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01.07.2016. No. 33-2-02/332


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.    In the process of adoption
 
Girl, born on March 10, 2006, resides in a foster family since December 2009. Included in the list repeatedly, because of separation from brothers:
  • the girl  has grey eyes, light brown, wavy hair. The girl has a very good character – she is very helpful, compassionate, kind-hearted and polite. Gladly helps to tidy up room, to put toys in order.  The girl likes to draw, dance and sing. She attends specialized boarding school for children with learning difficulties. She has speech disorder, mild mental development delay and has a disability status. The girl needs special approach in the learning process, if the girl does not understand something, she might get nervous and start crying. Sometimes the child has night time enuresis. The girl’s marks at school are good and she is able to complete the curriculum. The girl needs time to build contact with unknown people. The girl is attached to the foster mother. The girls meets her younger brother approximately once in two months after the foster mother’s initiative, the siblings do not have emotional bond;
  • the child was born to a 20 years old mother, from her 2nd pregnancy, in her 2nd delivery, with weight of 3010g, height – 49cm. The mother was not monitored by a doctor during the pregnancy;
  • the child has had:
–    in 2009 – acute gastroenteritis. Emotional disturbance. F93.8 (other childhood emotional disturbances). J20 (acute bronchitis);
–    in 2009 and 2010 – neurogenic urinary incontinence;
–    in 2010 – acute respiratory viral illness. Acute respiratory viral illness with exanthema;
–    in 2012 – J02 (acute pharyngitis). J20 (acute bronchitis);
  • the child has been treated in a hospital from 13.03.2006. till 24.03.2006.– congenital heart disease. Coarctation of aorta, open arterial cord. Cardiovascular failure stage III, surgery on March 15, 2006 (surgery results good);
  • the child has been consulted by:
–    neurologist (19.06.2010.) – overactive bladder. Day and night urinary incontinence;
–    speech therapist (09.06.2010.) – vocabulary of household level. Does not pronounce correctly several sounds (r, l, k and g);
–    cardiologist – (26.04.2007.) – state after surgery of coarctation of aorta in March 2006;
–    psychological research of the child’s intellectual abilities (13.12.2012.) – intellectual level corresponds to a mild mental retardation (IQ range from 50 to 69). Visual-spatial abilities developed slightly better than verbal abilities. A new learning process is slow and difficult;
  • further necessary treatment – neurologist treatment regimen. Learning according to a specialized curriculum;
  • after children’s placement in a foster family, a reasonable suspicion revealed that the girl and her brothers have been sexually abused by their biological father, the psychologist's opinion is received, children have completed rehabilitation course. The girl used to have sexualized behaviour at the beginning, but it has stopped. The criminal proceeding against the biological father of the children’s sexual abuse was initiated, but discontinued due to lack of proof;
  • by a court verdict the mother and the father were deprived of custody rights in November 2011. Children were neglected, they did not get age-appropriate care;
  • the girl has 2 minor brothers, one older and one younger, who reside in a different out-of-family care institutions, and 1 younger minor paternal half-sister, who is in the care of her parents. The decision by the Orphan’s Court on separation of the children in case of adoption has been made;
  • the girl is adoptable separately or together with her brother, who is included in the list under No.3.

3.    Boy, born on July 29, 2007, resides in an out-of-family care institution since July 2015, previously lived in a foster family for almost 6 years. Included in the list repeatedly, because of separation from siblings:
  • the boy has grey eyes and light brown hair. The boy is communicative, mobile and active, with features of hyperactivity. The boy is friendly with his classmates, gladly plays and interacts with them. He is mostly in good mood. It is never boring to be around him, he is always ready to propose joyful activities. Individually the child is able to be sensible, self-controlled, inquisitive, he takes care of himself, others and environment. In group the boy shows signs of a leader, prone to rebellion and aggression. The boy is interested in animals, nature, he likes to watch new cartoons, gladly plays with Lego, is interested in role plays and coloring books. Quick physical activities such as running are slightly limited due to the child’s health development.  Sometimes the boy is afraid of closed space. The boy attends boarding school. He respects teachers, at the same time his behaviour is variable, there are behaviour problems episodically in both school and also orphanage – he may disobey, contradict and show disrespect towards adults. He has had episodes of urinating in inappropriate places. The boy has problems with studies, he gets tired quickly and loses concentration skills. His marks are not good, at the same time he is very diligent in studies. His behaviour is often naïve, and inappropriate for his age. The boy’s current state of health is satisfactory, without significant changes. The boy has mixed development disorders, bronchial asthma in remission, as well as day and night enuresis and encopresis. Enuresis and encopresis almost disappeared whilst living in a family environment with the foster mother, but since the child’s placement in the institutional care, the symptoms have reoccurred, probably due to unconscious stress level. The boy regularly attends out-of-family care institution’s speech therapist and psychotherapist. He also visits psychiatrist once a month. The boy’s intellectual and comprehension level is lowered. The boy meets his older sister once in two months, he is glad to meet her, but his attachment to her is weak;
  • the child was born to a 21 year old mother, from her 3rd pregnancy, in her 3rd delivery, with weight of 3940g, height – 54cm. Mother was not monitored by a doctor during the pregnancy;
  • the child has been treated in a hospital:
–    05.10.2010. – lingvafixatapartialis. Surgery on the plastic of tongue;
–    05.10.2011. – 07.10.2011. – esotropia congenita. V syndrome. OU astigmatismus hypermetropicus. Surgery (06.10.2011.) of OU recessio m. rectus medialis 5 mm;
–    17.10.2012. – 24.10.2012. – moderate form of bronchial asthma, persistent, the outbreak period. Bilateral pneumonia, resorption phase. Nocturnal enuresis. Mild mental retardation;
–    28.01.2013. – acute respiratory viral infection;
–    26.02.2013. – 28.02.2013. – acute respiratory illness. Acute rhinitis. Otitis media bilateralis. Bronchial asthma, moderate, persistent, uncontrolled pace, the outbreak period. Nocturnal enuresis. Rotavirus gastroenteritis;
  • the child has been consulted by:
–    oculist (11.03.2010.) – OU astigmatism;
–    neurologist (22.04.2010.) – disorder of movement coordination. The result of electroencephalogram – focal epileptiform changes in the temporal and occipital areas. Generalized activity is not recorded;
–    paediatrician (30.09.2010.) – partially fixed tongue. Recommended surgery. 24.08.2010. analyses – norm;
–    paediatrician (22.07.2011.) – hearing disorder;
–    children’s neurologist (27.05.2011.) – speech and psychomotor development delay;
–    paediatrician (01.10.2012.) – acute bronchitis;
–    paediatrician (28.05.2013.) – N31.9 (unspecified neuromuscular dysfunction of a bladder);
–    allergist (07.05.2013., 15.08.2013.) – J45 (asthma), moderate, partially controlled. Allergic rhinitis;
–    urologist (01.07.2013.) – mental delay. Overactive bladder;
–    paediatrician (29.01.2014.) – spirometry test results within norm;
–    children’s neurologist (10.07.2014.) – specific development and motor function disorder;
–    alllergist (29.01.2015.) – J45 (asthma), exacerbation;
–    oculist (November 2015) – OU strabismus divergens alternans with vertical component. OU astigmatismus mixtum. OS hypermetropia;
–    pulmonologist (December 2015) – consultation;
–    paediatrician (28.05.2016.) – state of health satisfactory. Weight 25 kg, height 128 cm;
  • further necessary treatment – children’s neurologist consultation, clinical psychologist’s consultation. The child is in supervision of children’s psychiatrist. Medication: inh. Ventolini; Seretide 125/25 mg; Flixonaze; tab.Zyrtec ½ tab. in asthma exacerbation case;
  • after the child’s placement in a foster family, a reasonable suspicion revealed that the boy with his siblings have been sexually abused by their biological father, the psychologist's opinion is received, children have completed rehabilitation course. The boy had sexualized behaviour, lately episodes have not occurred, but teachers of the orphanage and school keep an eye on him. The criminal proceeding against the biological father of the children’s sexual abuse was initiated, but discontinued due to lack of proof;
  • by a court verdict the mother and the father were deprived of custody rights in November 2011. Children were neglected, they did not get age-appropriate care, malnutrition, experienced possible sexual abuse by the biological father. The boy has also suffered from the father’s physical and emotional abuse. The parents consumed alcohol and other addictive substances. The boy does not have contact with his parents. The boy is attached to his prior foster mother, he keeps in touch with her. The foster mother discontinued the boy’s care in her family due to her illness;
  • the boy has 1 older minor brother, who is in other out-of-family care institution, 1 older minor sister who is in a foster family and 1 younger minor stepsister, who is in the care of her parents. The decision by the Orphan’s Court on separation of the children in case of adoption has been made;
  • the boy is adoptable separately or together with his sister, who is included in the list under No.2.

4.    2 brothers: older brother, born on December 10, 2006, and younger brother, born on November 22, 2008, who reside in a foster family since June 2013, previously were in guardianship since October 2010:
  • the oldest brother is well developed, and has well developed cognitive processes – thinking, memory, perception. The boy is musical, he has very good sense of rhythm. His singing is precise and beautiful. The boy is good at drawing, enjoys various handicrafts – to make things himself. The boy completed second grade at school, he has slight difficulties with mathematics. The boy is mostly friendly with his brother and he shares everything with him. Sometimes he tries to "take precedence" over the youngest brother, may begin fight with rather big rage and aggression, at the same time the brothers are very attached and cannot do without each other, especially the youngest one without the oldest. The boys suffered from emotional and physical abuse in the guardian family, as well as the biggest brother remembers that the biological father was violent towards the mother. Children attend art therapy to reduce the impact of the abuse in the guardian family. When children were placed in the foster family, they had a tendency to overeat, they wanted several portions and also biscuits between meals. The doctor advised to limit the amount of food and offer fruit between meals, also limited. The foster mother believes that the overeating is linked to psychological aspects of abuse in the guardian family, and not hunger. At the beginning the children did not allow to be touched or cuddled, they also did not hear when the foster mother said or asked them something, they reacted only to louder requests, which most likely meant that the children were used to shouting as normal communication. Currently the children trust the foster mother and do not object to touch or cuddle. Sometimes the children tell lies, which is also most likely the impact of their traumatic experience. The children call the foster mother “mum”, although they realize that she is not their mother. The oldest brother remembers his biological mother, but the youngest believes that the guardian was his mother. The children have been told that they will have new parents, but at the moment they find it difficult to understand. The foster mother raises the brothers as her own children, she believes that the most important thing is to give love, and the rest will come in order gradually. Both brothers speak Latvian (at home) and they also speak Russian, because they attended Russian group in kindergarten due to lack of places in Latvian group. The children need family with both parents (mother and father). The children need father with whom to do all men work – to fix cars, etc.;
  • the child has been consulted by:
–    ENT (28.09.2015.) – organs in norm;
–    oculist (16.05.2015.) – hypermetropic astigmatism. Amblyopia, degree II;
–    neurologist (24.09.2015.) – emotional lability;
–    speech therapist – language disorder;
–    surgeon – healthy;
–    dermatovenerologist – skin is clean;
–    paediatrician – somatically healthy;
  • final diagnosis – emotional lability. Amblyopia, degree II;
  • the youngest brother is very musical, he has natural sense of rhythm. He likes to sing and draw. Enjoys working with the foster mother, is interested in developmental activities, which she offers. He recognizes letters and numbers and it is assumed that he will learn to read by the time he needs to start his first year at school. The boy has day and night incontinence, every night he wets bed, but during the day he wets his pants only if he is captivated by some activity (approximately once in a week or 2 weeks). The boy has been examined and he is physically healthy, the doctors cannot find the reason for the incontinence, it is possible that he was frost-bitten in early childhood or it is connected to psychological aspects – traumatic experience in the guardian family. The boy has epilepsy in a hidden form, which means that the child can suddenly start talking about another topic and do not respond to questions or calling, he acts as if “cut off” and he may go "where the eyes show.” After short moment the boy continues the previous topic, as if nothing has happened. Magnetic resonance results showed epileptic waves, while the last magnetic resonance results showed no signs of epilepsy, however, the doctor recommended to take medication for another year (already done). Epileptic manifestations have not been since the spring of 2015;
  • the child has been consulted by:
–    ENT (28.09.2015.) – chronic haimoritis, ethmoiditis;
–    oculist – healthy;
–    neurologist (24.09.2015.) – atypical absence epilepsy. Nocturnal enuresis;
–    speech therapist – language system underdevelopment, degree III;
–    surgeon – healthy;
–    dermatovenereologist – skin is clean;
–    paediatrician – somatically healthy;
–    child psychiatrist (22.09.2015.) – mixed development disorder with mental development delay and expressive language disorder. F84.8 (other diffuse developmental disorder). F80.1 (expressive language disorder). F98.0 (nonorganic enuresis);
  • final diagnosis – epilepsy. Language system underdevelopment, degree III;
  • by a court verdict the parents were deprived of custody rights in September 2011. Children were in conditions dangerous for health and life. From 2010 until the placement in the current foster family the children were in guardianship, which was discontinued due to abuse towards children;
  • children do not have other siblings.

5. Adopted

6.    Boy, born on March 19, 2012, resides in an out-of-family care institution since August 2012:
  • the boy has blue eyes and light brown hair. The boy is emotionally labile, but in favourable conditions emotionally positive. The boy has acquired eating and dressing habits, and is learning sanitary skills. He washes hands when asked to, but he still needs adult assistance. He falls asleep and sleeps well. His attention during the classes is partially sustainable. He comprehends the language, but his own vocabulary is rather small – delayed sentence building. He communicates and plays with other children. He builds eye contact when communicates. He has satisfactory balance reactions in his gait. The boy likes to be in the centre of attention, therefore sometimes he attracts attention with both positive and negative actions. The child likes to have individual personal contact with an adult – he may take an adult by hand, pull him, bring and show toys, sometimes in a negative way insists on his wishes, and tests the borders.  He is able to build contact with both adults and children, but there are occasions when he perceives his peers as competitors if notices adult’s focus on other children, the boy wishes to be the dominant. The boy expresses his emotions by vivid mimics – he blows his cheeks, half-closes his eyes, if angry. He often smiles, which could also be a protective reaction. The boy enjoys to play with toys, he cuddles soft animal toys, puts them to sleep, helps to tidy up clothes for dolls, if asked to. The child’s language development does not correspond his age. The child tries to imitate adult’s speech, which might indicate on a positive tendency in dynamics. The boy likes to be in a movement and run;
  • the child was born to a 33 years old mother, in her 2nddelivery. There is no information on the pregnancy and the child’s birth. The child was placed in an out-of-family care institution at the age of 4, 5 months: he has well developed sucking, muscle imbalance, psychomotor development delay;
  • the child started to sit and crawl at the age of 18 months, to walk independently at the age of 2 years and 3 months, to speak at the age of 2 years and 6 months, his first teeth came out at the age of 8 months. The child has remarkable delay in psychomotor development, but he has positive dynamics. He feels well in a known surroundings and is attached to known people;
  • the boy has been treated in a hospital:
–    30.07.2012. – 03.08.2012. – acute respiratory illness;
–  23.01.2013. – 28.01.2013. – marked corpus callosum hypogenesis. State after intraventricular hemorrhage;
–   13.02.2014. – 21.02.2014. – right side pneumonia. Atrium septal defect without hemodynamic impairment;
–    11.04.2014. – 15.04.2014. – bilateral otitis media. Acute bronchitis. Corpus callosum hypoplasia. Atrium septal defect;
–    22.11.2014. – 24.11.2014. – acute laryngitis. Laryngeal stenosis, grade I;
  • the boy has been consulted by:
–    neurologist (24.10.2014.) – neurologically healthy. Flatfoot. Control in April 2015;
–    paediatrician –  positive development dynamics. Weak posture. Feet pronation;
–    cardiologist (20.11.2014.) – foramen ovale without restrictions. Control upon necessity;
–    rehabilitologist (27.01.2015.) – incorrect posture. Fixed pelvis. Feet pronation. Wrought neck extensors;
–    ophthalmologist (20.03.2015.) – mixed astigmatism. Control after 1 year. No current correction;
–    speech therapist (16.04.2015.) – language development delay;
–    rehabilitologist (12.05.2015.) – corpus callosum hypoplasia;
–    endocrinologist (04.09.2015.) – psychomotor and physical development delay;
–    neurologist (10.12.2015.) – G93,8 (other specified disorder of brain). Corpus callosum hypogenesis. F83 (mixed specific developmental disorders). Recommended remedial gymnastics, speech therapy;
–    paediatrician (11.12.2015.) – positive development dynamics – comprehends daily activities, is motivated to participate in everything and to play, expresses his wishes in 4-5 words sentences. Falls asleep calmly. Independently eats and drinks from a cup. Differentiates his attitude towards different people. Periodically is being trained to use potty, currently does not ask to use it himself. If he does not want to participate in some activity, he uses protective reaction – smile. At the age 3 years and 6 months his weight was 13,3 kg, height 96 cm;
–    rehabilitologist (01.02.2016.) – speech delay. Development delay;
–    neurologist (05.02.2016.) – mental delay with stereotype actions. The child wishes to communicate, makes good eye contact. Clear sound pronunciation. Delayed sentence building. Gait is stable, although still makes wide support, coordination sufficient. Homogeneous grimace (often smiles, which could be a protective reaction);
–    paediatrician (03.03.2016.) – weight 13.5 kg, height 97 cm;
  • the child has received all the prophylactic vaccinations corresponding his age;
  • laboratory tests made for HBsAg (30.07.2012.) – negative;
  • final diagnosis (20.04.2015.) – F83 (mixed specific developmental disorders) until 12.06.2014. Currently developmental dynamics positive. Corpus callosum hypogenesis. Mixed astigmatism. Language development delay. Weak posture – imbalance;
  • final diagnosis (03.03.2016.) – somatically stable. Mixed specific development disorders;
  • the boy has a disability status;
  • current therapy – D3 vitamin 4 drops per day. Recommended oculist consultation;
  • by a court verdict the parents were deprived of custody rights in April 2014. The child was left in life and health threatening conditions. In 2012 and 2013 the parents visited the child and inquired about him by phone several times. In 2014 the child’s grandmother inquired about him once. Since then noone of the relatives has inquired about the boy;
  • the boy has one older major maternal half-brother.

7.    Girl, born on April 28, 2006 (included in the list repeatedly):
  • the girl resides in a foster family since September 2007. Foster family does not wish to adopt the child because the family believes that in the child's best interests it is to ensure the adoption abroad, as in this way the child would have access to a more highly skilled medical care and rehabilitation;
  • the girl has grey-bluish eyes, blond hair. The girl is positive, joyful and inquisitive. The girl gladly draws, colours, cuts out figures with scissors. The girl eats independently, uses toilet, gets dressed herself with a little assistance. She is able to defend her point of view, although it is difficult for others to understand. Until the end of 2015 the girl used to have low level of haemoglobin, she had a strict diet and medication for many years, but it did not help. At present, the haemoglobin level has normalized. Some time ago the foster family quit the diet and stopped medication, which might be the reason for the improvement in blood tests. Currently the girl consumes a variety of foods, including dairy products, porridge and sweets;
  • the child was born to the 32 years old mother from her 8th pregnancy, in her 3rd delivery, in the 26th/27th week of gestation, with weight of 790g, height - 34cm. During the pregnancy the mother was not under doctor's surveillance, she had flu with high temperature, child was born with his legs before, navel cord fell down, acute poreoamniotitis, amniotic fluid was yellow-green, in maternity section the mother had high temperature (↑t˚40˚) for a long time. The first period of delivery–4h 30min, second–10min. ½ points by Apgar's scale, the donation of oxygen, instable thermoregulation, neonatal pneumonia on the background of broncho-pulmonal disposition. Clinical rachitis, the anaemia, congenital heart disease –the defect of atries. The girl was fed through a probe, later also by baby bottle. The mother came to visit her two times after she was placed in an out-of-family care institution. The child started to sit, crawl and speak (to prattle) at the age of 1 year and 6 months;
  • the child was consulted by:
–    paediatrician (04.09.2015.) – weight 15 kg, height 114,5 cm. Health group III;
–    paediatrician (30.11.2015.) – acute respiratory viral infection, pharyngitis;
–    paediatrician (29.12.2015.) – weight 16 kg, height 117cm. Haemoglobin 13,4 g/dL (norm from 11,7 – 15 g/dL);
–    paediatrician (01.03.2016.) – improvement of “D” anaemia;
–    paediatrician (21.05.2016. – 01.04.2016.) – acute respiratory viral infection;
  • final diagnosis (16.10.2008.) – bronchial asthma of moderate form, persistent, exogenous, after attack period, allergy on cow milk products, the delay of psychomotor development (the consequences of prematureness IV), vitium cordis congenita without homodynamic disorders, bronchopulmonal displasition in anamnesis, central idiopathic backwardness, precocious central puberty, cerebral palsy, the disability status has been stated;
  • current medical diagnosis (10.06.2016.) – F71 (moderate mental development delay). J45 (asthma). D50 (Ferrum deficit anemia);
  • further necessary treatment – repeated haemoglobin analysis at the end of summer 2016; planned consultation of a psychiatrist. Asthma medication is not being taken – the girl has not had asthma attacks;
  • the parents abandoned the child in the hospital and didn't show interest in her, on 17th of August 2006 the mother signed the consent to the adoption, by court verdict the parents were deprived of custody rights in April 2007. The parents have neither showed interest nor visited the child;
  • the girl has 2 older minor sisters, 1 younger brother, and 1 younger maternal half-brother, who are in parental care. Orphans’ Court has made decision on 3 older children separation in case of adoption. Orphan’s court will make decision on separation also from the youngest sibling in case of adoption.

8.    Boy, born on November 4, 2009, resides in an out-of-family care institution since May 2013:
  • the boy has light grey eyes, greyish-brown hair. The boy’s intellectual abilities do not correspond his biological age. The boy has marked problems to complete tasks for 3 years old children. The boy has acquired self-care. The boy understands the usefulness of surrounding objects only partially, he has no knowledge about social life. Attention is low. The child needs specialized curriculum, appropriate for his health and development, and also classes for building and training his intellectual capacity. The child needs physical activities. He wants to live in a family. The adopters should take into consideration the child’s specific physical and intellectual development and need for wholesome care;
  • the  child was born to a 21 years old mother, from her 3rd pregnancy, in her 1st delivery, with weight of 3400 g, height – 52 cm;
  • the child has been treated in a hospital:
–    10.05.2013. – 18.06.2013. – repeated physical abuse, multiple heads, limbs, body bruises, multiple subcutaneous and soft tissue hematomas, traumatic damage of the genitals, traumatic damage of the front of the nasal septum. Hypohidration 2nd-3rd degree, mild cognitive disorder;
–    04.02.2015. – 13.02.2015. – post-traumatic encephalopathy, behavioral disorders, specific speech and language disorder;
–    02.03.2015. – 04.03.2015. – rehabilition course, post-traumatic encephalopathy, behavioral disorders, specific speech and language disorder;
–    13.07.2015. – 24.07.2015. – rehabilition course, post-traumatic encephalopathy, behavioral disorders, specific speech and language disorder, left side mild paresis;
  • the boy has been consulted by:
–    neurologist (20.11.2014.) – post-traumatic central nervous system damage with a mild left-side hemiparesis, language development delay;
–    oculist (13.02.2015.) – corresponds the age;
–    speech therapist (16.07.2015.) – language development delay, attention and concentration difficulties;
–    physiotherapist (13.07.2015.) – attention and concentration difficulties;
–    ergo therapist (16.07.2015.) – attention and concentration difficulties;
–     psychiatrist (18.08.2015.) – left side hemiparesis;
  • final diagnosis – post-traumatic encephalopathy with lowered cognitive abilities and left side hemiparesis, behavioral disorders, specific speech and language disorder;
  • the child has a disability status since December 16, 2014;
  • further necessary treatment – surveillance of a neurologist and psychiatrist;
  • by a court verdict the biological mother was deprived of custody rights in January 2012, the biological father – in February 2012. The biological parents had alcohol addiction problems. In March 2013 the child was adopted by a single woman in Latvia. The child stayed in the adopter’s family from September 2012 – April 2013. By a court verdict the adoptive mother was deprived of custody rights in June 2015, paternity has not been stated. The adoptive mother repeatedly caused serious injuries to the child, she has been cruel and violent towards him, which has resulted in serious and irreversible health damage to the child. A criminal proceeding is carried out. By decision of the Orphan's court the adoptive mother is forbidden to meet the child;
  • the child has no siblings.

9.    Girl, born on November 1, 2004, resides in an out-of-family care institution since March 2012:
  • the girl has grey eyes and light brown hair. The girl is active, open, spiteful and she likes to do what she wants. The girl also likes taking risks, she is fearless, not aware of possible consequences of what she is doing. She is very independent, the girl is not afraid to walk alone in unknown places. The girl has difficulties in developing relationship with other children because she tries to push her demands to others. In the out-of-family care institution she has not developed friendly relationship with other children. In the biological family the girl had to undertake the role of an adult early, she is able to make pancakes and to keep house. The girl needs to be taught to abide certain borders and to obey adults. The girl attends elementary boarding school for children with speech problems. It is suspected that her biological father chose to send her to the boarding school instead of regular school for the sake of his own convenience –  all expenses covered by municipality, the child resides at home only in weekends. The employee of the out-of-family care institution informs that the girl has never had any speech problems, she studies according to regular curriculum, but additionally receives classes with speech therapist. The girl is active, she reads and writes well, and she recites poems well. According to the employee of the out-of-family care institution the girl’s development is very good, she has no delays, neither physical nor psychic, it is unclear whether the diagnosis stated by a psychiatrist in 2011 was correct. The girl is picky in food, but she loves pancakes and milk soups, which were probably the most common dishes in the biological family. The girl is thin. She has poor appetite, but it was concluded that it is not related to any health issues. The girl is included in the Tuberculosis Register, the girl’s father had tuberculosis. The girl wants to live in a family and she would like to be adopted abroad;
  • the child was born to a 21 year old mother, from her 2nd pregnancy, in the 1st delivery (cesarean surgery), with weight of 2780g, height – 51cm. During the pregnancy the mother was monitored by a doctor. The mother smoked and consumed alcohol, and also had anaemia. The child was formula-fed. The child gained weight poorly;
  • the child started to sit and to crawl at the age of 8,5 months, to walk independently – at the age of 1 year and 3 months, to talk – at the age of 2 years and 7 months, first teeth – at the age of 10 months. Speaks short words – at the age of 1 year and 2 months;
  • the child has been treated in a hospital:
–    09.01.2005. – 27.01.2005. – acute respiratory viral infection. Acute rhinopharyngitis, tubotitis of the right side;
–    19.04.2005. – 26.04.2005. – acute respiratory viral infection. Acute rhinopharyngitis;
–    13.12.2005. – 21.12.2005. – acute respiratory viral infection. Acute tracheobronchitis;
–    27.12.2005. – 04.01.2006. – acute gastroenterocolitis of uncertain etiology, moderate course;
–    06.03.2006. – 13.03.2006. – acute respiratory viral infection. Acute rhinopharyngitis. Teething syndrome;
–    09.09.2006. – 12.09.2006. – acute rhinopharyngitis;
–    18.09.2006. – 22.09.2006. – acute respiratory viral infection with abdominal syndrome. Anemia;
–    09.11.2006. – 17.11.2006. – acute respiratory illness. Anemia I. Urinary infection;
–    28.12.2007. – 07.01.2008. – acute pneumonia of the left side;
–    04.06.2012. – 20.11.2012. – intrathoracic lymph node tuberculosis in the phase of infiltration;
  • child has been consulted by:
–    ENT  (20.09.2006.) – acute rhinitis;
–    checkups of neurologist in 2004 and 2005 – encephalopathy of mixed genesis;
–    children’s psychiatrist (11.05.2011.) – F06.9  (psychic development delay with language development disorder);
–    pediatrician (14.06.2013.) – asthenic disorders. State after ailed intrathoracic lymph node tuberculosis;
  • further necessary treatment – surveillance due to treated intrathoracic lymph node tuberculosis, check-up once a year;
  • the girl has participated in hosting programs in the USA;
  • by a court verdict the mother was deprived of custody rights in February 2009, the father of the girl deceased in June 2013. The child was placed in an out-of-family care institution on the grounds of the application dated on March 2012 submitted by the father who no longer could take care of the child due to his health problems. The girl had distant relationship with her father, the father had addiction problems. The mother’s whereabouts were unknown, she did not live in a family and did not raise her child. The mother visited the child in the out-of-family care institution once, she mentioned that she lives abroad and has difficulties with employment and with place of residence. Family relationship between the mother and the girl is not observed. There are no other relatives who have expressed interest in taking care of the girl;
  • the girl has no other siblings.

10.     Boy, born on October 20, 2003, resides in foster families since October 2011, in the current foster family resides since October 2015:
  • the boy has light brown eyes and light brown hair. The boy is open, sincere and helpful with adults, but he has problems in contact with his peers – he tends to be aggressive, rude, he does not comply with rules and set boundaries. He has problems with cooperation and communication. He has marked need for adults’ attention. The boy is active in learning, at the same time chaotic. He requires constant attention of a teacher. Learning difficulties, behavioral disorder. The child needs adult support, the opportunity to build a secure relationship with an adult, stimulate development of self-confidence. The child has difficulty in organizing his leisure time. Lately has started to attend hammer throwing lessons. By paying undivided attention and positively motivating the boy, it is possible to discipline him. The boy needs an individual approach, regular monitoring of adults. Taking into account the child's individual characteristics, the most appropriate is authoritative parenting style that includes consistency, firmness, and at the same time also sincerity and emotional support. The boy wants to live in a family, in case of adoption agrees to the separation of the half-brothers;
  • the child was born to a 19 years old mother from her 1st pregnancy, in 1st delivery, with weight of 3550g, and height 53 cm. The mother during the pregnancy was in doctor’s surveillance;
  • the child has been treated in a hospital:
–    13.11.2003. – 19.11.2003. – children’s eczema;
–    29.12.2003. – 31.12.2003. – children’s eczema. Atopic dermatitis;
–    11.04.2004. – 17.04.2004. – acute gastroenteritis. Rotavirus. Reactive hepatitis. Thymus hyperplasia;
–    03.05.2004. – 08.05.2004. – atopic dermatitis. Thymus hyperplasia;
–    01.09.2004. – 06.09.2004. – atopic dermatitis. Streptodermia. Cow’s milk intolerance;
–    11.11.2006. – 22.11.2006. – right side pneumonia. Herpes. Allergic rhinitis;
–    20.03.2008. – 27.03.2008. – bronchial asthma, exogenic form, severe, exacerbation period;
–    08.04.2014. – right hand third finger phalanges fracture;
  • the child has been consulted by traumatologist (24.11.2015.) – left hand first finger injury;
  • further necessary treatment – consultations with psychologist and psychotherapist;
  • the boy has participated in hosting programs in the USA;
  • by a court verdict the mother was deprived of custody rights in November 2015, the father deceased in July 2008. The child was taken out of the biological family due to regular alcohol consumption by adults, their aggressive behavior, long-term negligence of children, physical and emotional abuse towards children, and children’s co-addiction of mother’s alcoholism. The boy has received psychologist’s consultations in support centre. Currently the boy communicates via Internet with the father of his half-brother and sometimes he contacts his mother. The mother has not contacted the foster family to inquire about the boy. There are no relatives who have expressed a wish to take care of the boy. The foster family does not wish to adopt the boy;
  • the boy had one younger sister, who deceased. The boy has 2 younger maternal half-brothers, who reside in a different foster family. Orphans’ Court has made decision on children separation in case of adoption.

11.     Girl, born on April 21, 2004, resides in a foster family since September 2014:
  • the girl has moderate mental development delay and epilepsy. The child
  • needs to be supervised at all times. With time she has more and more evident anger attacks, increases difficulty to get along with peers. The girl dislikes to study, she gets tired quickly and starts to cry. Increases frequency of epileptic seizures. Gets often angry and hits other children. She is able to behave better with the foster mother – she has no tantrums and she tries to learn a little bit. However, there are complaints from school every day, because the girl tries to avoid lessons, she is spiteful, cries, gets angry and disagrees with other children. Finds it difficult to communicate with strangers. Very quickly gets tired of everything. The girl is well adjusted to the foster family, she often talks about her brothers and sisters, whom she meets sometimes, but she never mentions her mother. The girl has no opinion on adoption, because she does not understand it;
  • the girl was born to a 33 years old mother from her 5th pregnancy, in her 4th delivery, with weight of 3800 g and height 53 cm. The mother was not under doctor’s surveillance during the pregnancy. The child’s diagnoses – chronic intrauterine hypoxia, intranatal asphyxia;
  • the child started to sit at the age of 9 months, to walk independently and talk at the age of 1 year and 11 months, first teeth at the age of 10 months;
  • the child has been consulted by:
–    ENT (26.05.2010.) – adenoids;
–    oculist (25.11.2011.) – glasses for constant use;
–    neurologist (14.09.2010.; 06.09.2011.) – alcohol fetopathie. Epilepsy. Mental development delay;
–    Echo cardiologist (18.01.2005.) – healthy;
–    psychiatrist (16.05.2012.) – mild mental development delay;
–    electroencephalogram (25.07.2011.; 10.09.2012.) – epileptic form paroxysmal activity;
–    neurologist (09.10.2015.) – alcohol fetopathie. Mental development delay. Epilepsy;
  • final diagnosis – mental development delay. Epilepsy;
  • the child has a disability status;
  • further necessary treatment – therapy prescribed by a neurologist (Lamictal 50x2, Depakini 500x2);
  • by a court verdict the mother was deprived of custody rights in September 2015, paternity has not been stated. The mother could not provide adequate care and supervision of the children. The living conditions were unfavourable for young children’s growth and development – poor and unsanitary. The girl has not met her parents, they have not phoned her. The foster family does not wish to adopt the girl;
  • the girl has 1 major half-brother. She also has 1 older minor half-brother and 1 younger half-sister, who reside in a different foster family and 1 younger half-brother, who reside in another foster family. Orphans’ Court has made decision on children separation in case of adoption.

12.    Not adoptable currently
         Girl, born on October 11, 2003, resides in foster care since July 2012, currently is in crisis centre since June 2016:
  • the girl has blue eyes and brown hair. She is diligent. Previously she studied in specialized boarding school, but since May 2015 the girl successfully studies in regular elementary school, she is able to study according to regular curriculum, except mathematics, which she studies according to specialized curriculum. The girl has pedagogical negligence. The girl is kind-hearted, she is able to take care of brothers and sisters. The girl needs a family who could devote her undivided attention and love, listen to her, promote education and value her achievements, who is able to positively discipline the child. The girl wants to live in a family, she agrees to be separated from her siblings in case of adoption;
  • the child was born to a 34 years old mother. There is no data on pregnancy and birth of the child;
  • final diagnosis – practically healthy;
  • by a court verdict the mother was deprived of custody rights in March 2014, paternity has not been stated. The mother consumed alcohol on regular basis, the child was neglected. Parents had negligent attitude towards child care, resulting in endangering children's safety, health, development and life. The mother was emotionally violent towards the child, the family was regularly drinking alcohol, there were strangers at home, and frequent scandals. The mother has repeatedly been treated for alcohol addiction, but unsuccessfully. The mother did not visit the child in a foster family, but the last foster family organized a meeting with the mother once a month. The girl’s relatives have not expressed a desire to take care of the girl. On June 3, 2016 the girl was removed from the last foster family and placed in a crisis centre due to suspicions of violent upbringing methods in a foster family;
  • the girl has 3 major half-sisters and 1 half-brother. She also has 1 older minor half-sister, who resided in the same foster family, and 1 younger half-brother, who resides in a different foster family. Orphans’ Court has made decision on children separation in case of adoption.

13.    Boy, born on September 25, 2010, resides in a foster family since July 2014. Foster parents don`t want to adopt the child:
  • boy has brown eyes and brown hair. The boy is sincere, very helpful, gentle, communicative and open. He has good contact with children of all ages, he is kind to babies and friendly with peers, can play both together with other children and alone. The boy is rather docile than leader, can`t defend himself, searches for help from adults. He can be dependent, show helplessness, wants to give up quickly and doesn`t want to try to learn. In such moments he can be overly emotional and crying. The boy can forget things easily and confuse. He is very faithful and naive, he trusts strangers too much – gives hand and talks without any suspicion. His mathematical thinking is well developed, he likes constructors, Lego, puzzles, he can put together puzzles for 8-9 years old children. He likes to draw with gouache colors, to create from plasticine. He is musical and he has excellent sense of rhythm. Although his health situation imposes some limits, he likes sports activities, to drive a bike, to run and swim, to bounce on the trampoline. The boy has mild language development delay, it`s hard for him to construct sentences, he mixes up genders, he has difficulties to remember colors. In 2014 when he started to live in a foster family, the boy was very dependent, showed helplessness, wanted to give up fast, became whiny, wheeping. In the last two years the boy has really changed, he likes to learn something new, doesn`t give up so fast, has become emotionally balanced;
  • child was born to a 19 years old mother, from her 1st pregnancy, in the 1st delivery, with a weight of 3240g, height – 52 cm, the child was evaluated 8/9/9 by Apgar’s score;
  • child has been treated in a hospital:
–    06.2012. – miliary pulmonary tuberculosis;
–    01.01.2014. – 10.01.2014. – pneumonia of the left side. Acute gastroenteritis. B20 (Human immunodeficiency virus [HIV] disease resulting in infectious and parasitic diseases) induced thrombocytopenia;
–    31.01.2014. – 05.02.2014. – pleural tonsillitis. B20 (Human immunodeficiency virus [HIV] disease resulting in infectious and parasitic diseases) induced thrombocytopenia. Acute nasopharyngitis. Acute bronchitis. Dermatitis;
–    06.04.2014. – 11.04.2014. – B20 (Human immunodeficiency virus [HIV] disease resulting in infectious and parasitic diseases) induced thrombocytopenia. Conjunctivitis. Influenza A;
  • child has been consulted by:
–    surgeon (27.05.2015.) – surgically healthy;
–    speech therapist (03.06.2015.) – language development delay;
–    dermatovenerologist (22.07.2015.) – follicular hyperkeratosis;
–    neurologist (23.07.2015.) – language development delay;
–    oculist (03.08.2015.) – Vod 1.0/Vos 1.0. Oculi ou is not identified. Control after 6 months;
–    pediatrician (04.08.2015.) – cor-tones are clear and rhythmical;
–    ENT (06.08.2015.) – healthy;
  • boy has received such prophylactic vaccinations corresponding his age:
–    BCG 0,5 ml (30.09.2010.);
–    Hexacima, Synflorix (02.06.2015.);
–    Hexacima, Synflorix (04.08.2015.);
  • laboratory tests made for:
–    HIV-RNS (05.07.2012.) – 3.58 E6 kop/ml;
–    HIV-RNS (07.01.2014.) – 1.87 E2 kop/ml;
–    HIV-RNS (02.2015.) – undetectable;
–    HIV-RNS (23.02.2016.) – undetectable;
–    CD4 cell count (05.07.2012.) – 325;
–    CD4 cell count (07.01.2014.) – 946 – 28%;
–    CD4 cell count (2015.) – 1276 – 32%;
–    CD4 cell count (2016.) – 1276 – 32%;
  • final diagnosis – B20 (Human immunodeficiency virus [HIV] disease resulting in infectious and parasitic diseases). B20 induced severe thrombocytopenia (in norm now). B23.8 (HIV disease resulting in other specified conditions). Miliary pulmonary tuberculosis (treated). Carious teeth (partly fixed on fall 2015). The disability has been stated in September 2014;
  • further necessary treatment – infectologist and oculist control;
  • by a court verdict the mother was deprived of custody rights in July 2015, paternity is not stated. The boy was in life and health threatening conditions, the parents didn`t ensure the boy`s development and treatment needs. The parents or other relatives have not been interested in the child in the last two years. The boy has warm and friendly relationships with the foster family, but the foster family won`t adopt the boy. The foster mother has talked with the boy about adoption, he takes it all calmly, even waits for it, understands the possible changes that he could live in another country together with parents that speaks another language. The boy would be happy if there would be also other children in the family. The boy has never had a father, he becomes attached to men, that`s why foster mother holds a view that it would be great if the boy would have a family where are both parents;
  • boy has one younger maternal half-sister who is under guardianship. The boy has never met his sister. A decision of Orphans’ Court on separation of the children in case of adoption has been made.

14.    Boy, born on August 4, 2005, resides in an out-of-family care institution since September 2009:
  • boy has greyish-blue eyes and dark hair. The boy graduated 3rd class in a boarding school, specialized program for children with severe mental retardation. He is good-natured, active, can`t sit still for long. In lessons he shows interest, take a part willingly. His language is poorly developed, he has a small vocabulary, speaks in short sentences. He pronounces the words and phrases he has heard, understands what somebody tells him in everyday situations but he can`t answer. Recognizes and reacts to his name. Eats from spoon un drinks from a cup independently. Can dress up independently when the staff controls it. Walks without assistance. Needs assistance in personal hygiene, uses diaper. The boy knows colors, can count. He likes to play with soft toys. Sings with joy if he is in the mood. The boy is calm, curious and impatient. He has good contact with other children – he is friendly, active and helpful. His self-care skills are partially developed. Overall development doesn`t correspond to his age. The boy has severe disorders in the intellectual sphere and in speech but he always wants to learn something new. He does simple daily works with joy and can get angry if someone disturbs him. He likes to work alone but recently he has started to work together with his classmates, learns from them. In the lessons he is disciplined, with positive attitude. The best results he has in mathematics. He has shown positive development in the dynamics, learned many new skills in the school that should be developed in the future;
  • child was born to a 39 years old mother, started to walk at the age of 5 years, to talk – at the age of 8 years and 5 months;
  • child has been treated in a hospital:
–    20.11.2009. – 01.12.2009. – acute pneumonia of the right side. Organic CNS damage. Dandy-Walker syndrome;
–    19.04.2011. – 21.04.2011. – severe anemia. Dandy-Walker syndrome. Severe mental retardation. Protein-energy malnutrition;
–    06.02.2012. – 13.02.2012. – acute gastroenteritis.  Moderate pace;
  • child has been consulted by:
–    dentist (03.06.2014.) – pathological occlusion;
–    pediatrician (07.10.2014.) - protein-energy malnutrition. Physical and mental retardation;
–    dermatovenerologist (15.10.2014.) – atopic dermatitis;
–    oculist (30.10.2014.) – optic nerve atrophy, partial ptosis;
–    psychiatrist (12.11.2014.) – severe mental retardation with behavioral disorders, autism type;
–    neurologist (21.11.2014.) – Dendy-Walker syndrome. Severe mental retardation with behavioral disorders;
  • boy has received all prophylactic vaccinations corresponding his age;
  • final diagnosis – antenatal CNS damage. Dendy-Walker syndrome. Severe mental retardation with behavioral disorders. Atopic dermatitis. Optic nerve atrophy. Protein-energy malnutrition. Malabsorption syndrome. Physical development disorders. Coordination of balance, corset of muscles and posture disorders. The disability has been stated in December 2014;
  • further necessary treatment – pediatrician and psychiatrist control, dermatologist and neurologist consultations if needed. Psychiatrist designated medical therapy is not needed at the moment;
  • by a court verdict the parents were deprived of custody rights in July 2015. The parents didn`t provide the boy with care that could endanger the boy`s health and safety, they have an alcohol addiction. The parents have visited the boy several times – twice in 2009, 3 times in 2010, once in 2011, once in 2011. The calls and are interested in boy. Other relatives haven`t shown any interest in the boy;
  • boy has 1 major paternal half-sister, 1 major maternal half-brother and 1 major maternal half-sister.

15.    Girl, born on February 8, 2009, resides in an out-of-family institution since December 2010:
  • girl has blue eyes and dark hair. She attends specialized boarding school, program for children with mental development disorders. Girl has good self-care skills – she washes and wipes hands, face, cleans teeth, can eat and drink independently, can dress without adults` assistance. Puts her clothes in order, tries to make up her bed, goes to the toilet independently. Learns mathematical figures gradually, distinguish colors. She likes to learn and say poems by heart, to play motion games, to dance to music, to sing. She is active and performs in measures, but can be shy sometimes if there are strangers near. She speaks in sentences, answers to questions, can work in pair and group, plays with other children. She is friendly, helpful, but when she wants to be a leader she can be intolerant. The girl can be irritable, can`t control her emotions often, stubborn – can be silent for a long time. She has unsustainable attention and low concentration skills, finishes the task if it is interesting for her;
  • girl has have such illnesses: acute obstructive bronchitis, respiratory insufficiency, acute respiratory viral infection, acute nasopharyngitis, acute otitis of the right side, tracheobronchitis, laryngotracheitis, hyperthermia, pyoderma, influenza;
  • child has been treated in a hospital:
–    06.05.2011. – 13.05.2011. – acute obstructive bronchitis;
–    10.12.2011. – 21.12.2011. – acute obstructive bronchitis;
–    30.01.2012. – 07.02.2012. – acute obstructive bronchitis;
–    14.05.2012. – 21.05.2012. – acute bronchitis, acute nasopharyngitis;
–    14.03.2013. – 22.03.2013. – acute nasopharyngitis, acute otitis of the right side;
–    16.09.2013. – 24.09.2013. – acute nasopharyngitis, acute bronchitis;
–    15.05.2014. – 20.05.2014. – acute bronchitis;
  • child has been consulted by:
–    pediatrician (09.07.2014.) – physical retardation;
–    pediatrician (29.07.2014.) – physical retardation, often been ill child, weight deficit;
–    pediatrician (19.09.2014.) – F70.0 (mild mental retardation);
–    pediatrician (10.11.2014.) – pioderma;
–    pediatrician (22.01.2015.) – influenza;
  • girl has received all prophylactic vaccinations corresponding her age;
  • laboratory tests made for:
–    SED (09.07.2014.) – negative;
–    HBsAg (10.07.2014.) – negative;
–    HIV ½ (11.07.2014.) – negative;
  • final diagnosis – physical retardation. Weight deficit (BMI <5). Often been ill child. F70.0 (Mild mental retardation);
  • by a court verdict the parents were deprived of custody rights in April 2014. The parents couldn`t provide safe environment and all the necessary for the girl`s development, they used alcohol. The mother has visited the girl twice in the out-of-family care institution;
  • girl has 1 younger brother who resides in different out-of-family care institution. A decision of Orphans’ Court on separation of the children in case of adoption has been made.

16.     2 siblings, adoptable together or separately: the oldest half-sister, born on October 9, 2006, the youngest half-sister, born on October 10, 2008. Included repeatedly due to separation from their sister. Reside in an out-of-family care institution since June 2012:
  • the oldest half-sister has blue eyes and brown hair. The girl is friendly, sincere, communicative, it`s possible to reach an agreement with her. She likes to play, sing and dance. She graduated 2nd grade in a specialized school, her results at school are average. She has close emotional tie with her siblings, who reside in the same orphanage;
  • child was born to a 31 years old mother, from her 5th pregnancy, in her 4th delivery, with weight of 3900g and height 54cm. The mother was monitored by a doctor during the pregnancy;
  • child started to sit at the age of 8 months and to walk at the age of 1 year and 5 months;
  • child has been treated in a hospital:
–    06.09.2012. – 15.10.2012. – F70.1 (mild mental retardation, significant impairment of behavior requiring attention or treatment), F80.8 (other developmental disorders of speech and language), F98.0 (nonorganic enuresis) – episodes;
–    05.11.2013. – 12.11.2013. – acute respiratory viral infection. Acute maxillary sinusitis;
–    08.10.2014. – 14.10.2014. – acute respiratory viral infection. Acute rhinosinusitis. Functional gastrointestinal disorders;
–    29.04.2014. – 11.06.2014. – F70.0 (mild mental retardation, with the statement of no, or minimal, impairment of behavior), F80.8 (other developmental disorders of speech and language);
  • child has been consulted by:
–    ENT (06.07.2012.) – without pathology;
–    speech therapist (14.09.2012.) – language underdevelopment. Dyslalia. Skills and information does not correspond to age;
–    allergist (05.11.2013.) – chronic rhinitis. No objective data on allergies;
–    oculist (05.11.2013.) – without pathology;
–    neurologist (10.01.2014.) – mental development disorder. Organic emotional lability. Behavior disorders;
–    phtysiatrist (04.04.2014.) – without pathology;
–    surgeon (06.03.2015.) – proportional;
–    dermatovenereologist (06.03.2015.) – skin is clean;
–    pediatrician (06.03.2015.) – no somatic illnesses;
  • girl has received all prophylactic vaccinations corresponding her age;
  • final diagnosis – F70.1 (mild mental retardation, significant impairment of behavior requiring attention or treatment), F80.8 (other developmental disorders of speech and language), F98.0 (nonorganic enuresis);
  • further necessary treatment – psychiatrist consultation and control in dynamics. Speech therapy;
  • the youngest half-sister has blue eyes and light brown hair. The girl is friendly and sweet. She also attends a specialized school like her half-sister;
  • child was born to a 33 years old mother, from her 6th pregnancy, in her 5th delivery, with weight of 3000g and height 50 cm. The mother was monitored by a doctor during the pregnancy;
  • child started to sit at the age of 1 year and 3 months, to crawl and walk independently at the age of 1 year and 5 months, first teeth came out at the age of 7 months. At the age of 1 year the girl was tearful, placed her hands on her head and tucked and intersected feet under herself;
  • child has been treated in a hospital:
–    17.05.2010. – 21.05.2010. – early organic central nervous system damage. Psychomotor development delay. Language development tempo delay;
–    06.09.2012. – 15.10.2012. – F70.0 (mild mental retardation, with the statement of no, or minimal, impairment of behavior), F81.3 (mixed disorder of scholastic skills), F98.0 (nonorganic enuresis), Z62.2 (institutional upbringing), Z81.1 (family history of alcohol abuse in anamnesis);
–    22.11.2012. – 27.11.2012. – acute respiratory viral infection. Acute maxillary sinusitis;
–    29.04.2014. – 11.06.2014. – F70.0 (mild mental retardation, with the statement of no, or minimal, impairment of behavior), F80.8 (other developmental disorders of speech and language);
  • child has been consulted by:
–    allergist (05.11.2013.) – chronic rhinitis. No objective data on allergies;
–    neurologist    (10.01.2014.) – mental development disorders. Stereotypia. Sound pronunciation disorders;
–    phtisiatrist (04.04.2014.) – without pathology;
–    oculist (28.08.2014.) – H52.0 (hypermetropia);
–    speech therapist (06.03.2015.) – does not pronounce all sounds clearly;
–    surgeon (06.03.2015.) – proportional;
–    dermatovenereologist (06.03.2015.) – skin is clean;
–    ENT (06.03.2015.) – practically healthy;
–    pediatrician (06.03.2015.) – no somatic illnesses;
  • girl has received all prophylactic vaccinations corresponding her age;
  • final diagnosis – F70.0 (mild mental retardation, with the statement of no, or minimal, impairment of behavior), F80.8 (other developmental disorders of speech and language), H52.0 (hypermetropia). Currently the question of disability for the girl is viewed;
  • further necessary treatment – psychiatrist consultation and control in dynamics. Speech therapy. Oculist consultation and control in dynamics;
  • by a court verdict the parents were deprived of custody rights in February  2015. The parents have alcohol abuse problems, they couldn`t provide appropriate environment for children`s safety and development. The girls received psychologist consultations in the out-of-family care institution;
  • the Orphans` Court has issued a permit for mother to visit the girls and take them home for the holidays. She uses the permit, visits the girls once or twice a month, once the mother took the girls home for the holidays. The girls are happy when the mother visits them. A year ago the mother submitted a petition to the Orphans` Court to regain custody rights, but changed her mind and recalled it the next day. Mother`s sister also expressed a wish to become the girls` guardian, but changed her mind after she met the girls. The Orphans` Court holds a view that the mother`s custody rights won`t be regained because she has alcohol abuse problems and she can`t provide care for the girls;
  • girls have been in a hosting program in the USA. The youngest sister was relocated to another host family during the hosting because of behavior problems. The oldest sister had good contact with the host family but after the hosting the host family didn`t show any interest in hosting the girl repeatedly or starting the adoption process;
  • siblings have (for oldest half-sister – half-brothers/ half-sisters) one major sister, one older minor sister, one older minor brother, who are in the guardianship, one younger minor brother, who is in the care of the mother, and one younger minor sister, who resides in the same out-of-family care institution and with whom the girls have close emotional bond. A decision of Orphans’ Court on separation of the children in case of adoption has been made.

17.    Boy, born on August 1, 2011, resides in an out-of-family care institution since May 2012:
  • boy has brown eyes and dark brown hair. He is joyful, communicative, understands the everyday situations. Differentiates persons and calls them by their names. Accepts all kind of activities, wants individual attention. He has a small vocabulary, unsustainable attention. Positive and active in communication. His gait is stable, he eats and drinks independently. Is interested in what is happening around him – in things and environment. Boy`s reactions are stereotypic but there are positive features in the development of the boy;
  • child was born to a 26 years old mother, in the 4th delivery. From September 2011 – tracheostomy;
  • child started to sit at the age of 18 months, to crawl – at the age of 16 months, to walk independently – at the age of 2 years, to talk – at the age of 1 year and 7 months, first teeth – at the age of 11 months;
  • child has been treated in a hospital:
–    02.08.2011. – 09.05.2011. – central clinical hypoventilation syndrome. State after thoracotomy of the right side. Plastic of the diaphragm dome in August 2011. Mutual inguinal hernia operation in November 2011. Tracheostomy in September 2011. Arahnoidian cerebellopontine angle cyst of the left side. Mutual hydroureteronephrosis transformation. Gastroesophageal reflux disease;
–    15.07.2012. – 23.07.2012. – permeability disorders of tracheostomy. Bronchial drainage disorders;
–    25.07.2012. – 15.08.2012. – acute bronchitis. Increased renin levels;
  • child has been consulted by:
–    oculist (09.05.2014.) – heterotropia. Hypermetropia;
–    neurologist – anoxic brain damage, not elsewhere classified (G93.1). Perinatal CNS damage, aftereffects of hypoxia. Other childhood emotional disorders (F93.8). Emotional lability;
–    abdominal MRI (10.08.2012.) – no indications of focal pathological process in kidneys. Non-specific varicose lymph nodes on the right side of abdomincal cavity;
–    gastroenterologist (14.04.2014.) – gastroesophageal reflux disease;
–    allergist (15.04.2014.) – secondary bronchial drainage disorders;
–    endocrinologist (12.09.2015.) – marked vegetative reaction with marked paroxysmal sleep;
–    speech therapist (20.10.2015.) – language development delay;
–    pediatrician (21.10.2015.) – vegetative disorders in sleep. Tracheostomy;
  • laboratory tests made for:
–    HIV ½ for the mother – negative;
–    SED for the mother – negative;
  • final diagnosis – vegetative disorders in sleep. Other childhood emotional disorders (F93.8). Anoxic brain damage, not elsewhere classified (G93.1), aftereffects of perinatal hypoxia. Tracheostomy. Attention to tracheostomy (Z43.0). Protein energy malnutrition. Language development delay. The disability has been stated;
  • further necessary treatment – at nights boy uses artificial lung ventilation machine. In dynamics it could be used with pauses;
  • by a court verdict the mother was deprived of custody rights in October 2015, paternity is not stated. Mother couldn`t provide the care of the boy. She has visited the boy and called once since he resides in an out-of-family institution. She has very primitive requirements, doesn`t want to work, lives on benefits;
  • boy has one older minor half-brother, two older minor half-sisters and one younger minor half-brother, they are in the care of the mother. A decision of Orphans’ Court on separation of the children in case of adoption has been made.

18.    Girl, born on April 10, 2010, resides in the current foster family since March 2013, before that the girl has resided in an out-of-family care institution and two different foster families. Foster parents don`t want to adopt the child:
  • girl has dark brown eyes and dark hair. She sings very beautifully, it is desirable to develop her musical talent. The child requires individual attention because of her diagnose – “S-shaped” scoliosis. In the foster family girl exercises every day;
  • child has been treated in a hospital:
–    21.12.2011. – 03.01.2012. – pneumonia of the right and the left side. Acute rhinitis. Psycho-motor development delay. Protein energy malnutrition, stage I. Mild persisting bronchial asthma;
  • child has been consulted by:
–    ENT (17.12.2014.) – ENT organs in norm;
–    oculist (17.12.2014.) – V=0,6/0,6. Healthy;
–    neurologist (15.12.2014.) – language development delay. Psycho-motor development delay;
–    speech therapist – language system insufficient development, stage II-III;
–    surgeon (17.12.2014.) – healthy;
–    dermatovenerologist (17.12.2014.) – healthy;
–    pediatrician (18.12.2014.) – mild persisting bronchial asthma, remission. Psycho-motor development delay. Language system insufficient development, stage II-III;
–    radiologist (21.10.2015.) – “S-shaped” scoliosis of spine-chest-waist;
–    children surgeon (21.10.2015.) – “S-shaped” scoliosis, stage II-III;
–    children neurologist (22.10.2015.) – “S-shaped” scoliosis;
  • laboratory tests made for:
–    HBsAg (24.10.2014.) – negative;
–    HIV ½ (24.10.2014.) – negative;
–    SD (24.10.2014.) – negative;
  • final diagnosis – mild persisting bronchial asthma, remission. Psycho-motor development delay. Language system insufficient development, stage II-III;
  • further necessary treatment – speech therapist, neuropathist (and pulmonologist if necessary) surveillance. Rehabilitologist, neurologist and orthopaedist consultations, rehabilitation;
  • foster mother informs that in reality girl has never had bronchial asthma. Asthma was suspected because the girl fell to the ground and breathed heavily but it was just a way how the girl asked for more attention. She requires individual attention – communicates well with other children but can be jealous. In the beginning the girl out of spite could even pee and poo in her trousers to get more attention. She has posture disorders, it is necessary to wear a corset, to have a rehabilitation course, physiotherapy, to exercise and work with the girl every day, also at home. Physically the girl doesn`t feel any pain, only visually may notice that she has slightly wry posture – the right shoulder goes up, right foot – forward, she limps a little bit. No one knows the reason why the scoliosis started to develop. It`s also necessary to use D vitamin;
  • foster parents don`t want to adopt the girl or be her guardians but is against foreign adoption;
  • by a court verdict the parents were deprived of custody rights in April 2014. Parents couldn`t provide the care and surveillance of the girl, often used alcohol, threw scandals. The father was physically and emotionally violent towards the mother. The mother has Roman nationality but the girl doesn`t look as the typical Roman;
  • girl has one older minor sister and one older minor brother who reside in an out-of-family care institution and don`t want to be adopted, one older minor sister un one older minor brother who reside in a different foster family, one younger half-brother who resides in an out-of-family care institution and one younger half-brother who is in the care of the mother. The Orphans’ Court has made a decision on children separation in case of adoption.

19.     Boy, born on February  2006, resides in an out-of-family care institution since December 2013:
  • boy has brown eyes and dark brown hair. He graduated the second grade, school results are good and medium, sometimes he has low motivation to learn, and when he`s studying he needs adults` help. The boy likes sports, especially football, also he likes to draw, make puzzles, play with toy-cars and robots. It`s difficult to make contact with the boy, he finds it difficult to trust others, is cautious in conversations. He tries to make a good impression, but manipulates with adults, and sometimes he has difficulties to comply with the rules, to control his emotions, to understand the humor, he gets angry quickly, sometimes can use bad language, yell, throw things in the air. Because of these behavioral problems he uses medicine prescribed by psychiatrist. It is difficult for him to talk about his emotions. The boy likes an individual attention, may get angry if he doesn`t get it. He can be inadequate and tell strange things at times. Sometimes has been observed sexualized behavior. Otherwise he can be very sweet. If there would be a family that would like to adopt the boy, he would try to be helpful, lovable and nice. The adopters should take into consideration that the boy requires special attention and support. It`s important that there would be both parents in the family and no other children, because the boy needs all the attention;
  • child was born to a 22 years old mother, from her 1st pregnancy, in the 1st delivery, with a weight of 3010 g and height 52 cm;
  • boy has been treated in a hospital:
–    14.10.2013. – 21.10.2013. – growth hormone deficiency. Hypovitaminosis D3;
–    19.12.2013. – 19.12.2013. – growth hormone deficiency. Isolated microscopic hematuria;
–    March 2016 – psycho-neurological hospital. Diagnose – Other conduct disorders (F91.8). Conclusion of the psychologist – reduced attention processes (concentration difficulties, instability), demoted mechanical processes of temporary memory, saved processes of visual memory, mild errors of organic character. General intelligence is low. Features of emotional lability and instability (a tendency to impulsive activities and inconsiderate action);
  • boy has been consulted by:
–    endocrinologist (19.12.2013.) – growth hormone deficiency;
–    ophthalmologist (15.10.2014.) – pathological changes are not observed;
–    pediatrician (03.03.2015.) –  somatically healthy;
  • boy has received all the prophylactic vaccinations corresponding his age;
  • final diagnosis – somatically healthy. F91.8 (Other conduct disorders);
  • by a court verdict the mother was deprived of the custody rights in September 2015, paternity is not stated. The mother was in custody (till 2013), the boy was neglected. The mother doesn`t show any interest in the boy. From May 2010 till May 2013 the boy was in guardianship, guardian failed to fulfil her duties. From June till December 2013 the boy resided in a Social care and rehabilitation center, from December 2013 he resides in an out-of-family care institution;
  • in last summer the boy participated in a hosting program in France, speaks good in French, this year he won`t participate in the hosting program;
  • boy has younger maternal half-brother and half-sister who reside in other out-of-family care institution. The Orphans’ Court has made a decision on children separation in case of adoption.

20.    Boy, born on June 18, 2012. Included repeatedly due to health improvements, resides in an out-of-family care institution since September 2012, in the current out-of-family care institution since February 2013:
  • 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. Information from the pediatrician (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, teeth – 8/8.
  • Information from the pediatrician (2016) – many positive features in the child`s development – adequate interest in new impressions. Situations which he is facing comments in short sentences. When the boy is in a collective he quickly gets emotionally tired. He calls his teachers by their names, greets them. The boy needs individual activities and rapt attention. Eats independently, brushes his teeth, knows norms of hygiene, goes to potty independently. Somatically stable;
  • 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. Cycloplegia +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;
–    neurologist (10.03.2016.) – Other specified disorders of brain (G93.8). Post-traumatic CNS damage. In anamnesis – shaken baby syndrome. Periodically observed episodes of psycho-emotional irritation. Receives therapy that calms him down;
  • final 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 no siblings.

21.    Boy, born on October 23, 2011. Included repeatedly due to health improvements. Resides in an out-of-family institution since April 2012, in the current out-of-family institution since February 2013:
  • boy has blue eyes and brown hair. The boy is motivated to grasp toys, but child’s reactions are delayed. Child is being fed by a spoon, eats slowly, because his tongue gets tensed. At the age of 1 year and 4 months child moves by holding to a bassinet and furniture, crawls, searches for toys.
  • Information from pediatrician (2016) – there is a progress in the dynamics of development of the child. The boy is emotionally positive. He contacts well, likes to communicate both adults and children. If communication is interrupted he reacts adequately. Without repeated urging refers to his name, complies with requests. The boy is active and motivated in all the activities. He is dexterous in games with a ball, has permanent interest in toys. Falls asleep and sleeps well, eats independently. Learns standards of hygiene, doesn`t tell when he wants to go to the potty yet. His speech is active, forms sentences from 2-3 words;
  • child was born to a 34 years old mother, from her 3rd pregnancy, in the 2nd delivery, with a weight of 2625 g and height – 48 cm;
  • child started to sit and to crawl at the age of 12 months, to talk at the age of 1 year and 4 months, first teeth at the age of 8 months;
  • child has been consulted by:
–    nephrologist (04.12.2015.) – horseshoe kidney;
  • final diagnosis (2013) – multiple disembriogenetic stigmas, muscle dystonia syndrome. Functional deformity of I finger to both hands. Crooked neck. Heart rhythm disorders. Horseshoe kidney. Astigmatism hypermetropic;
  • final diagnosis (2016) – a small body (receives growth hormone). Horseshoe kidney. Urine analysis without deviation from norm. Astigmatism. Hypermetropia. Other specified disorders of brain (G93.8). Hypogenesis of the Corpus callosum. Language development delay. Small disorders of right and left-front bundle branch of His – in ECG – without restrictions;
  • further necessary treatment – sessions by a speech therapist and physiotherapist. Glasses;
  • the mother of the child has given a consent for child’s adoption in February 2013, paternity has not been stated. The mother protractedly consumed alcohol, she got treatment in a psycho-neurologic hospital, she was aggressive and endangered the health and safety of herself and the child. No one has shown any interest about the child;
  • child has 1 older minor brother, who is under the guardianship. The decision of Orphans’ Court on separation of the children in case of adoption has been made.

22.   Adopted

23.     Girl, born on February 8, 2011. Included repeatedly due to health improvements, resides in an out-of-family care institution since March 2011:
  • girl has blue eyes and light hair. She is quiet, observant, she is interested in toys and what is happening around, walks by holding to the play pen, understands the words, but does not speak.
  • Information from the pediatrician (2016) – girl`s parents have normal intelligence. Development dynamic of the child is positive. She is open to contact, diligent, purposeful actions, has started to tell when she needs to go to the potty, choosy in the household situations. She has an understanding of language, repeats names, nazal pronunciation due to high vaulted palate. She pronounces 2 words a time, articulation apparatus is inert, she receives massages. The girl is hard-working. She has emotional expressions. Interested in animals. Stability of attention and concentration skills are good. Orients in room and plane. Differentiates shapes and colors. Active thinking is really improved (combined actions). She colors with pleasure. Rotation of palms renewed in the post-operation period due to syndactyly. D3 Hypovitaminosis – receives D3 vitamin (4 drops a day, protractedly). The girl has received immune prevention. Weight in January 2016 – 15g, height – 1m, 20 teeth;
  • child was born to the 23 years old mother, from her 1st pregnancy, in 1st delivery, with weight of 3840g, height 57 cm. Green amniotic fluid, at the Apgar score assessed by 6/7/8 points. Artificial lung ventilation, on the third day of life transferred to the hospital;
  • child has been consulted by:
–    oculist (2015) – hypermetropia. Control after 1 year;
–    rehabilitologist (2015) – tense foot aponeurosis. Therapy – foot massage, stretching of dorsal aponeurosis;
–    roentgenography for chest (13.04.2015.) – bronchial drainage disorders. Received therapy;
–    abdominal ultrasonoscopy (10.08.2015.) – without pathology;
–    allergist (26.08.2015.) – jaw pathology. Rhinopharyngitis in anamnesis;
–    neurologist (27.08.2015.) – positive development dynamics;
–    endocrinologist (04.09.2015.) – Apert syndrome, a small body, D3 Hypovitaminosis. Designated control of TSH (congenital hypothyreosis) and igF-1 (insulin-like growth factor-1);
–    cardiologist (10.12.2015.) – anatomically normal heart;
  • laboratory tests made for:
–    syphilis (08.04.2014.) – negative;
–    TSH (10.08.2015.) – in norm;
–    FT4 (10.08.2015.) – in norm;
  • final diagnosis (2012) – Apert syndrome. Multiple-suture craniosynostosis. Maxillary hypoplasia. Syndactyly (fingers grown together). The disability has been stated;
  • final diagnosis (2016) – Apert syndrome. Face dysmorphia. Prognathia – the mandible is positioned forward to the front compared to a normal position on the skull;
  • further necessary treatment – neurosurgeon monitoring, physiotherapy, speech therapy classes, massage;
  • in February 2012 the parents have agreed on child’s adoption in another family. The parents have surrendered due to the child’s medical state, the parents are unable to provide medical treatment for the child;
  • child has 1 younger sister who is in the care of her parents. The decision of Orphans’ Court on separation of the children in case of adoption has been made.

24.    In the process of adoption
Boy, born on February 19, 2011. Included repeatedly due to health improvements, resides in the current foster family since February 2013. Foster parents don`t want to adopt the child:
  • child has grey eyes and brown hair. The boy is quick-tempered, active, joyful, enjoys playing with Lego and drawing. He has speech delay. When the child was placed in a foster family, he sometimes used to fell down on the ground and he had poor behavior. Currently his behavior has seriously improved, the boy no longer falls down on the ground and cry. The boy needs undivided attention, it is recommended for him to be the only child in the family. When he is together with the foster mother he is obedient, wants all of her attention and love to be focused on him. Previously child was aggressive towards other children (younger half-brother and the girl in the foster family). He hit and bit them. Currently he gets along very well with particular girl. The boy did not develop sibling relationship with his younger half-brother. There were suspicions on possible hearing problems, but this information is false, the foster mother informs that the boy hears very well. He has nightmares in the night, the boy might start crying without even being awake, then the foster mother goes to him, puts her arm on him and the boy calms down. The boy has a language delay – says words, but does not form sentences. He has good language comprehension, understands everything. Attends speech therapist. Attends mainstream kindergarten and behaves well there, follows the taught material, educators have no objections to his work. The boy is willing to help doing different chores, goes to a potty, has no enuresis problems. Adoptive parents should take into account that the boy slowly opens to others, but once the boy has accepted person, then it is for real and lastingly – if he loves, then loves to his full potential. If, for example, the boy does not get the toy he wants, then he can fall down and scream, get hysterical, but with a little cuddling he gets calm. The boy is bland and friendly with others. Comparing to what the boy used to be when was just placed in the foster family, he bit and didn`t listen adults, but now the boy has greatly progressed in all areas. The physician of the boy informs that currently it is difficult to predict further development of the child in the future, possibly, by investing lots of efforts and love to improve the development of the child, there would not be any issues. The boy knows how to put puzzles on a tablet, he likes putting also ordinary puzzles, foster parents encourages the boy to draw to develop his small motor skills. The boy is very reasonable, recognizes digit 1, but if sees, for example, number 20, then knows that it is much more. Knows how does the cat, dog and cow says.
  • Information from the foster mother (2016) – boy is active, joyful, quick-tempered. He likes to play with Lego, to draw, to dance. He has speech development. The boy requires undivided attention, common games, ignores the requirements if someone forces him to do something. It`s preferable that the boy is the only child in the family. Child`s state of health is improving, there is a progress in the development. The last EEG confirms that the boy doesn`t have an epilepsy. The only delay is in the language development, boys needs speech therapist consultations and Montessori therapy;
  • child has been treated in a hospital:
–    02.05.2012. – 08.05.2012. – rotavirus gastro-enteritis. Anemia;
  • child has been consulted by:
–    ENT (20.06.2012.) – acute rhinitis. Hypoacusis (on question). Examining the hearing of the child at the hearing center, no hearing loss was found;
–    dermatovenerologist (20.06.2012.) – allergic dermatitis;
–    oculist (20.06.2012.) – hypermetropia;
–    oculist (29.03.2013.) – hypermetropia;
–    electro-cardiography (ECG) (09.2012.) – no pathology was found;
–    pediatrician (05.03.2013.) – practically healthy;
–    neurologist (01.10.2013.) – mental development delay (fetal alcohol syndrome), nightmares;
–    neurologist (23.05.2014.) – psychomotor development delay, epilepsy (partial seizures in sleep);
–    neurologist (06.11.2015.) – mental retardation;
–    neurologist (02.06.2016.) – other mixed disorders of conduct and emotions (F92.8). The boy doesn`t need medicine, vitamins recommended. Speech therapist consultations, sand therapy (psychologist);
–    electro-encephalogram (EEG) in sleep (19.01.2014.) – sleep EEG corresponds to age of the child. Unpronounced focal epileptiform activity in FC area bilaterally;
–    EEG in sleep (21.01.2016.) – basic rhythm doesn`t correspond to the age (is slower). Sleep structure is correct. Epileptiform activity is not observed;
–    speech therapist (01.2016.) – language development delay;
  • final diagnosis (2013) – lack of protein energy (small height), behavioral disorders. Mental development disorders. Fetal alcohol syndrome. Nightmares. Hypermetropia;
  • further necessary treatment (2013) – consultation of the neurologist and the oculist. For prophylactic purposes take Oxcarbazepine Teva 300ml  ½ pill in the evening. Encephabol;
  • final diagnosis (2016) – mental retardation. Other mixed disorders of conduct and emotions (F92.8);
  • further necessary treatment (2016) – the boy doesn`t need medicine, vitamins recommended. Speech therapist consultations, sand therapy (psychologist);
  • by a court verdict the mother was deprived of custody rights in March 2013, the father died in April 2012. Child was taken out of the family because of parental negligence, child was weakened and had low weight that didn`t correspond to his age. The mother had lack of skills and knowledge to take care of the child, she consumed alcohol, smoked. Since December 2012 the mother is in the register of addicts;
  • child has 1 older minor half-brother who is under the guardianship. The youngest half-brother is adopted. The decision of Orphans’ Court on separation of the children in case of adoption has been made.

25.     In the process of adoption
2 siblings, adoptable together: brother, born on January 27, 2009, and sister, born on May 4, 2010, reside in an out-of-family care institution since December 2013:
  • brother has greyish-blue eyes and light brown hair. Pedagogically medical commission has given an opinion that the boy needs special education preschool program, he attends specialized boarding school. Child has marked language disorders that negatively affects overall development. Speech disorders are in high level – affected pronunciation, small vocabulary, only particular sounds and syllables are understandable. Boy can become aggressive if adults don`t understand what he said – his requests and opinion. But in situations when specialists regularly and individually works with the boy, he tries to repeat syllables and words. Boy is physically well developed, he likes physical activities, constructors, Lego, puzzles. Boy can carefully and protractedly create from paper and cardboard, to color and write. He is interested in monotonous activities, can concentrate, is patient. Pencil, brush and crayon holds in hand correctly. Works with equipment he knows. Boy is quite independent, can dress and undress, take care of his hygiene. Helps to lay the table. Boy is emotionally attached to his sister, they help each other, communicate without words, take care of each other, help, can show tenderness, love and sympathy, boy worries about her;
  • child was born to a 18 years old mother, from her 1st pregnancy, in 1st delivery. First teeth at the age of 8 months;
  • child has been treated in a hospital:
–    17.09.2010. – 22.09.2010. – iron deficiency anaemia;
–    12.03.2013. – 15.03.2013. – influenza, moderate pace;
–    11.04.2013. – 18.04.2013. – influenza, moderate pace. Anaemia;
–    09.10.2013. – 14.10.2013. – multiple bites and hematomas on right eyelid, right cheek and upper lip;
–    20.11.2013. – 29.11.2013. – acute bronchitis. Respiratory insufficiency;
–    23.05.2014. – 30.05.2014. – acute bronchitis, acute nasopharyngitis, initial bronchial asthma;
–    02.06.2014. – 13.06.2014. – acute respiratory viral infection. Focal pneumonia of the right side;
–    15.09.2015. – 28.09.2015. – infectious mononucleosis. Mutual focal pneumonia. Atopic dermatitis;
  • child has been consulted by:
–    pulmonologist (14.09.2015.) – bronchial asthma. Allergic dermatitis;
–    oculist (18.09.2015.) – norm;
–    pediatrician (16.11.2015.) – bronchial asthma, controlled;
  • final diagnose – bronchial asthma, controlled. Atopic dermatitis. The disability has been stated in January 2015 on a basis of psychiatrist surveillance;
  • further necessary treatment – pulmonologist and children psychiatrist surveillance;
  • sister has greyish-blue eyes and light hair. She is physically well developed, active, moving, sociable, very sweet and kindhearted. Pedagogically medical commission has given an opinion that the girl needs special education preschool program, she attends specialized boarding school. Girl has marked language disorders that negatively affects overall development. If specialists regularly and individually works with the girl, progress of language development is observed. She tries to repeat words and syllables, at the moment vocabulary isn`t large but is enlarged. Girl is quite independent, can dress and undress, take care of her hygiene, helps to lay the table. She likes puzzles, can carefully and protractedly create from paper and cardboard, to color and construct. She is interested in monotonous activities, can concentrate, is patient. Pencil, brush and crayon holds in hand correctly, works with equipment she knows. Girl is emotionally attached to her brother, they take care of each other, help, can show tenderness, love and sympathy, she worries about him;
  • child was born to a 19 years old mother, from her 2nd pregnancy, in 2nd delivery, with a weight of 3080g, height 51 cm;
  • child has been treated in a hospital:
–    12.03.2013. – 15.03.2013. – influenza, moderate pace. Iron deficiency anaemia;
–    13.04.2013. – 18.04.2013. – influenza, moderate pace;
–    27.03.2014. – 03.04.2014. – acute respiratory viral infection, moderate pace. Pneumonia of the left side;
–    21.05.2014. – 30.05.2014. – acute bronchitis. Initial bronchial asthma;
–    02.06.2014. – 09.06.2014. – acute respiratory viral infection, moderate pace;
  • child has been consulted by:
–    ENT (03.06.2014.) – acute nasopharyngitis;
–    pulmonologist (03.07.2014., 25.09.2014.) – often been ill child. Bronchial asthma;
–    pediatrician (16.11.2015.) – bronchial asthma, atopic, controlled;
  • final diagnosis – bronchial asthma, controlled;
  • further necessary treatment – pulmonologist surveillance;
  • by a court verdict the mother was deprived of custody rights in October 2015, the father – in August 2015. Father had alcohol abuse problems, mother didn`t have understanding and knowledge about children care, there were unsanitary conditions at the place of residence. Children were in life and health threatening conditions;
  • apart from the mentioned siblings have one younger maternal half-brother who is in the pre-adoption care process and one younger maternal half-sister who is in a guardianship. The decision of Orphans’ Court on separation of the children in case of adoption has been made.

26.     3 brothers, adoptable together: the oldest brother, born on December 4, 2004, middle brother, born on April 30, 2009, and the youngest brother, born on December 3, 2010. Reside in a foster family since February 2013. Before then, resided in an out-of-family care institution from February 2012 till February 2013. Foster parents don`t want to adopt the boys:
  • information provided on the oldest brother in 2015 – he likes to dance, is interested in computer games. Results in school are average. Boy is shameless, spiteful, he has a tendency to lie, steal, he can`t control his emotions, takes his anger out on his brothers, beats them;
  • information provided in 2016 – boy graduated 4th grade this year. He is smart, can cope with school material but tends to be lazy. Boy has good communication with other children. Boy is generous, sensitive, worries about his brother, takes care of them but in moments of anger he releases anger on them. Boy likes to dance folk dances, helps in housework, he has his duties. In 2015 boy received rehabilitation due to  posture problems – in 2014 pediatrician had suspicion of kyphoscoliosis but specialists of rehabilitation center straightened out this suspicion – boy doesn`t have this diagnosis. Boy received physiotherapy, it was recommended to the boy to attend dance classes in order to improve his posture, since he received physiotherapy and dances he has no posture problems. Boy hasn`t have serious illnesses for the last time, he doesn`t have to use any medicine. After boy was placed in a foster family there was suspicion regarding violence in an out-of-family care institution (boy told that he has seen violence against other children), foster mother report with to Orphans` Court and police, these suspicion didn`t confirm. Boy received rehabilitation and consultations of psychologist;
  • child has been consulted by:
–    pediatrician (04.2014.) – kyphoscoliosis, II stage. Recommended rehabilitologist consultation, physiotherapy (received);
–    surgeon (09.2014.) – consultation due to a trauma;
–    ENT (06.2015.) – otitis;
–    speech therapist – speech corresponds to the age;
  • information provided on the middle brother in 2015 – boy is sweet, he needs individual attention. He likes more to communicate with adults then his peers. Boy likes to sing and dance. He can`t concentrate on one thing, his concentration skills are low;
  • information provided in 2016 – pedagogically medical commission has given an opinion that the boy needs to stay in a kindergarten for one more year, he isn`t ready for school yet. Boy likes to sing. He is man of moods – if he has good mood, he is sweet but if not then he can tear things, use bad language. Due to these tantrum boy has received psychologist consultations, in age of 5 he was in surveillance of psychiatrist but no medical problems were found. Boy received speech therapist consultation due to recommended treatment of nasal cavity, ultrasonography of urinary tract was carried out but no problems were diagnosed. Due to the boy`s behavior problems it`s planned to place his in surveillance of psychiatrist repeatedly to make sure that he has no psychiatric problems. Boy needs individual attention both at kindergarten and home, he can`t be left alone for a long time. Sometimes sexualized behavior has been observed (he can take off his trousers and walk naked in front of other people in order to attract more attention). Boy hasn`t have serious illnesses for the last time, he doesn`t have to use any medicine. After boy was placed in a foster family there was suspicion regarding violence in an out-of-family care institution (boy told that he has seen violence against other children), foster mother report with to Orphans` Court and police, these suspicion didn`t confirm. Boy received rehabilitation and consultations of psychologist;
  • child has been consulted by:
–    speech therapist – speech corresponds to the age;
–    pediatrician – often been ill child (cold usually);
  • information provided on the youngest brother in 2015 – boy is sweet, he likes to draw and sing, his behavior is good. His concentration skills are good, he likes to listen when someone reads him fairy-tales;
  • information provided in 2016 – two years ago boy was placed in a kindergarten, in a program for children with speech disorders because his speech was unintelligible and he couldn`t form sentences. There has been a great progress in his speech, he speaks distinctly and can form sentences, knows letters. Boy is kindhearted, helpful, he likes to help others. He likes sports, especially basketball and football. Boy hasn`t have serious illnesses for the last time, he doesn`t have to use any medicine;
  • child has been consulted by:
–    speech therapist – attends a class for children with speech disorders;
–    pediatrician (2015) – small psycho-motor development delay;
  • by a court verdict children parents were deprived of custody rights in October 2013. Parents didn`t provide care for the children. Parents are other relatives haven`t shown any interest in boys. Siblings have close emotional tie between them;
  • two oldest brothers have participated in a hosting program in the USA but they didn`t like there;
  • apart from the mentioned siblings have 1 younger maternal half-sister and 1 younger maternal half-brother who are in the care of the mother, children have never met. A decision of Orphans` Court on separation of the siblings and their half-sister in case of adoption has been made. The Orphans’ Court will make a decision on separation of children and their half-brother in case of adoption in the near future.

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, 2016.
Additionally we would like to inform that due to the fact that the information on the children is provided simultaneously to Accredited Bodies of several countries, additional information on the child or children will be provided after July 15, 2016 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




Strēle + 371 67782954
Klinklāva + 371 67021619
30.06.2016.
16-N/9344