. He contacts children and visits them from time to time when he comes to Latvia. The father has expressed wish to regain custody rights and has mentioned it several times, although until now has not started any processes. Children often remember and talk about their father. The children are also visited by their grandmother (father’s mother) and they sometimes stay in her house for weekends. The grandmother has confirmed that she cannot take care of three children. The foster parents have good relationship with the children, the children perceive them as their grandparents;
  • the children have one older major paternal half-sister.

7. Adopted

8. Adopted
 
9. Not adoptable 
 
2 siblings – oldest sister, born on April 26, 2002, and youngest sister, born on January 18, 2005:
  • the oldest sister has greyish-blue eyes and ash blonde hair. The girl is currently attending school and has good grades. The girl has a rich imagination, she gladly writes poems, stories, and enjoys performing in front of an audience and reciting poems. She is organizing a dance team in which they create performances and show them to the social workers. She likes roller-skating and has many friends, but also enjoys being alone. An educational neglect was observed, she had difficulties with adapting herself to having lessons, wasn’t able to independently study the school materials. She needed to be motivated and supported by adults on a regular basis. Her thinking speed was medium slow. The girl really needs a support of adults and needs to hear their thoughts and opinions. She needs someone she can trust, whom she could open up to, whom she could tell her feelings, emotions and thoughts. The girl has big mood-swings and she sometimes has self-destructive thoughts. Since in late 2014 the biological parents began to interfere in the life of the girl, she had a panic attack in which she got on her hands and knees, barked and expressed suicidal tendencies, so she was taken by an ambulance to a child’s hospital. After this situation girl and the social workers decided that the parents shouldn’t be able to contact her via phone, as they terrorized her with messages and calls non-stop since they got her number, and decided to take her phone away for some time. Now, more than a half-a-year later, the girl feels a lot better, her emotional state has normalized and she feels much more confident and decisive on what she wants to do about her life. She explained to her mother that she will be a part of a host program in USA and coped with her reaction in a healthy way. Currently, when discussing issues regarding her parents, she doesn’t feel anxious or in stress;
  • the child was born to the mother when she was 30 years old, from her 2nd pregnancy in her 2nd delivery, with weight of 2360 g, height of 46 cm. The mother was under the supervision of a doctor during pregnancy. The mother is a HBsAg carrier. The child was born in the 36 - 37th week of gestation, with the diagnosis of stage I premature born child, psychomotor development delay. The child began to sit at the age of 8 months, crawl at the age of 8 months, walk independently at the age of 1 year, and talk at the age of 2 years. The child used to have a mixed enuresis (nocturnal and diurnal);
  • final medical diagnosis – lack of protein energy. Weak posture. Enuresis of night. Psychomotor development delay in the form of a mild mental development delay;
  • further necessary treatment – consultations of an endocrinologist, psychiatrist, neurologist, ophthalmologist. Furamags 50mg 1x before sleeping when having urinary tract infection. Pills (illegible writing) against constipation;
  • the youngest sister has blue eyes and ash blonde hair. In the school year of 2012/2013 the girl began her 1st grade. The girl is attending a specialized school. She has a great imagination and artistic thinking. She loves watching movies, singing songs, portraying things in her drawings and acting. The girl takes care of the youngest children. She is very active, gladly joins in different activities, including the dance team, and loves roller-skating. Currently, she really likes to make herself look pretty and enjoys having fun with such girly things. The head of the institution in which she currently resides explained, that her mild mental development delay cannot be seen when talking with the girl, it mainly is expressed as difficulties with focusing when studying. She has a poorly developed willpower, has low motivation for learning. Apart from that, she has good reasoning skills, she knows how to defend her point of view. The girl wasn’t prepared for school, wasn’t able to focus during lessons, had a slow thinking pace, and couldn’t follow the rest of the class. The abilities, health condition and development level was evaluated and she was introduced to a more suitable education program for children of minorities and with mental development issues. Her behavior used to be impulsive, she had frequent, sharp mood-swings. Currently, her behavior has normalized and she barely has any anger outbursts. Now, she may begin to protest when reproached, but she isn’t aggressive, she shows her discontentment in her words or sometimes verbal attacks. The girl needs people she can trust and she could spend her free time with. Adopters should take into account the history of the mood-swings of the girl and the fact that she can sometimes verbally attack and they’ll have to teach her better ways of managing conflict situations;
  • the child was born to a 33 years old mother, from her 3rd pregnancy, in her 3rd delivery, with birth weight of 2420 g, height 45 cm, with Apgar score of 6/7, in the 38-39th week of gestation. The mother was under the surveillance of a doctor during pregnancy. Intrauterine infection;
  • final medical diagnosis – bronchial asthma, moderate degree, allergic rhinitis. Hereditary knee anomalies, feet deformation. F70.1 - mild mental retardation, F90.0 - disturbance of activity and attention, Z62.2 - institutional upbringing;
  • further medical treatment – consultations of a pulmonologist;
  • the mother was deprived of the custody rights in April, 2014, whereas the father was deprived of the custody rights in November, 2007. The children were separated from the family in 2012 because they lived in an environment that was dangerous to their health and well-being. Before being completely separated from the family, there were episodes of the children being taken out of the family for a period of time before they were reunified with the parents, just to be taken out of the family some time later again. The father of the children is in the jail for an unknown crime, but the mother has an alcohol addiction. When the children were separated from the family, the mother was in such a bad state after having consumed alcohol for a lengthy period of time that she had to be hospitalized.  The mother wasn’t able to fully take care of her children, wasn’t able to provide them their basic necessities, and, due to her addiction, was putting at risk the safety, health and mental development of the children. At many times it was the children who were taking care of their mother, not the other way around, which left children with an emotional trauma. The mother would leave the children unattended, wouldn’t understand how her behaviors and actions were harmful. Since the children were moved to an out-of-family care institution, the mother has visited them once in a few months. She openly admitted to be having an alcohol addiction problem and in May, 2014, submitted an appeal regarding the decision that deprived her of the custody rights. The district court couldn’t accept her appeal due to numerous mistakes that were found in it, and asked her to submit an improved one, which she hasn’t done. The children have expressed a wish to be adopted, but they are afraid that the mother wouldn’t let them, as the mother has repeatedly prohibited them of choosing to live in another family (foster family or adoptive family). None of the relatives, including the father who is currently serving jail time, haven’t expressed any interest in the children. Only the sister of the mother irregularly visits them;
  • the children don’t have any other siblings. The girls have a good relationship, but they have no problems being separated and each one of them has expressed a wish to be adopted in different families. A decision on their separation will be made in autumn of 2015.

10.     Girl, born on August 26, 2010:
  • blue eyes and light brown hair. She likes games with singing, she remembers and repeats movements.  The girl pays large interest to what’s happening around. The girl really likes individual consultations with specialists, enjoys walks – she walks with the help of walking frames. Has a good appetite. She tries to talk, expresses interest in board games, but her focus is not firm, she has difficulty concentrating;
  • the child was born to a 28 years old mother, from her 2nd pregnancy, in her 2nd delivery, in the 38th week of gestation, with birth weight of 2460g, height of 47cm, the child was evaluated 7/8/9 in Apgar’s score. Mother wasn’t under supervision of a doctor during pregnancy;
  • the child began to sit at the age of 2 years, crawl at the age of 2 years and 5 months, walk independently at the age of 3 years, and began to talk at the age of 2 years and 4 months. At the age of 2 years the girl has 16 teeth;
  • the girl has been treated in a hospital:
–    22.08.2012. – 03.09.2012. – acute viral infection, acute rhino-pharyngitis, initial right side pneumonia, HIV infection, tympanitis of both sides, undifferentiated anemia;
–    08.12.2012. – 18.12.2012. – acute viral bacterial infection, respiratory viral infection, acute rhino-pharyngitis, bronchitis acute, otitis media of the left side, HCV exposition, B20.09 (HIV infection with unspecified infection or parasitical diseases), lack of protein energy, psychomotor development delay;
–    27.01.2013. – 05.02.2013.– recidivating polysegment pneumonia of left lung basal part, Z21.0 (infection with HIV without symptoms);
–    12.02.2013. – 20.02.2013. – B23.8 (HIV infection with other specified effects). Hepatitis C exposition, lack of protein energy, physical and psychomotor development delay, no data on tuberculosis;
–    27.02.2013. – 22.03.2013.– Rothavirus gastroenteritis, medium heavy dehydration, acute rhino-trachea-bronchitis with bronchi obstruction syndrome, acute left side basal pneumonia, lack of protein energy;
–    30.03.2013. – 18.04.2013. – left side pneumonia, acute rhino-pharyngitis, HIV infection, lack of protein energy, small build, received primary latent hipothireosis, lack of D vitamin, anemia caused by lack of iron;
–    02.07.2013. – 12.07.2013.– acute unspecified viral bacterial infection, acute rhinitis, acute pharyngitis, B21.0 (HIV infection with Kaposi sarcoma), anemia caused by lack of iron, physical development delay;
  • the child has been consulted by:
–    ENT (05.07.2013.) – without pathology;
–    ophthalmologist (08.11.2012.) – issues with accommodation;
–    neurologist (03.10.2013.) – cerebral palsy with spastic tetraparesis, small asymmetry that cannot be stated as hemiparesis. Monotonous facial expression with a stiff tongue and advanced tongue. The child rises and sits typically for spastic tetraparesis. No contracture. Needs regular rehabilitation;
–    neurologist (24.07.2014.) – child cerebral palsy, leg parapresis, speech development delay. Interested in surroundings, more in the sense of touch, not observation. Language – uses vowels, but doesn’t dedicate them for certain things or actions. Gait with spastic leg support and orthopedic shoes. Requires consultations of a speech therapist;
–    gastroenterologist (15.04.2013.) – lack of protein energy. Anemia caused by iron deficit;
–    dentist (20.03.2014.) – teeth are healthy;
–    endocrinologist (16.04.2013.) – small build, lack of protein energy, received primary latent hypothyreosis, lack of vitamin D;
–    endocrinologist (05.02.2014.) – increase in L-tiroxin dose – now 12.5mg every morning;
–    endocrinologist (04.09.2014.) – must continue therapy, control in 6 months;
–    2nd ward of Latvian Infection Centre (LIC) (23.07.2012.) – B 23.8 (HIV disease resulting in other specified conditions), was prescribed a therapy;
–    2nd ward of Latvian Infection Centre (LIC) (19.10.2012.) – B.23.8 (HIV disease resulting in other specified conditions), was prescribed to continue the therapy;
–    2nd ward of Latvian Infection Centre (LIC) (15.01.2013.) – B.23.8(HIV disease resulting in other specified conditions), therapy was discontinued;
–    2nd ward of Latvian Infection Centre (LIC) (15.03.2013.) – Z.21.0 (asymptomatic human immunodeficiency virus [HIV] infection status), was prescribed to continue the therapy;
–    2nd ward of Latvian Infection Centre (LIC) (07.05.2013.) – Z.21.0 (asymptomatic human immunodeficiency virus [HIV] infection status). Therapy was changed;
–    2nd ward of Latvian Infection Centre (LIC) (11.07.2013.) – Z.21.0 (asymptomatic human immunodeficiency virus [HIV] infection status), was prescribed to continue the therapy;;
–    genetic counselor (21.08.2013.) – mental and physical development delay, primary latent hypothyreosis. Karyotype in the norm;
–    rehabilitation specialist (24.02.2014.) – received new orthoses for improvement of the gait. It was concluded that the received orthoses didn’t fixate the kneecap and thus don’t fully perform their intended functions. Must have a repeated consultation with the technical orthopedist;
–    rehabilitation specialist (09.05.2014.) – observed positive, but slow improvement of the child’s development. The girl is highly motivated to move independently, but the spastic In the feet make it difficult. For the verticalization KAFO orthoses are used, and it should be continued. For developing steriotype of the gait the girl needs AFO orthoses. Must continue rehabilitation procedures according to the rehabilitation plan;
–    rehabilitation specialist (06.06.2014.) – a statement for the receiving of the technical supplementary aid AFO orthoses to be submitted in TPC “Vaivari”;
–    rehabilitation specialist (14.10.2014.) – a warrant for orthopedist’s consultation. Must evaluate the orthosis, and its use in normalizing the steriotype of the gait;
–    psychologist (23.07.2014.) – pronounced need of contact with an adult – the girl expresses it clearly and consistently. Friendly, helpful, constantly maintains contact and communication with active gesticulation un diverse facial expressions, likes joking, laughing, asks for support of an adult and is happy about communication. Strong will, expresses protest and says firm “no” in situations that are unpleasant. Still, she can control her actions and emotions in situations in which interests and wishes don’t agree with the point of view of the adult.  Overall the emotions are adequate and positive mood is dominating the girl’s overall feelings. The girl has pronounced curiosity – especially for unusual things in her surroundings like occurrences, objects, and she listens to the explanation of the adult.  Although in the game activities elements of 2-3 year olds are visible, that can be explained with the restrictions made by health, when there was a lack of necessary activities at a certain age. She tries to understand how more difficult toys work, experiments, is motivated to get a result. Attention and memorization in short-term, she quickly switches from one things to another. She gladly plays role games, and uses objects more untraditionally than functionally. In such a free game without structure more intensive language is heard – actions are being accompanied by longer chain of different sounds. Overall, a speech development delay is seen – she says separate words, can repeat sounds, but the process is mechanistic. Understanding of the speech is good – she completely understands the communication of an adult and acts adequately. Communication with other children is in the interests of a child, if they create a shared game. Self-service skills like eating are well developed, but dressing up and going to the potty is problematic, probably due to the overbearing care of adults;
–    Munich Functional Development Diagnostics (MFDD) (07.10.2014.) – walking age delayed by 25 months, gross motor and perception skills according to age. Social age delayed by 14 months, self-dependency age – by 11 months. Speech age according to 25-34 months, understanding of speech according to 26-35 months. Walking – when going up the stairs, holds with both hands. Can stand on one feet for 3 seconds when holding with one hand. Can kick a ball when standing, without holding to anything. Sleight of hands – can create a cylinder from plasticine, can draw a clearly finished line and a circle from an example. Knows how to tear paper when moving hands in opposite ways. Knows how to cut paper. Perception age – can sort discs by their size and can sort cubes by their colors. She puts discs that have a certain image in spaces that share the same image. Following the example she can build a “bridge” from three cubes and a rectangle from four cubes. Speech age – can repeat words that she knows, can decline an invite with words, speaks two-word long sentences. She repeats words or word combinations that she often hears. Understanding of speech – can point at things and body parts when asked to. She can bring things when asked to. Understands verbal directions of adults and carries them out. Social age – spontaneously takes care of a doll or another toy. If someone is sad she tries to console them. She follows the rules of the game “I do it/have it one time, then you do it/have it one time”. Self-dependency age – is independent in eating and hygiene activities. She completely undresses when instructed to do so. Uses a diaper on everyday basis, doesn’t go to potty independently;
–    PEDI (Pediatric Evaluation of Disability Inventory) (06.10.2014.) – is independent in eating, in a modified way, as well as hygiene of upper body. Requires total assistance in lower body hygiene – uses diaper, cannot go to potty independently. Needs minimal assistance in dressing up: needs help with fasteners. Needs maximal assistance during washing. Must use AFO orthoses. For outside walks – walking frame. Social skills aren’t developed according to age because she is able to  tell information about herself and orientate in time and space insufficiently;
– assessment of functioning (07.10.2014.) – gross motor function classification system: II level. External environment factors (rough ground, long distances, time limits and conditions) and personal choice can influence choice of mobility supplementary aids (walking frame). When going up or down the stairs, holds against the railings, if those are not available, uses help of an adult. Manual skill classification system: I level. Can work (manipulate) with things easily and with success. Communication skill classification system: II level;
–  surgeon (31.07.2012.) – right side lymphadenitis. There is no conclusive evidence of hip joint dysplasia;
–  surgeon (03.09.2012.) – physical development delay, contractures of flexion of both knees, deformation of right foot egvinus;
–  surgeon (31.10.2012.) – physical development delay, contractures of flexion of both knees, right foot deformation, prescribed orthopedic shoes;
– surgeon (26.08.2013.) – physical development delay, inherited central nervous system defect;
– surgeon (16.11.2013.) – recommended orthoses for both feet in all length from foot to groin, advised shoes;
– surgeon (14.10.2014.) – the girl uses walking frame and orthopedic shoes. Cerebral palsy, spastic in feet, hemiparesis. Operative therapy not needed;
– pediatrician (21.11.2014.) – early antenatal central nervous system defect, microcephaly, cerebral palsy with a spastic feet parapresis, speech development delay, lack of protein energy, received primary latent hypothyreosis, B23.8;
  • the girl has not received Bacillus Calmette-Guerin vaccine against tuberculosis and vaccine against measles, mumps and rubella;
  • laboratory tests have been made:
–    HIV ½ (18.03.2011., 05.03.2012.) – positive;
–    HIV RNS (05.03.2012., 16.03.2012.) – positive;
–    Anti HCV (17.01.2013.) – negative;
–    RNS HCV (31.05.2012.) – negative;
  • final medical diagnosis – early antenatal central nervous system defect, microcephaly, cerebral palsy with a spastic feet paraparesis. Speech development delay. Lack of protein energy. Received primary latent hypothyreosis. The child has a disability status;
  • further necessary treatment – supervision of an infectologist, use of special antiviral therapy. Consultations of an endocrinologist in March 2015, use of L-tiroxin. Consultations of a surgeon – orthopedist, must use orthopedic shoes, must have consultations of a speech therapist;
  • in October 2014 the parents were deprived of custody rights. The child was taken out of the family because she was living in health and life threatening conditions;
  • the girl has one older sister who is under guardianship. The decision of the Orhpans’ Court on separation of the children has been made.

11.    Girl, born on January 13, 2012:
  • the girl has blue eyes and light blonde hair. The girl can turn on her back from stomach. She expresses elements of athetosis, has muscle hypertonia and psycho-emotional delay;
  • the girl was born to a 31 years old mother, from her 6th pregnancy, in her 2nd delivery, with birth weight of 830g and height of 34 cm. The mother wasn’t under supervision of a doctor during pregnancy. Child was born in the 27th week of gestation, amniotic fluids – green. The child scored 7/7 on Apgar scale. Since the 4th day of life has episodes of apnea;
  • the girl hasn’t received immunizations against measles and parotitis;
  • final medical diagnosis – antenatal CNS (Central Nervous System) damage. Considerable psychomotor development delay. Chronic lung disease. Bronchial asthma, persistent, moderate degree, controlled. Hypermetropia. The girl has a disability status;
  • further necessary treatment – physiotherapy, speech therapy. Periodically needs consultations of neurologist and allergist;
  • the parents were deprived of custody rights by the court verdict in November 2014. The child has serious health issues and the parents don’t wish to take care of the girl. Both parents had drug addiction issues and the mother used them during pregnancy as well. The mother’s mother has called the institution a few times regarding the girl, but hasn’t visited her. She cannot take care of the girl due to her age and living conditions. No other relatives has taken any interest in her;
  • the girl has 1 older maternal half-brother, who is in the grandmother’s guardianship. The decision of the Orphans’ Court on separation of the children in case of adoption has been made.

12.     Boy, born on December 29, 2011:
  • the boy has blue eyes, brown hair. He is in a gentle care, with a passive posture on the back. Hand, foot-stretching movements. He can fix and direct eye-sight, smile. He is smart, talks about many things. In his young age he talks in short sentences. The medical worker is unsure of his possibility to walk independently. Right now he is bed-ridden and gets outside in a wheelchair. Currently he is using special medicine that in long-term can possibly improve the state of his bones, but as of now he gets a fracture approximately once in three months;
  • the child was born to a 32 years old mother, in her 3rd pregnancy, in 2nd delivery, with weight of 1900 g, height 45 cm, in 32nd week of gestation, umbilical cord once around the neck. Upper and lower limb defects, pathological fractures;
  • final medical diagnosis – preterm birth II grade. Foot deformity. Fingers, toes congenital anomalies. Osteogenesis imperfect (type I). Bilateral hydrocele, antenatal damage to the central nervous system. The disability has been stated;
  • further necessary treatment - periodic consultation with an endocrinologist, intravenous administration of bisphosphates, preventively – vitamin 'D', calcium supplements, genetic consultation, at the age of one year consultation with a surgeon;
  • parents have given consent to child’s adoption in another family in February 2012;
  • the boy has 1 older minor sister, who is in the care of the parents. The decision of the Orphans’ Court on separation of the children in case of adoption has been made.

13.  Girl, born on July 11, 2013:
  • the girl has light blue eyes, blond hair. She eats from a bottle. The girl rarely smiles. She is passive, has bad appetite. The girl is often restless. She can’t sit. The girl is disabled and has to be completely taken care of. She cannot hold a toy in her hand;
  • the child was born to a 35 years old mother from her 7th pregnancy, in her 5th  delivery, as the first twin. The mother wasn’t under supervision of a doctor during the pregnancy;
  • the child has been consulted by:
  • magnetic resonance tomography (03.10.2013.) – broad cystic encephalomalacia of both cerebral hemispheres, more pronounced in the right hemisphere as a consequence of antenatal hypoxic damage;
  •  surgeon (19.02.2014.) – pes valgus bilateralis;
  • neurologist (28.05.2014.) – the girl is regularly inspected by a neurologist. Diagnosis – antenatal brain damage. Leukomalacia. Microcephaly. Spastic dysplasia. Psychomotor development delay. Recommendations consultations of a physiotherapist;
  • ophthalmologist (06.06.2014.) – low vision. Atrophy of optic nerve;
  • pediatrician (10.02.2015.) – antenatal brain damage, microcephaly. Spastic dysplasia. Pes valgus bilateralis. Low vision. Atrophy of optic nerve. Physical development delay. Psychomotor development delay. Weight – 7.1 kg, height 74 cm, teeth 4/2;
  • final medical diagnosis – antenatal brain damage, leukomalacia, microcephaly, spastic dysplasia, psychomotor development delay. Visual impairment, possible optic nerve atrophy. Hereditary heart condition;
  • further necessary treatment – consultations of a neurologist, cardiologist, ophthalmologist;
  • the parents have given consent to the adoption. Mother gave her consent in August 26, 2014, father – in July 23, 2014. Child was taken out of her biological family and put in an out-of-family care institution, because she was left at a hospital after she was born. The parents never visited her and haven’t expressed any interest in taking care of the child. The parents weren’t found at their place of living and their current location was unknown. It is a high risk family without a declared place of residence, and without a constant place of living and income. The family periodically uses alcohol, due to which emotional and physical domestic violence is prevalent. During the time of stay in the out-of-home institution, the parents never visited the girl, and haven’t expressed any interest in her;
  • the girl has two older, minor brothers, who are taken care of by their mother, another adult half-brother, two minor half-brothers, of which one is under guardianship, also another older half-sister, who is residing in a foster family and twin sister, who is adopted. The decision of the Orphans’ Court on separation of the girl from her siblings and half-siblings in case of adoption has been made.
 
14.  Adopted

15.    In the process of adoption
Two siblings: sister, born on October 27, 2010, and brother, born on January 20, 2012:
  • children reside in a foster family since February 2013. Foster parents do not wish to adopt children;
  • the sister has gray eyes and hazel hair. The girl is happy and sparkling. Partially acquires taught material according to her age. The girl quickly enters in communication with other people. She has begun to speak, talks actively and a lot, but mostly intelligibly. She is already asking to go to potty but some nights still needs a diaper. Overall, the girl is hyperactive an chaotic. She attends specialized boarding elementary preschool institution. Pediatrician-neurologist (08.05.2015.) – makes eye contact, understands speech, very impulsive, sometimes “in her own world”. Prospective development of the girl – uncertain. The girl has been treated in a psychiatric hospital;
  • the child was born to a 18 years old mother, from her 1st pregnancy, in the 1st delivery, with weight of 2870g, height – 52cm. Operative labor (the mother of the child had spontaneous subarachnoid hemorrhage);
  • the child began to sit at the age of 1 year and 3 months, to walk – at the age of 1 year and 10 months, to talk – at the age of 2 years (several words), first teeth – at the age of 10 months. Mostly child talks in his own language. Until the age of 1 year very slowly put on weight. Is under the surveillance of the doctor with a diagnosis of hypoxic ischemic encephalopathy with muscle hypotonia. Observed by a psychiatrist;
  • the child has been treated in a hospital:
–    24.02.2011. – 01.03.2011. – lack of protein energy I ;
–    21.12.2011. – 22.12.2011. – functional gastrointestinal disorders;
–   01.07.2013. – 18.07.2013. – acute respiratory viral infection. Aggravation of persisting bronchial asthma. Acute pharyngo-tracheitis;
–    11.11.2013. – 29.11.2013. – mixed specific developmental disorders. Expressive language development disorders. Receptive language development disorders. Physical development delay. Short stature. Acute bronchitis. Acute naso-pharyngitis;
  • the child has been consulted by:
–    ENT (22.11.2013.) – acute rhino-pharyngitis;
–    speech therapist (13.11.2013.) – assessment after audio-speech therapist consultation – disturbed language comprehension;
–    endocrinologist (28.02.2014.) – psychomotor development delay. Lack of protein energy III. Short stature;
–    children’s psychiatrist (14.11.2013.) – physical development delay. Mental development disorders. Receptive and expressive language delay. Social communication disorders;
–    pediatrician (07.08.2014.) – physical development delay. Short stature. Bite abnormality. Language development delay;
–    pediatrician-neurologist (08.05.2015.) – specific development disorders. Specific speech development disorders. Disorders of autism specter;
  • final medical diagnosis –  mixed specific developmental disorders. Expressive language development disorders. Receptive language development disorders. Physical development delay. Short stature. Disorders of autism specter. The child has a disability status since January 2014;
  • further necessary medical treatment – must continue observation by a neurologist and psychiatrist. Neurologist suggests consultations of a speech therapist, encephalogram, reittherapy, must use Encefabol (or Noofen in case the girl becomes irritated from Encefabol);
  • the brother has gray eyes and light hair. His development is happening a lot faster than that of his sister, he speaks, understands what he says, and tries to repeat words he hears. The boy attends mainstream preschool educational institution, has partially acquired taught program corresponding his age.  The boy walks independently but his gait is quite slouchy. He can run, but only a little bit – he gets tired fast, begins to sweat and can fall down. The boy is quite slow, quickly gets offended. Is cautious with unknown people. Since surgery in which a hematoma in his head was taken out his head tends to hurt – mostly the scars. When someone says “no” to him, he can start crying;
  • the child was born to a 20 years old mother, from her 2nd pregnancy, in the 2nd delivery, with weight of 3520g, height – 52cm. There is no information on the pregnancy of the mother and perinatal development of the child;
  • the child began to sit and crawl at the age of 11 months, to walk independently – at the age of 1 ½ years, had first teeth at the age of 9 months;
  • the child has been treated in a hospital:
–    08.04.2012. – 11.04.2012. – functional gastrointestinal disorders. Anemia I;
–    28.09.2012. – 16.10.2012. – chronic abscessing subdural hematoma over the left cerebral hemisphere with the brain edema, midline shift.
–    05.12.2012. – 17.12.2012. – syndrome of muscular hypotonia. Condition after abscessing subdural hematoma evacuation. Internal and external hydrocephaly. Psychomotor development delay;
–    20.02.2013. – 26.02.2013.  – Rota virus enteritis. Pneumonia of the right lung segment;
–    01.07.2013. – 18.07.2013. – acute respiratory viral infection. Aggravation of persisting bronchial asthma. Acute pharyngo-tonsillitis;
  • the child has been consulted by:
–    ENT (02.09.2014.) – catarrhal otitis;
–    oculist (10.12.2012.) – consultation;
–  neurologist (22.11.2013.) – psychomotor development tempo delay. Language development delay;
–    pediatrician (04.08.2014.) – psychomotor development delay. Language development delay;
  • final medical diagnosis – psychomotor development delay. Language development delay;
  • further necessary treatment – must observe his head after surgery with magnetic resonance, must be checked by a neurologist once in six months;
  • by a court verdict the parents were deprived of custody rights in May 2014.  Due to parents, children resided in conditions dangerous to their life and health. Children have suffered from negligence. Parents have not shown any interest about the children, they do not visit them. The mother deceased in December 2014. The mother consumed alcohol but she was not addicted, the mother had no understanding on childcare, she had no mental retardation, did not take drugs. The mother was unemployed, lived with some old lady. In the beginning the mother took care of the children but it was too difficult for her, there were inappropriate conditions, she lacked comprehension on childcare. The father of the children has no addiction problems, he consumes alcohol even less than the mother used to. The father is more adequate than the mother was but he has no interest about the children. Children do not recognize their parents, they have no other relatives;
  • the brother feels attached to his sister and expresses it, but the sister is aggressive towards him and regularly treats him badly – she hits him, bites or kicks him;
  • the children have 1 older minor half-sister, 1 older minor half-brother. The decision of Orphans’ Court on separation of the children in case of adoption has been made.

16.  Adopted

17.  Not adoptable

18.  Adopted
 
19.     2 siblings: older brother, born on March 20, 2005, and younger brother, born on December 1, 2006. The children can be adopted together or separately:
  • the oldest brother has brown eyes and brown hair. He is attending a specialized school for children with hearing impairment, in a simplified program. He likes working with computer, watching TV, roller-skating and riding a bicycle. He gladly takes part in hobby groups. The boy has adjusted to the community of the institution partially. He enjoys being alone, but has adapted to new surroundings well, he is active, friendly, communicative. The boy has a heavy, pronounced sensorineural hearing impairment V of both sides, speech and language development delay and has a disability status. He has difficulties with concentration and focus. The boy must use hearing aid regularly, must be consulted by a speech therapist. The boy has low motivation for studying, he has behavior issues – sometimes he can mistreat other children and then lay blame on others. There have been cases when he has taken things that don’t belong to him.  The boy wishes to live in a place where others understand sign language. The boy has expressed a wish to be adopted abroad, because he had good experience in a host program;
  • the boy was born to a 19 years old mother, from her 1st pregnancy, with weight of 3100 g, height – 49 cm. During the pregnancy mother was been under the surveillance of a doctor. Closer information on pregnancy and perinatal care of the child is unknown. The child had his first teeth come out at the age of 6 months;
  • final medical diagnosis – heavy and pronounced sensorineural hearing impairment. Speech and language disorders. Hyperkinetic behavior disorders;
  • further necessary treatment is not required;
  • the youngest brother has brown eyes and brown hair. He is currently attending a specialized boarding school. His level of knowledge is lowered, the boy reads slowly, cannot tell a story about what he just read. The boy has issues with both writing and simple mathematic calculations. The boy is very active, very brave and smiles a lot, but has behavior issues – he can say nasty words, he can be verbally aggressive against other children, a few times he has been spitting when angry and couldn’t calm himself down. Pronounced anger can be seen when the boy is tired. The boy regularly argues with his older brother, they provoke each other. It may or may not be caused by the fact that the boy doesn’t know sign language that is a big obstacle in creating a good communication with the brother. The boy requires attention, emotional support and individual approach;
  • the boy was born to a 21 years old mother from her 4th pregnancy, in her 2nd delivery, with weight of 3200g, height of 50 cm. The mother was under supervision of a doctor during pregnancy;
  • the child has been treated in a hospital:
–    23.09.2007. – 26.09.2007. – otitis media acuta purulenta. Rhino-pharyngitis;
–    28.09.2013. – 01.10.2013. – acute serous meningitis, easy degree;
–    23.10.2014. – 21.11.2014. – mixed behavior and emotional disorders;
–    04.12.2014. - 16.01.2015. – mental development delay, with behavior issues;
  • the child has been consulted by:
–    ENT (22.09.2011.) – practically healthy;
–    ophthalmologist (26.08.2014.) – V=od+3.5/os+3.0. Glasses;
–    dermatovenerologist (15.09.2014.) – itchy, dry skin;
  • final medical diagnosis – mental development delay with pronounced behavior issues on the background of a social and pedagogical neglect;
  • further necessary treatment – treatment with medicaments;
  • by a court verdict, the parents were deprived of custody rights in November, 2014. They couldn’t provide a wholesome care and upbringing because they didn’t understand the needs of children of the particular age, didn’t understand the health issues of the boy, mother was unable to solve her social problems, couldn’t stop emotional and physical violence of the father of the child. The boy himself suffered from abandonment. Currently the mother lives abroad and doesn’t cooperate with social workers or children. The father of the child visits him often, but he has very limited understanding of the needs of the child during upbringing and he doesn’t wish to hear opinions of specialists, especially regarding behavior and emotional state of the children. Since the child began to live in the institution, the father has often visited the children and they were happy to see him. The emotional contact between them is satisfactory. The mother rarely visits the children; when she does, she brings sweets. During her visits the main focus of the children is on the sweets. Their emotional attachment with the mother isn’t developing as good as with their father. The adoptable boy, who had experience in a host program in USA, stated a wish to be adopted abroad;
  • the brothers have a younger maternal half-brother, who is residing with the mother, a major paternal half-brother and a major paternal half-sister. A decision of the Orphans’ Court on separation of the children in case of adoption has been made as well as separation also from each other in case of adoption.


20.     2 siblings: oldest sister, born on July 5, 2009, and youngest sister, born on July 19, 2010:
  • the oldest sister has blue-grayish eyes and dark hair. She has a good memory – she quickly memorizes poems, can sing songs, retell tales and other narratives according to her age. The girl participates in kindergarten performances but doesn’t want to perform in front of an audience. The girl likes to play games, enjoys walks and is happy to play with dolls but isn’t very careful with her toys. She likes to see theatre plays, concerts and cartoons. The girl is afraid of dogs and likes cats and tiny pets instead. She’s happy to help with dish washing, she vacuums and performs other household chores. The girl is picky with food, does not want to eat fruits and vegetables - she likes pasta and sweets more. The girl is very stubborn and can be aggressive – she can hit, bite, scratch and pluck hair out of younger children. The girl has a difficult character - she doesn’t trust adults, therefore it takes a long time to get close with her. The girl remembers her mother, but does not mention her father. The girl lives in a room together with her sister, and is attached to her caregiver. The girl has delayed development in comparison to her peers. The girl is in the register of a psychiatrist, she is also consulted by a psychologist, speech therapist and other medical staff specialists (ophthalmologist, surgeon, physiotherapist);
  • there is no information about the pregnancy and the early development of the child;
  • the child has been treated in a hospital:
–    14.02.2012. – 20.02.2012. – acute respiratory viral infection. Enterovirus infection;
–    25.08.2012. – 04.09.2012. – acute respiratory viral infection. Stomatitis aphtose gingivale. Secondary lymphadenitis. Intoxication;
  • the child has been consulted by:
–    ophthalmologist (22.10.2012., 21.11.2013.) – H52.2 (must wear glasses constantly). Check-up once a year;
–    neurologist (16.03.2012.) – weak posture with feet support;
–    speech therapist – regularly attends a speech therapist;
–    child psychiatrist – regularly receives treatment of a psychiatrist. F80.0 (specific speech articulation disorder). Z62.2 (institutional upbringing);
  • final medical diagnosis – mental development delay. Myopia;
  • further necessary treatment – check-up of an ophthalmologist once a year. Must be regularly consulted by a  psychiatrist and a speech therapist;
  • the youngest sister has blue eyes and light hair. Currently the girl is attending kindergarten. After consultations of medical specialists (psychiatrist, psychologist, speech therapist, surgeon, ophthalmologist, ENT, micro speech therapist, massages etc.), following their recommendations and after a lot of work – the girl showed great progress and now walks, runs and orientates herself in an unknown environment. Aside from these positive improvements, her vision improved to – 6, and she is wearing glasses. Now she gets to know the environment around her by observing it, touching objects with hands, and only very rarely with tongue. The girl eats and drinks independently, and takes her dirty dishes to the kitchen after she’s done. The girl wishes to be able to do what other children are able to, but so far she isn’t succeeding at fulfilling this wish. When taking walks outside and gardening she shows will to cooperate with others. The girl has no memory of her parents, but has a good relationship with her sister. The girl is sociable, lovely and kind with everyone – both the employees of the institution and the children. Compared to her peers, the girl’s development is delayed. She is very mobile, restless. She loves car rides. The girl enjoys playing hide and seek with other children. She loves cuddling. She enjoys flicking through books, recognizes objects she sees in the pictures and can point at them, knows basic colors. She has difficulties with putting Lego pieces together, she mostly scratches the pieces with her fingers or shakes them. She has begun to say syllables and some words “hair, ball, mom, yes, no” (if the adult makes her repeat them). Enjoys listening to others sing. She is afraid of dogs. She wants to cuddle with pets but hurts them. The girl doesn’t enjoy dressing herself up. She used to be extremely afraid of water, but now she can wash herself in the shower. Still, she wouldn’t wade in a river and wouldn’t go to a lake. It is difficult to predict further development of the child, development does not correspond to age;
  • there is no information about the pregnancy and the early development of the child;
  • the child has been treated in a hospital:
–    14.06.2011. – 30.06.2011. – psychomotor development delay. Dystonia. Lack of protein energy. Child of a risk group. Organic central nervous damage;
–    16.08.2011. – 26.08.2011. – psychomotor development delay. Malabsorption. Rhino-pharyngitis;
–    22.10.2012. – 30.10.2012. – pyoderma with secondary infection. Acute respiratory viral infection. Acute tracheitis;
–    15.11.2012. – 23.11.2012.  – dermatitis atopica. Pyoderma. Psychomotor development delay. Speech development delay;
–    04.01.2013. – 14.01.2013. – acute respiratory viral infection. Acute rhino-sinusitis. Urinary infection;
  • the child has been consulted by:
–  endocrinologist (05.10.2012.) – atopic dermatitis. Psychomotor development delay. Language development delay;
–    neurologist (05.10.2012.) – psychomotor and language development delay. Atopic dermatitis. Low vision. Diffuse muscular hypotonia. Gait disorders. Speech breathing insufficiency;
–    ophthalmologist (17.10.2012.) – OU myopia comp.;
–    ophthalmologist (21.11.2013.) – H53.0 (visual disturbances). H52.1 (myopia);
–    ENT + audio speech therapist (14.01.2014.) – no hearing disorders found;
–    encephalogram of sleep (10.04.2014.) – second phase of sleep does not register typical epileptiform. Irregular Delta Peta activity with Alpha and Beta activity stratifying in all leads diffusely dominates. Symmetric sleep spindles registers, K complex and vatex waves;
–    allergist (13.11.2012.) – severe atopic dermatitis aggravation. Streptodermia. Lymphadenopathy;
–    child neurologist (21.11.2013.) – language development disorders. Mental development disorders;
–    speech therapist + audio speech therapist (22.09.2014.) – speech delay.  Regularly attends speech therapist;
–    psychiatrist – regularly attends psychiatrist. F80.2 (receptive language disorder). Z62.2 (institutional upbringing) The girl has not been clinically researched, it needs to be done in future;
  • final medical diagnosis – psychomotor development delay. Low vision. Atopic dermatitis. Speech delay;
  • further necessary treatment – consultations of an ophthalmologist, psychiatrist and allergist;
  • by a court verdict the parents were deprived of custody rights in April 2014. Parents had circumstances due to which they could not take care of the children – the father was imprisoned, the mother got arrested after the death of her newborn daughter due to suspicions of mother’s fault. Later it was found out that the infant deceased due to sudden infant death syndrome. Children have suffered from emotional abuse and negligence. Parents consumed alcohol, there were inappropriate conditions for the upbringing and supervision of the children. When children were placed in the out-of-family care institution, the mother used to visit her children in the beginning, the older sister became emotionally unstable, aggressive towards other children and also adults. In 2013 and 2014 the mother has not visited children;
  • children have 1 older minor maternal half-brother, who is under the guardianship and 1 younger minor brother who is residing in a foster family. The decision of Orphan’s Court on separation of the children in case of adoption has been made.

21.     5 siblings:  oldest sister, born on June 9, 2005, brother, born on January 21, 2007, second oldest sister, born on March 5, 2008, middle sister, born on April 12, 2010, and youngest sister, born on June 17, 2011:
  • the oldest sister has blue eyes and light hair. She has good grades in school and is very motivated to study. She got a good grasp of Latvian very fast. The girl is good at drawing and regularly goes to the drawing hobby group in school. Sometimes she does her tasks carelessly. She is shy, anxious, seeks support of adults;
  • the child was born with weight of 2360 g, height 46 cm. Closer information on perinatal care and early development of the child is unknown;
  • the child has received all prophylactic vaccinations corresponding her age;
  • final medical diagnosis – healthy, weak posture;
  • further necessary treatment is not necessary;
  • the brother has blue eyes and light brown hair. He is currently attending a pre-school institution. He communicates in Russian, but is making first steps in learning Latvian alphabet. Currently his vocabulary in Latvian is very limited. The boy doesn’t really like to study and tries to sneak out of it. He has issues with anger, as he can become aggressive when he doesn’t succeed at something and he can react with a flash of anger  to instructions;
  • the child was born with weight of 2670 g, height 50 cm. Closer information on perinatal care and early development of the child is unknown;
  • the child has been treated in a hospital:
– 05.03.2013. – 11.03.2013. – ARVI, acute, rhino-pharyngitis, left side tympanitis, left side pneumonia;
  • the child has been consulted by:
–    ophthalmologist (23.05.2013.) – O4 stigmatism, hypermetropia;
–   neurologist (23.05.2013.) – MCD (Minimal Cerebral Dysfunction).  astheno-neurotic syndrome;
–    neurologist (19.09.2013.) – speech development delay;
  • pediatrician (24.01.2014.) – ARVI (Acute Respiratory Viral Infection);
  • final medical diagnosis – minimal cerebral dysfunction, speech development delay, astheno-neurotic syndrome, O4 stigmatism, hypermetropia;
  • further necessary treatment – consultations of a speech therapist;
  • the second oldest sister has blue eyes and light brown hair. She is currently attending a pre-school institution. She likes drawing, is very good at role play games. If she is in a good mood, will gladly help and work together with adults. She is very careful with her toys, organizes them, doesn’t share them with others. She may sometimes act aggressively towards her peers or sisters. She sometimes can be very stubborn and can decline taking part in pre-school activities;
  • the child was born with weight of 2740 g, height 48 cm. Closer information on perinatal care and early development of the child is unknown;
  • the child has not been treated in a hospital;
  • the child has received specialist consultations:
–    neurologist (26.03.2013.) – slight posture issues;
–    neurologist (19.09.2013.) – dyslalia; astheno-neurotic syndrome;
–    ophthalmologist (14.04.2014.) – OU hypermetropia;
–    pediatrician (14.02.2014.) – somatically healthy;
  • the child has received all prophylactic vaccinations corresponding to age;
  • final medical diagnosis – posture issues, O4 hypermetropia, dyslalia;
  • further necessary treatment – consultations of a speech therapist;
  • the middle sister has blue eyes and brown hair. She is currently attending a pre-school institution. She likes drawing, she enjoys stringing things and tries to put together a puzzle. The middle sister tries to repeat actions of her sisters and social worker. Her development is a bit delayed due to the lack of parents and a family;
  • the child was born with weight of 2380 g, height 49 cm. The mother wasn’t under the supervision of a doctor during pregnancy. Closer information on perinatal care and early development of the child is unknown;
  • the child has been treated in a hospital;
–    05.02.2013. – 11.03.2013. – ARVI (Acute Respiratory Viral Infection), acute rhino-pharyngitis. Acute right side tympanitis;
–    22.04.2013. – 26.04.2013. – acute respiratory illness, acute pharyngitis, allergic exantema;
–    24.10.2013. – 25.10.2013. – acute gastroenterolitis;
  • the child has received specialist consultations:
–    neurologist (26.03.2013.) – pyramidal insufficiency in legs. Flat feet;
–    ophthalmologist (17.04.2013.) – OU astigmatism, hypermetropia;
–   neurologist (17.04.2013.) – speech development delay, astheno-neurotic syndrome, Valgus leg deformation;
–    pediatrician (24.01.2014.) – acute respiratory viral illness;
  • medical diagnosis – speech development delays, OU astigmatism, hypermetropia, astheno-neurotic syndrome;
  • further necessary treatment – consultations of a speech therapist;
  • the youngest sister has blue eyes and light brown hair. She is starting to develop her speech, she tries to repeat the actions and words of other people. She likes drawing and flicking through books;
  • there is no information on pregnancy, perinatal care and early development of the child;
  • the child has not been treated in a hospital;
  • the child has received specialist consultations:
–    speech therapist (25.02.2013.) – delay of expressive speech development;
–    orthopedist (09.05.2013.) – inner rotation of both feet in the level of shins, left>right. Tibial torsy;
–    neurologist (20.09.2013.) – speech development delay;
–    neurologist (06.12.2013.) – speech development delay;
–    pediatrician (03.02.2014.) – acute respiratory viral illness;
  • the child has received all prophylactic vaccinations according to her age;
  • medical diagnosis – speech development delay. Inner rotation of both feet in the level of shins, left>right. Tibial torsy;
  • further necessary treatment – consultations of a speech therapist. Supervision of the orthopedist regarding the dynamic;
  • the custody rights of the mother, the father of the youngest four children and the father of the oldest girl were discontinued in February, 2013 because the parents didn’t provide them the necessary care and supervision. In August, 2013 the father of the youngest four children deceased. In November, 2013, the mother of the children deceased as well, leaving the youngest four children orphans. The father of the oldest child was deprived of custody rights in November, 2014. The children suffered from emotional violence and abandonment; the father would physically abuse the mother of the children. Apart from that, the parents of the children would consume alcoholic beverages and possibly even psychotropic substances. None of the relatives expressed a wish to take care of the children. When asked about their opinions on being adopted, those of the children who were old enough to express their thoughts, explained, that they wish to find a family but hope to be adopted all together. Taking into account all the before-mentioned, the decision on children to be adopted abroad was made by the Orphans’ Court on February, 2015.
  • the oldest girl has two major sisters (for  three other girls and the brother they are two major maternal half-sisters).

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 July 15, 2015.
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 July 15, 2015 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.


State Secretary                                                                                           I.Jaunzeme

Tarāsova 67782954
Sergejeva 67021619
01.07.2015.
15-N/29931