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Sarāju, brīdinot par sodu nākamajā reizē

 17.07.2017. No. 33-2-02/432

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), provides information on adoptable children for whom families are being sought abroad:
 
 
1. Boy, born on November 20, 2013, resides in a foster family since June 2015, previously resided in an out-of-family care institution since February 2014, then in a foster family since April 2014, then was returned in the biological family since June 2014:
  • the boy has blue eyes and blonde hair. He is benevolent, likes to be in the focus of attention, he builds contact with ease. The boy likes to play with toys. He is spiteful, requires elevated supervision, cannot eat or drink independently. He still does not walk and talk;
  • adopters should take into consideration that the boy may choke with  food, if it is of hard consistence. The boy has severe health problems, he cannot get off a sofa independently and may fall, he needs constant supervision and needs to be strapped in a pushchair;
  • the boy has suffered from emotional violence and neglect from the biological mother, and has suffered from emotional and physical violence as well as negligence from the father’s side. As a result of experienced physical abuse, the child has had head injury and has severe health problems, the child needs to have regular check-ups with medical specialists;
  • the child was born to a 22 years old mother, from her 1st pregnancy, in the 1st delivery, with weight of 2365g, and height 48cm;
  • the child started to sit at the age of 7 months, to crawl at the age of 6 months, his first teeth came out at the age of 5 months. The child suffered from physical abuse, as a result he has multiple location intracerebral haemorrhages, multiple subdural hematoma, multiple rib fractures, symptomatic seizures, psychomotor development delay;
  • the child has been treated in a hospital:
    • 13.01.2014. – 12.02.2014. – physical violence. Multiple intracerebral, subdural haemorrhages. Symptomatic seizures. Psychomotor development delay;
    • 25.02.2014. – acute bronchitis with obstruction. J18 (Pneumonia, organism unspecified);
    • 08.10.2015. – 21.10.2015. – G93.8 (Other specified disorders of brain), F07.8 (Other organic personality and behavioral disorders due to brain disease, damage and dysfunction), F80.0 (Specific speech articulation disorder);
    • 13.04.2016. – 26.04.2016. – G93.8 (Other specified disorders of brain);
  • the child has been consulted by:
    • neurologist (09.03.2015.) – G93.8 (Other specified disorders of brain), F07.8 (Other organic personality and behavioral disorders due to brain disease, damage and dysfunction), F80.0 (Specific speech articulation disorder);
    • speech therapist (13.04.2016.) – language and speech delay;
    • oculist (26.04.2016.) – subatrophia n.optici;
  • laboratory tests for HbsAg, HIV ½, SED (21.01.2014.) are all negative;
  • final diagnosis – G93.8 (Other specified disorders of brain). F07.8 (Other organic personality and behavioral disorders due to brain disease, damage and dysfunction). F80.0 (Specific speech articulation disorder);
  • the child has a disability status;
  • further necessary treatment – consultations with rehabilitator, neurologist, psychiatrist, speech therapist and ergo therapist; 
  • by a court verdict the parents were deprived of custody rights in August 2016. The child was taken out of the biological family, because the parents could not ensure childcare, supervision and favorable social conditions for the child. The father was violent towards the child, as a result the child suffered health damage. The child's father was violent towards the child's mother, he used alcohol excessively, and both parents took intoxicating substances. The parents are not interested in the child;
  • the boy has 1 younger brother, who is in the care of the mother. The decision by the Orphan’s Court on separation of the children in case of adoption has been made.

2. Boy, born on June 9, 2012, resides in an out-of-family care institution since November 2015, previously resided in a foster family since December 2014:
  • the boy has bluish-green eyes and light brown hair. He is sunny, inquisitive and very active boy, who likes attention and communication;
  • pedagogical characteristics of the boy by a speech therapist (06.09.2016.) – the boy was placed in an out-of-family care institution  at the age of 3 years and 5 months. The adaptation period in the orphanage was successful, the boy was friendly and cute, the attention span was sustainable, physical development corresponded the age, language development was delayed. The boy’s overall development progresses well, although the development of language is without change, attention span is less sustainable, he is more careless. General movements are free, the boy freely moves, runs, climbs up and down the stairs. The boy is very active and inquisitive. He shows interest in the surrounding area and events, as well as activities of adults and other children. He is friendly and builds contact gladly also with less known people. The boy is interested in toys, but often the interest is unstable, he plays a little bit and then looks for another toy. Needs to be motivated to continue and finish the started play. The boy tends to be inattentive, has unstable attention, wants to rush everything. Language development lags behind age norms and progress is very minimal. The boy responds to his name, he comprehends and reacts adequately on daily instructions.  Uses few words in short form in his active speech (for example, ata (meaning: bye), buba (possible meaning: ball), lele (possible meaning: doll), brr (sound to show that he is cold), vau (sound to imitate dog’s bark), but in most occasions uses inarticulate exclamation sounds, vocabulary has not progressed. Passive vocabulary is wider. Keenly observes and leafs through picture books, but he cannot show the asked object or name it himself. Self-skills well trained, independent eating and drinking, knows his cot, is able to dress himself partially, can undress, is not yet able to fasten clothes with buttons or zips, goes to toilet after reminder,  sometimes goes independently;
  • adopters should take into consideration the fact that the child requires constant supervision and twenty-four hours care. The child has a disability status and needs special care;
  • the child was born to a 37 years old mother, from her 7th pregnancy, in her 5th delivery, with weight of 3530g, height – 51cm;
  • the child started to sit at the age of 9 months, to walk independently at the age of 1 year and 6 months, to talk little bit at the age of 1 year and 4 months;
  • the child has been consulted by:
    • speech therapist (06.07.2016.) – language system disorder on the background of general development;
    • pediatrician (14.07.2016.) – milk-free diet, based on clinical and laboratory indicators after data of anamnesis. No acute illness at the moment;
    • psychiatrist (05.09.2016.) – severe mental retardation with behavior disorder. Down syndrome;
    • ENT (06.09.2016.) –  tubootitis bilateralis;
    • neurologist (13.09.2016.) – M. Dauni;
    • surgeon (15.09.2016.) – surgically-orthopedically healthy;
    • laboratory tests made for:
    • HBsAg (23.11.2015.) – negative;
    • HIV ½ (23.11.2015.) – negative;
    • Anti HCV (23.11.2015.) – negative;
    • RPR (23.11.2015.) – negative;
  • final diagnosis – severe mental retardation with behavior disorder. M.Dauni. Language system disorder on the background of general development;
  • the child has a disability status;
  • further necessary treatment – recommended general developing therapy, speech therapy, Montessori therapy, physiotherapy. Scheduled oculist and geneticist consultation in dynamics. Milk-free diet;
  • by a court verdict the mother was deprived of custody rights in April 2016, the father – in August 2016. The child was taken out of the biological family, because the child suffered from emotional and physical violence as well as negligence. In 2014 the mother together with her children (son and daughter) was seen in public in late evening, rainy conditions, the mother was under strong influence of alcohol among other unrelated people, behaving loudly and rudely in front of her children. The mother was not able to take care and supervise her children, thus endangering their lives and health. In 2014 the children have been present when the father physically abused the mother. The father does not admit his dependency on alcohol, he often used corporal punishment and believes that it is an appropriate upbringing method. Both parents are addicted to alcohol, under influence of alcohol they were unable to take care of the children, therefore on October 12, 2014 the children were placed in a crisis center, where they received social rehabilitation. From December 1, 2014 until November 11, 2015 the boy together with his sister resided in a foster family. The foster family could not provide adequate care for the boy due to his health problems and asked the Orphans’ Court to discontinue the boy’s care in their family. The mother has visited the child in the orphanage once and she has phoned once to inquire about the child. The father has inquired about the boy by phone four times, he has not visited his son in the orphanage. Other relatives have not been interested in the child; 
  • the boy has one older major maternal half-sister. He also has one older minor brother, who resides in a different out-of-family care institution, one older minor maternal half-sister, who is in guardianship, one older minor sister, who is in a foster care. The decision by the Orphan’s Court on separation of the children in case of adoption has been made.

3. Boy, born on January 25, 2015, resides in an out-of-family care institution since March 2015:
  • the boy has greyish-brown eyes and brown hair. The boy smiles a lot, he likes contact with other people, is interested in toys, likes to be outside, enjoys taking bath. When the boy lays on his stomach, he tries to raise his head and hold it for a short time. He eats well porridge or root vegetables with meat, he is spoon-fed. Mostly is seated in a specialized chair with head positioning;
  • the boy was born to a 41 year old mother, from her 3rd pregnancy, in her 3rd delivery, in 24th/25th week of gestation, with weight of 980g, height 37 cm, 2/6 points by Apgar. The mother was not monitored by a doctor during the pregnancy, 
  • the child has been treated in a hospital:
    • 29.01.2015. – 03.08.2015. – spontaneous perinatal intracerebral - intraventricular haemorrhage in the 3rd degree, post-haemorrhagic obstructive internal hydrocephalus, a condition after repeated  shunt surgery and shunt mechanical dysfunction, deep preterm baby (24th-25th week of gestation), unobserved pregnancy, massive subcutaneous haemorrhage, foramen ovale apertum, premature children jaundice, artificial pulmonary ventilation, respiratory distress;
    • 30.03.2016. – 31.03.2016. – post-haemorrhagic obstructive hydrocephalus (a condition after repeated  shunt surgeries), chronic bronchitis, psychomotor and physical development delay;
    • 18.06.2016. – 22.06.2016. – acute naso-pharyngitis, bronchitis, premature birth child, post-haemorrhagic obstructive hydrocephalus, a condition after repeated  shunt surgeries, psychomotor and physical development delay;
  • the child has been consulted by:
    • magnetic resonance imaging for head (16.02.2015.) – significantly premature baby with germinal matrix and intraventricular bleeding, currently hydrocephalus with signs for disturbed liquor circulation in the ventricles’ system. Wide subdural interhemispheral and subarachnoid bleeding. Crack development delayed;
    • magnetic resonance imaging for head (27.02.2015.) – new massive multiple bleedings in brain, still hydrocephalus with signs for disturbed liquor circulation in the ventricles’ system. Negative dynamics;
    • magnetic resonance imaging for head (22.03.2015.) – endured intraventricular and germinal matrix bleeding in side ventricles with occlusive hydrocephalus in left frontal lobe, condition after ventriculoperitoneal shunt. Compared to the previous MRI, brain ventricles have decreased in size;
    • echocardiography (20.02.2015.) – foramen ovale without hemodynamic disorders;
    • oculist (09.03.2015.) – greyish-pale RND, blood vessels in the vasoconstriction phase, irregular paleness in retina, avascular zones observed;
    • oculist (26.02.2016.) – OD Myopia, AS Astigmatism mixtus;
    • neurosonoscopy (10.03.2015.) – tiny child’s brain, periventricular defect in the left side;
    • neurosonoscopy (20.03.2015.) – the shunt is working;
    • neurosonoscopy (08.01.2016.) – slight positive changes in dynamics;
    • neurosonoscopy (04.03.2016.) – the internal hydrocephalus is markedly increasing in dynamics;
    • neurologist (18.03.2016.) – congenital hydrocephalus after shunting. Emotions monotonous, without interest in the surroundings. The view fix – without a longer perception of the situation or object;
    • neurologist (17.06.2016.) – post-haemorrhagic hydrocephalus, shunt surgery, motor development delay;
    • neurosurgeon (08.01.2016.) – post-haemorrhagic obstructive hydrocephalus, a condition after repeated  shunt surgeries. No valve regulation is required at this time. The condition of the child is satisfactory, he has improved in development, his motor development has improved, can keep his head in a fixed position for a longer time, no coarse paresis, significant reduction of the hypertension in his hands;
    • neurosurgeon (04.03.2016.) – post-haemorrhagic obstructive hydrocephalus, a condition after repeated  shunt surgeries and shunt revisions, ventriculoperitoneal shunt dysfunction suspected;
    • pulmonologist (04.03.2016.) – chronic bronchitis,  gastroesophageal reflux disease, internal hydrocephalus;
    • pulmonologist (16.06.2016.) – chronic bronchitis,  gastroesophageal reflux disease in anamnesis, internal hydrocephalus;
    • palliative care service (28.04.2016.) – condition corresponds to a palliative care patient;
    • Munich Functional Development Diagnostics (MFDD) (19.04.2016.) – the child’s psychomotor development delayed in all functions: crawling by approximately 8-11 months, sitting approximately by 10 months, walking – approximately by 4-9 months, capturing and comprehension – by 5 months, speech and social function – by 6 months. Crawling age – turns head over the middle line to one side and another. Raises head at least for 45 degrees. The pelvis is mostly moderately straightened. Sitting age – lying on back for at least 10 seconds keeps head on the middle line. Kicks without giving preference to either side. Easily bends both hands when seated. Active turning from back to abdomen. Walking age – support on toes (toes tucked). Capture age – stretches hand in the direction of a toy and touches it. "Palmar" grasp: grasps an item with entire palm and straightened thumb. Perception – with a gaze follows a red rattle on both sides at an angle of up to 450. Turning his head, looks for a sound of a paper rustle. Observes a toy in his hand. Tries to get an object that is only achievable through a change of position. Speech – shouting when experiences unpleasant feelings. Strong sucking Articulation of "a" and "e", often linking them to "h" (ehe, he). Blows air through the tufted lips and creates a sound "v". Social age – notices a moving face and follows it with a gaze. Focuses on a face for a short moment. Relaxes if taken on hands. Laughs loudly when teethed, has "social smile";
    • physiotherapist (19.04.2016.) – mm. tone imbalance. Slight spastic distally, active reflexes (MORO, STKR), weak torso mm. Weak head and torso control in all positions against gravity. In lying down on the back position the head is turned to the right, turns to the abdomen without lifting his head from the surface. The head in comparison to body proportionally large. Poor attention and motivation persistence. Interested in flashing, scintillating texture items. Emotionally labile. The development dynamics is minimal;
    • pediatrician (11.08.2016.) – significantly premature child. Post-haemorrhagic obstructive hydrocephalus, a condition after repeated  shunt surgeries, chronic bronchitis, psychomotor and physical development delay;  
  • laboratory test made for HBsAg (15.03.2016.) – negative;
  • final diagnosis – significantly premature child (24th-25th week of gestation). Post-haemorrhagic obstructive hydrocephalus, a condition after repeated  shunt surgeries, chronic bronchitis, psychomotor and physical development delay;
  • further necessary treatment – hospitalization in deterioration of a neurological condition. Control of the pulmonologist. 24h ph monitoring. Oculist control;
  • by a court verdict the parents were deprived of custody rights in march 2016. The mother left the child in hospital. Both parents have significant alcohol dependency problems, chronic alcoholics. The father is very aggressive and abusive towards family members. Has been physically abusive towards the mother during her pregnancy. A serious social risk family. No one of the relatives has been interested in the child, no one has visited him; 
  • the boy has 1 older sister, who is in the guardianship of grandmother. The decision by the Orphan’s Court on separation of the children in case of adoption has been made.

4. Girl, born on June 13, 2009, resides in an out-of-family care institution since February 2014:
  • the girl has blue eyes and brown hair. The girl attends pre-school education program for children with mental development disorders. She has developmental disorders in almost all spheres, has language development disorder. The girl has difficulties to concentrate attention for assigned tasks, she needs special approach and calm disposition of an adult. The girl likes to play, she seeks attention and care of an adult;
  • the adopters should take into consideration that the girl has special needs, mental development and language development disorders, which require patience, compassion and calmness. It is essential to provide individual attention for the child as well as to continue to develop the child’s abilities and to play with her, and also to provide specialists’ help for continuous support of her development;
  • the child was born to a 26 years old mother, from her 1st pregnancy, in her 1st delivery, with weight of 2250g, height 49cm. The mother was not under doctor’s surveillance during the pregnancy;
  • the child started to walk independently at the age of 1 year and 2 months;
  • the child has been treated in a hospital:
    • 01.11.2013. – 11.11.2013. – bronchial asthma, moderate pace, exacerbation. Acute respiratory viral infection. Right side pneumonia. Scabies, pediculosis;
    • 13.04.2014. – 17.04.2014. – obstructive bronchitis. Bronchial asthma, exacerbation;
    • 15.05.2014. – 23.05.2014. – bronchial asthma, moderate pace, persistent form, exacerbation due to acute respiratory illness;
    • 21.11.2015. – 30.11.2015. – urinary infection without disorder in urodynamic. Naso-pharyngo-tracheitis. F70.0 ( Mild mental retardation, with the statement of no, or minimal, impairment of behavior);
    • 25.03.2016. – 30.03.2016. – functional gastrointestinal disorder. Urinary infection;
  • the child has been consulted by:
    • oculist (20.11.2015.) – H50.0 (Convergent concomitant strabismus), H52.0 (Hypermetropia);
    • ENT (14.06.2016.) – without pathology;
    • speech therapist (14.06.2016.) – language development delay on the background of an early central nervous system hypoxic damage;
    • surgeon (14.06.2016.) – muscle hypertension.  Support-motion apparatus without pathology;
    • dermatovenerologist (14.06.2016.) – skin is clean, little amount of mucosa, without pathology;
    • pediatrician (14.06.2016.) – persistent bronchial asthma, remission. Otherwise within norms;
    • psychiatrist (21.04.2016.) – F70.1 (Mild mental retardation, significant impairment of behavior requiring attention or treatment), F80.9 (Developmental disorder of speech and language, unspecified), medicine-free treatment;
  • laboratory tests made for HBsAg, HIV ½, SED (01.06.2016.) are all negative:
  • final diagnosis – F80.9 (Developmental disorder of speech and language, unspecified), F70.1 (Mild mental retardation, significant impairment of behavior requiring attention or treatment), H50.0 (Convergent concomitant strabismus), H52.0 (Hypermetropia), F45.8 (Other somatoform disorders), in remission;
  • the child has a disability status;
  • by a court verdict the parents were deprived of custody rights in March 2016. The child was taken out of the biological family due to the fact that the parents had addiction problems, they did not care for the child, neglected her and did not care for her medical needs. No one from the relatives visits the child in the orphanage; 
  • the girl does not have any siblings.

5. Boy, born on September 13, 2009, resides in an out-of-family care institution since November 2014:
  • the boy has a disability status due to moderate mental development disorder. The boy pronounces separate sounds and few words, he acquires pre-school education according to specialized program. The boy has special needs;
  • the child was born to a 28 years old mother, from her 5th pregnancy, in her 4th delivery, with weight of 2862g, height 52cm. The mother consumed alcohol during the pregnancy and also a day before childbirth. The child had perinatal hypoxia. There are no other data available on the pregnancy;
  • the child started to sit at the age of 11 months, to crawl at the age of 8 months, to walk independently at the age of 1 year and 8 months, his first teeth came out after the age of 10 months. During the first year the child had hypoxic ischemic encephalopathy, muscle dystonia syndrome, psychomotor development delay. The child was re-sent to a neurologist, but was taken only at the age of 4 years, the check-up in the Hearing Centre after 4 years of age (the language has not developed);
  • the child has been treated in a hospital:
    • 26.01.2015. – 02.02.2015. – acute obstructive bronchitis. Moderate mental retardation. Active;
    • 26.02.2015. – 10.03.2015. – moderate mental development retardation without significant impairment of behavior. Language development disorder. Development delay due to protein energy malnutrition. Acute naso-pharyngitis. Institutional upbringing. Negative life events in childhood. Experienced physical and emotional violence;
  • the child has been consulted by:
    • neurologist (06.03.2013.) – neonatal encephalopathy. Language retardation. Features of autism;
    • ENT (02.07.2013.) – no hearing disorders, norm;
    • oculist (20.01.2015.) – L+1,0/ +1,0; L+3,0/ +3,0. Angle 0 degrees. F ocular norm;
    • endocrinologist (02.07.2015.) – protein energy malnutrition;
    • pediatrician – in regular surveillance;
  • final diagnosis – moderate mental development retardation. Language development disorder, expressive language disorder. Development disorder due to protein energy malnutrition. Institutional upbringing;
  • the child has a disability status;
  • further necessary treatment – to be in a psychiatrist’s ambulatory consultative surveillance. To continue education according to specialized program. Regular classes with speech therapist, special pedagogue, ergo therapist. To be in a surveillance of an endocrinologist due to development delay;
  • by a court verdict the parents were deprived of custody rights in June 2016. The parents did not care for the child sufficiently, the child was neglected, there was violence in the family. The father was violent towards the mother. The parents did not comprehend the child’s needs, development level, they did not provide him with sufficient food lastingly. The mother is in the registry of a psychiatrist with diagnosis – paranoid schizophrenia, episodic with residual features. She has been treated in a hospital for 8 times. The mother is interested in the child, she phones and sends self-made presents – crocheted handicrafts, she visits him irregularly. She does not realize that the child has significant health problems;
  • the boy has 3 major paternal half-sisters and 3 older maternal half-sisters. The maternal half-sisters are in their father’s care. The decision by the Orphan’s Court on separation of the children in case of adoption has been made. 

6. 5 siblings: half-brother, born on July 25, 2006, brother, born on June 8, 2009, sister, born on April 12, 2011, sister, born on April 9, 2012, and sister, born on March 1, 2013:
  • the first child (half-brother) resides in an out-of-family care institution since November 2016, previously resided in a foster family with his siblings since October 2014. The boy has blue eyes and blonde hair. He finished 4th grade at school. The boy studies according to his abilities with a help of support activities. If he is not provoked for aggression, he is very thoughtful, diligent and precise in classes. He enjoys to play with Lego, likes to draw, make things from various materials, as well as he likes to sing and dance. The boy is nice and sincere by character, he is bonded to his siblings and he is always good to them, has never been aggressive towards them. The adopters should take into consideration that the boy’s behavior issues endanger himself and others around, as during the episodes of aggression the boy becomes affective and he is not able to calm down for a long period of time;  
  • there is no medical information available on the child until November 2014;
  • the boy has been treated in a hospital for several times for seizures of aggression. Taking into consideration the fact that the boy continued to show difficulties to control his emotions and there were complaints from the school, as well as the foster family was worried about the safety of other foster children in their family, they decided to resign from the duties of foster family for him;
  • the boy has been consulted by:
    • pediatrician – healthy;
    • psychiatrist – mixed disorder of behavior and emotions;
  • final diagnosis – mixed disorder of behavior and emotions;
  • further necessary treatment – to take Truxol 12,5 mg 3 times a day, Noofen 125 mg twice a day;
  • the boy has participated in a hosting program in the USA, he has expressed his view that he agrees to be adopted only together with his siblings, preferably by his host family;
  • the second child (brother) resides in a foster family since October 2014. The boy has blue eyes and light color hair. He is quiet and sincere child. He likes various TV shows and enjoys playing various games outside. The boy has learning difficulties and he needs to study according to specialized curriculum. The boy attends speech therapist, sand therapy and he loves to attend modern dance classes. The boy wishes to sing in a choir because he likes to sing. He has difficulties with reading, but he is admirably hard-working, he works a lot additionally by himself as he wishes to gain recognition. The boy is bonded to his siblings;  
  • there is no medical information available on the child until November 2014;
  • the boy has been consulted by:
    • oculist (2016) – OU healthy;
    • pediatrician – physical development below average. Small stature. Health group II;
  • final diagnosis – small stature;
  • further necessary treatment – consultation with endocrinologist;
  • the third child (sister) resides in a foster family since October 2014. She resides in a different foster family than the other siblings, previously in this foster family resided her oldest half-brother. She has blue eyes and blonde hair. The girl attends kindergarten, she gladly plays with other children, she likes to draw and sing. She is hard-working in the learning process, but she is not successful in many things, she finds it difficult to learn letters and do writing tasks, her attention is unstable. The girl may sometimes have urinary problems. She tries to put her belongings in order, is able to dress herself, she is friendly and sweet in communication with others. She is joyful by nature, although sometimes may be naughty, but it is possible to come to an agreement with her. The girl is close to her siblings, especially to the oldest half-brother;
  • there is no medical data available on the child until November 2014;
  • the child has been consulted by a pediatrician –  nocturnal enuresis. Behavior disorder;
  • final diagnosis – nocturnal enuresis. Behavior disorder;
  • further necessary treatment – psychiatrist’s consultation;
  • the fourth child (sister) resides in a foster family since October 2014. She has brown eyes and light color hair. The girl enjoys to play with other children, she colors, draws and sings. She has a good voice and she can keep the tune. The girl is diligent and hard-working, she helps the foster mother in the household jobs. She is friendly and sweet in communication with others. The girl is close to her siblings, with whom she lives together and she is happy to meet her other siblings;
  • there is no medical data available on the child until November 2014;
  • the child has been consulted by a pediatrician –  healthy. Speech and language development delay;
  • final diagnosis – healthy. Speech and language development delay;
  • further necessary treatment – speech therapy;
  • the fifth child (sister) resides in a foster family since October 2014. She has brown eyes and brown hair. The girl enjoys to play with her siblings, with whom she lives together, towards other children she is more reserved. By character she is more naughty than her older sister (the fourth child), with difficulty obeys instructions, tends to argue, sometimes may be aggressive towards others, to get her way may even bite others. The girl likes to sing, to color coloring books, to make various hairstyles and to dress up. The girl is close to her siblings, with whom she lives together and she is happy to meet her other siblings;
  • there is no medical data available on the child until November 2014;
  • the child has been consulted by a pediatrician –  healthy. Speech and language development delay;
  • final diagnosis – healthy. Speech and language development delay;
  • by a court verdict the parents were deprived of custody rights in June 2016, the paternity for the oldest half-brother is not stated. Since 2013 the parents cooperated with the social service, with a help of assistant the family was trying to acquire skills to care for the children adequately, tidy up, and improve social and self-care skills. Nevertheless the parents failed to mobilize their efforts to provide safe and healthy conditions for the children in a longer term, the episodes of alcohol use by the father increased, the father was aggressive towards the mother, the children and police. After such scandals the mother always forgave the father and the situation continued in a similar way. The children suffered from emotional and physical violence and negligence. The father of the four youngest children is an alcoholic, he tends to be aggressive when drunk, whereas the mother does not use alcohol, but is co-dependent as well as she has considerable lack of knowledge to care for the children’s even basic needs.  The father has not met the children since custody right removal. The mother contacts the foster families of her children regularly, during the last year less often, she is interested in her children and the foster families help to organize children’s meetings with her in cafes or playgrounds. All five children meet each other regularly, because the foster families are friends with each other, they celebrate together the children’s name days and birthdays, as well as participate in events for foster families; 
  • the children do not have any other siblings.

7. Boy, born on March 19, 2012, resides in an out-of-family care institution since August 2012, included in the list repeatedly due to health improvements:
  • the information provided on March 24, 2017: the boy has positive development dynamics, he recognizes letters, counts up to 5 forward and backward, knows colors and geometric shapes, can express his thoughts in larger sentences. Shows determination, wishes to know beforehand what is planned for a coming lesson. Enjoys to play role-plays, wishes to involve others in a play, but according to his own rules and intentions. Understands and is able to abide by the set boundaries, but has a tendency to overstep them, especially when communicating with not very well known people. Sometimes experiences periods of emotional instability, which he is able to control well himself;
  • the information provided on June 13, 2017: the child’s development dynamics is significantly positive – his cognitive abilities progress, he can express his opinion in sentences. He stabilizes emotionally. Has good self-care skills. He is interested and actively participates in all activities. The current aim of rehabilitation is to give more impressions of the ambient environment, to promote more stable attention and logical thinking and conception of the sequence of actions, whereas in physiotherapy classes to promote balance reactions by overcoming hurdles on one leg, changing direction of the running, movement coordination in sports games, e.g. football etc. The child’s current weight 15,5kg, height – 108 cm, head circumference 50 cm, chest circumference 51 cm. The child’s development corresponds the level of a 4 years old child, taking into consideration the anamnesis;
  • the child was born to a 33 years old mother, in her 2nd delivery. There is no information on the pregnancy and the child’s birth. Acute respiratory viral infection very rarely. Cardiac ovary opening without hemodynamic disorder. Recommended physiotherapy classes for stabilization of the gait. The child was placed in an out-of-family care institution at the age of 4 and a half months: he had 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 haemorrhage;
    • 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:
    • MRI for head (24.01.2013.) – moderately wider brain side ventricles;
    • neurologist (24.10.2014.) – neurologically healthy. Flatfoot. Control in April 2015;
    • pediatrician –  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;
    • pediatrician (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;
    • allergist (06.01.2016.) – dermatitis in anamnesis. Recommended to limit sweets. Next consultation in July 2017;
    • 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);
    • pediatrician (03.03.2016.) – weight 13.5 kg, height 97 cm;
    • rehabilitologist (08.03.2016.) – recommended shoes for ankle joint stabilization, periodically to walk bare feet;
    • oculist (06.01.2017.) – hypermetropic astigmatism. No need for glasses at the moment (but possible at the age of 6 years). Control once per year;
    • gastroenterologist (30.01.2017.) – Z71.3 (Dietary counselling and surveillance). Balanced diet;
    • endocrinologist (09.02.2017.) – psychomotor and physical development delay. Corpus callosum hypogenesis. Weight 14.5 kg, height 104 cm;
    • neurologist (07.03.2017.) – G93.8 Corpus callosum hypogenesis. Dyslalia. Emotionally labile. Recommended speech therapy, teacher classes, physiotherapy;
  • laboratory tests made for sexually transmitted illnesses, hepatitis C and B, Luess, HIV (15.04.2015.) are all negative;
  • final diagnosis (26.01.2017.) – mixed specific developmental disorders. Corpus callosum selective hypoplasia (middle and back parts);
  • 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 no one of the relatives has inquired about the boy;
  • the boy has 1 major maternal half-brother.

8. Boy, born on October 23, 2011, currently resides in a foster family since August 2016, previously has resided in an out-of-family institutions since April 2012.  Included in the list repeatedly due to health improvements:
  • the boy has blue eyes and brown hair;
  • information provided in 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;
  • information provided on March 2, 2017 – the boy’s state of health is stable and has a positive development dynamics. He wears glasses. The latest blood tests are good. The boy takes medicine on regular basis. He likes to draw, color and leaf through children’s books. The speech has improved and he speaks more, is more stable, has interest in the surrounding activities. The boy still has problems with potty training;
  • the child was born to a 34 years old mother, from her 3rd pregnancy, in the 2nd delivery, with a weight of 2625g and height – 48cm;
  • the 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;
  • the 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. Hypermetropic astigmatism;
  • 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 running disorders of the right and left front branches of His bundle – in ECG – without restrictions;
  • further necessary treatment – sessions by a speech therapist and physiotherapist. To wear glasses;
  • the mother of the child has given a consent for the 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;
  • the 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.

9. 2 boys – the oldest brother, born on January 5, 2005, and the youngest brother, born on April 8, 2012, reside in a foster family since April 2015, previously have been in institutional care for several periods in 2013 and 2014: 
  • the oldest brother has greyish-blue eyes and ginger hair. He is active and little bit cunning by his nature. Has learning difficulties, therefore recommended to study according to program for children with mixed learning disorders. The boy receives psychologist’s support at school in order to lessen his emotional pressure, the boy cannot sit still and follow the learning process well. In the school he receives individually adapted program for developing successful communication. The boy’s attention is unsustainable, therefore he dislikes board games. He likes to sing and listen to the music. The adopters should take into consideration that the boy has learning difficulties and he requires clearly set rules in a family, which should be repeated many times for him until they are understood well. The lack of love and attention has created a deep wound in the child’s character;
  • characteristics provided by the child’s class teacher (22.09.2016.) – the boy is in adaptation period with a new class teacher and new subject teachers. The boy wishes to catch attention, he always has additional things in lessons with him, such as toys or books. In mathematics the boy has not acquired multiplication table yet. He uses numbers on his ruler for counting. The boy admits that he finds the subject difficult and he does not understand it. He does the homework irregularly. In cases when he is reprimanded by a teacher, he gets offended and may stop working at all. In natural science lessons the boy is very clever, he can do all tasks very well, yet his success depends on his mood. The boy is very emotional. He finds it difficult to memorize something, and that affects his results in many subjects – learning new words in English, lyrics of songs in music. The boy gladly reads and completes the given tasks in Latvian language lessons. He has problems to concentrate for longer tasks. He enjoys to work in pairs and groups. The boy is slightly chaotic, but very positive and open. He has good relationship with his classmates. Attends school regularly. The foster mother keeps in touch with the class teacher, visits the school and helps the boy with his homework. The boy is physically developed, energetic and active. There haven’t been episodes of stealing at school, although according to the foster mother such episodes have been in their home;
  • the boy was born to a 32 years old mother, with weight of 2690g and height 46cm;
  • the boy has been treated in a hospital from 06.08.2016. – 08.08.2016. with diagnoses: vegetative dysfunction of the nervous system with a vaso-depressive  episode, acute naso-pharyngitis, state after a nose bleed, attention deficit syndrome with hyperactivity and behavior disorder, neurogenic bladder;
  • the boy has been consulted by:
    • oculist (22.08.2012.) – myopia. Recommended control;
    • psychiatrist (07.04.2016.) – F92.8 (Other mixed disorders of conduct and emotions), F81.3 (Mixed disorder of scholastic skills). Prescribed to take medicine: tab. Buronili 12,5 mg x3 a day, tab. Depakini Chrono 150 mg;
    • speech therapist – clear speech;
    • surgeon – scoliotic posture;
    • dermatovenerologist – clean skin;
    • pediatrician – hypertrophic tonsillitis. Scoliotic posture. Health group II. Small stature;
    • ENT (01.02.2017.) – hypertrophic tonsillitis;
  • final diagnosis – hypertrophic tonsillitis. Scoliotic posture. Health group II. Small stature. In surveillance of a psychiatrist;
  • further necessary treatment – sessions by a speech therapist and physiotherapist. Oculist control, surveillance of a psychiatrist;
  • the youngest brother has blue eyes and blonde hair. He develops in a fast pace. The boy regularly attends kindergarten, he works with an interest, diligence, and his works are neat. He is very helpful, polite, patient, generous with his toys, open for communication and always wishes to be noticed and cuddled. The boy is joyful, participates in all kindergarten activities, he loves to listen to the fairy-tales, is interested in books. The boy is active and healthy. The boy is very attached to the foster mother, he calls and perceives her as his grandmother. The foster mother is 63 years old and unable to adopt the brothers, therefore she understands that the boys need a loving forever family;
  • the boy was born to a 40 years old mother, in 38th/ 39th week of gestation, with weight of 3180g and height 51cm;
  • the boy has been consulted by:
    • neurologist – suspected epilepsy did not confirm;
    • speech therapist – mild language development disorder;
    • surgeon – without surgical pathologies;
    • dermatovenerologist – atopic dermatitis;
    • pediatrician – atopic dermatitis, health group II;
    • cardiologist – vegetative dystonia;
  • final diagnosis – atopic dermatitis;
  • further necessary treatment – control of ENT, oculist, neurologist and speech therapist; 
  • by a court verdict the mother was deprived of custody rights in November 2016, the father deceased in September 2016. The children were taken out of the biological family due to alcoholism of both parents, problem denial, children’s negligence, physical violence and scandals between the parents in front of the children, insufficient care and supervision of the children and lack of food at home. The parents received social support, but they were not motivated to change and care and love their children in a long term. The father was aggressive when under the influence of alcohol, the oldest brother suffered from the father’s physical violence. The oldest boy received psychologist’s help. The boy was not taken to the obligatory pre-school education group, as a result he had learning difficulties. The specialists (psychologists and psychiatrists) still continue to work with the child. The youngest brother had very limited vocabulary at the age of 3 years when he was placed in the foster family. The boy comprehended everything but could not express himself. His emotional wellbeing stabilized after receiving care and attention in the foster family. The youngest boy does not remember his biological family. The parents did not visit the children in the foster family, but they have visited the oldest child in the crisis center, then they blamed the child for the outcome, pointing out that he has not been obedient. The mother has phoned twice when under the influence of alcohol. The paternal grandfather refused to contact the children, explaining that he is too old to be able to help. The children’s major half-sister lives abroad and has not showed interest in the care of her youngest siblings;
  • the boys have 1 major maternal half-sister.

10. Boy, born on April 27, 2005, resides in an out-of-family care institutions since December 2008, and in the current institution since February 2015. From July 2014 – February 2015 the boy was returned in the biological family:
  • the boy has brown eyes and brownish-black hair. He is physically developed and healthy, sleeps well. The boy has good contact with adults and he behaves well in the orphanage, does not get involved in conflict situations, follow the rules and daily regimen. The boy is active, has rather reserved contact with other children, tends to be uncommunicative and closed. Participates in social activities only if he has good mood for that, lacks initiative. Does homework with a help of an adult. The boy has a disorder of emotional sphere: weak control of emotions, anger tantrums, lack of self-criticism, low motivation for studying. The boy is not satisfied with his place in society, feels unvalued from the others. He attends chess class with very good results in contests within the town. The boy follows his own hygiene, is very tidy and pedantic. The boy wishes to be adopted;
  • the child was born to a 20 years old mother;
  • the child has been treated in a hospital:
    • 13.11.2009. – 17.11 2009. – acute right side tubootitis. Acute rhinitis;
    • 21.01.2009. – 26.01.2009. – acute pharyngo-tonsilitis, moderate degree;
    • 12.01.2009. – 16.01.2009. – acute naso-pharyngitis, moderate degree;
    • 07.02.2010. – 15.02.2010. – Rotavirus infection, moderate degree. Tracheo-bronchitis;
    • 28.07.2010. – 09.08.2010. – acute bronchitis;
    • 06.01.2012. – 12.01.2012. – acute left side tympanitis. Acute naso-pharyngitis;
    • 06.04.2012. – 12.04.2012. – flu, moderate degree. Tracheo-bronchitis;
  • the child has been consulted by:
    • oculist (26.10.2011.) – healthy;
    • ENT (16.04.2012.) – healthy;
    • neurologist (16.04.2012.) – healthy;
    • speech therapist (16.04.2012.) – healthy;
    • surgeon (13.07.2012.) – healthy;
    • dermatovenerologist (13.07.2012.) – clean skin;
    • pediatrician (20.08.2012.) – healthy;
    • ENT (12.05.2015.) – healthy;
    • oculist (15.09.2015.) – 1.0/ 1.0. Healthy;
    • pediatrician (28.07.2016.) – basic group for PE (physical education);
    • dentist (12.08.2016.) – teeth have been treated. Healthy;
  • final diagnosis – nocturnal enuresis;
  • the boy has participated several times in hosting programs in the USA. The boy and the host families have given positive feedback of the hosting experience. The boy would like to be adopted by the host family;
  • by a court verdict the parents were deprived of custody rights in August 2016. The child was taken out of the biological family, because his further stay endangered his health, life and wholesome development. The parents were often physically violent towards the boy. The father punished him for each reprimand or unsuccessful mark at school. The boy was afraid to return home from the school. The mother supported the father’s violence, she did not defend the son and did not provide safe environment for him. The boy suffered from emotional and physical violence. In 2016 he received rehabilitation. The parents are not interested in the child. The father has a mental disability status (3rd category). The boy does not wish to return home, he states that he does not wish to suffer;
  • the boy has 2 younger brothers, who reside in the same institution since March 2017. The decision by the Orphan’s Court on separation of the children in case of adoption has been made.

11. 3 siblings: sister, born on July 3, 2008, brother, born on April 10, 2010, and half-brother, born on March 28, 2013, reside in a foster family since March 2014:
  • the oldest sister has blue eyes and dark blonde hair. At the age of nearly 6 years, when the girl was placed in a foster care, the girl had very small vocabulary, therefore her last and only year in a kindergarten was very difficult. Currently the girl needs to be urged to study and practice reading, but once she starts, she is hard-working and reaches good results. She is good at drawing. The girl is modest by character, she does not have many friends at school as she finds it difficult to trust others at the beginning. At the same time she likes to be at the center of attention. She has acquired English and is able to communicate. In order to get what she wants may use tactics of hearty crying, but if she understands that crying does not help, she stops it. The girl has a tendency to overeat, especially sweets, it is recommended to give food in limited portions. The girl wants to have new parents. She has good relationship with the younger brother, but she has special love for the youngest half-brother. The girl is usually reserved with unknown people (Latvians), at the same time she is very friendly to unknown foreigners (she has met many exchange students with their parents in the foster family). The girls gets attached to people who wish her good;
  • the girl was born to a 28 years old mother, from her 3rd pregnancy, in 3rd delivery, with weight of 2460g and height 47 cm;
  • the girl has been consulted by:
    • oculist (04.08.2014.) – Ou hypermetropia;
    • ENT (29.05.2015.) – check-up;
    • neurologist – practically healthy;
    • speech therapist – corresponds to the age;
    • surgeon – practically healthy;
    • dermatovenerologist – skin is clean;
    • pediatrician – practically healthy;
  • laboratory tests on HIV, HBsAg, RPR (15.05.2014.) are all negative;
  • final diagnosis – practically healthy;
  • the brother has blue eyes and light brown hair. At the age of nearly 4 years, when the boy was placed in a foster care, the boy did not talk, only whispered little bit. The boy was extremely bony, when he ate he could not control his bowel movements (the rectum muscles did not work, possibly from experienced sexual abuse). The boy still speaks very quietly or does not speak at all, he repeats his answer if asked to do so (also in the kindergarten) and may do it louder. The doctors have not been able to detect the reason for his speech problems, the specialist has detected that his throat is in different color than usually. According to the foster mother the throat was possibly affected by some kind of violence, his throat muscles are weak and need to be trained. The boy has very bad teeth, for this reason as well as probably for his unspecified throat issue, he does not like to eat meat (especially pork), except in minced form or in a sausage form. Now the boy has gained some weight and looks rather healthy. It is recommended to supervise his eating habits, as he has a tendency to overeat, especially sweets, although sometimes he needs to be urged to eat. The boy has a tendency to oppress his willingness to cry. He has good day and night sleep, but he still finds it difficult to fall asleep. He is sweet and open with people whom he knows and trusts. In the kindergarten the child studies English and attends modern dances. He has good marks and knowledge in all subjects, he participates in all games with great interest, he is active in discussions about a definite topic. He has good hygiene skills. The boy has become more confident, he is helpful, friendly, polite, he has great sense of justice, shows empathy, is inquisitive, asks adult’s help, if needed. He has many friends and is very popular among other children. The boy likes to choose clothes for himself and since the foster mother tailors clothes herself, the boy likes to design interesting outfits for himself. It is mandatory for the boy to wear glasses, according to the foster mother the boy has amblyopia, one eye is rather lazy and with the other eye he sees differently. The boy is good in studies, but sometimes he may get lost in thoughts. There are periods when he is being stubborn and does not answer the questions. He also does not admit his fault when he has done some mischief. Due to weak muscles he still may fall down during the jogging. The boy looks forward to having new, good parents. He has good relationship with the sister, and he loves his youngest half-brother. The boy is usually reserved with unknown people (Latvians), at the same time he is very friendly to unknown foreigners (he has met many exchange students with their parents in the foster family);
  • the boy was born to a 30 years old mother, from her 4th pregnancy, in 4th delivery, with weight of 2970g and height 50 cm;
  • the boy has been consulted by:
    • ENT (27.11.2014.) – laryngitis chronica. No pathological structures or formation in larynx;
    • ENT (29.05.2015., 05.01.2016.) – check-up;
    • oculist (06.06.2016.) – check-up;
    • neurologist – practically healthy;
    • speech therapist – corresponds to the age;
    • surgeon – practically healthy;
    • dermatovenerologist – skin is clean;
    • pediatrician – practically healthy;
  • the boy has received only part of the prophylactic vaccinations corresponding his age;
  • laboratory tests on HIV, HBsAg, RPR (15.05.2014.) are all negative;
  • the youngest half-brother has blue eyes and moderately blonde hair. The boy is very sweet, he is good at speaking and expressing his point of view. He is conscientious, positive in communication with adults and peers. The boy is physically and intellectually well-developed, has good hygiene skills. He likes to participate in all activities, is helpful, understanding, shows empathy. He likes to cut things with scissors, he is good at arts and crafts, and is generally a clever child. According to the foster mother he is a typical 3-year old child with caprices characteristic for this age. The boy looks forward to having mum and dad, he is nervous and cannot wait to meet them. He loves his siblings. He loves children around and finds it difficult when he is the only child. The boy is open and friendly to all people, but prefers those who can keep pace with him. He is afraid of big noise, e.g. fireworks, and he does not wish to let his toe nails to be cut. The boy has allergic reaction – spots, when he overeats sweets;
  • the boy was born to a 33 years old mother;
  • the boy has been consulted by:
    • ENT (29.05.2015.) – check-up;
    • oculist (06.06.2016., 23.11.2015.) – check-up;
    • neurologist – practically healthy;
    • speech therapist – corresponds to the age;
    • surgeon – practically healthy;
    • dermatovenerologist – skin is clean;
    • pediatrician – practically healthy;
  • laboratory tests on HIV, HBsAg, RPR (15.05.2014.) are all negative;
  • by a court verdict the mother was deprived of custody rights in June 2016, the father of the two oldest children – in March 2016, the paternity for the youngest child has not been stated. The children were placed in an out-of-family care institution because they were in conditions dangerous for life and health. The children suffered from emotional and physical abuse and neglect. According to the information given by the children, they were physically abused by their parents. They were neglected in inappropriate conditions, left without food for long periods together with the youngest half-brother who was a small baby at that time. They did not have appropriate clothes for season and for their sizes, the children were very dirty, had pediculosis. The children had never been taken to a doctor. The oldest boy was significantly jaded, unfed and uncared for. According to the boy he suffered from physical abuse and there are suspicions that he has possibly been sexually abused. These suspicions have not been proved fully, although the boy has shown sexual acts with dolls in sessions with a psychologist, as well as some features of his physiological problems testify of possible experienced violence. Since placement in the foster family the boy has always refused to meet with the biological parents, at the beginning he was afraid of all men. The children do not talk about their biological family anymore, at the beginning they mentioned that they had bad time at home and they were often looked after by the father; 
  • the children have 2 older minor maternal half-brothers, who are in guardianship. Two oldest children have also 1 younger paternal half-brother, who is in the care of his parents. The children have not met their half-brothers. The decision of the Orphans’ Court on separation of the children in case of adoption has been made.

12. 3 siblings: the oldest sister, born on July 26, 2002, middle brother, born on September 28, 2005, and the youngest half-brother, born on August 13, 2013:
  • the oldest sister resides in a foster family since July 2015. She has bluish-grey eyes and light brown hair. The girl is independent, tidy, gladly attends school and does her homework independently, likes to read. Her marks at school are good. The girl does various sports – ice hockey, floorball, jogging. She likes to look after smaller children and to spend time with her friends;  
  • the child has been consulted by:
    • ENT (10.03.2017.) – without pathology;
    • oculist (10.03.2017.) – OU hypermetropia. Without glasses;
    • neurologist (02.02.2017.) – neurologically healthy;
    • speech therapist (21.03.2017.) – speech development without pathology;
    • surgeon (10.02.2017.) – juvenile idiopathic scoliosis. Posture kyphosis;
    • dermatovenerologist (16.01.2017.) – practically healthy;
    • pediatrician (29.03.2017.) – practically healthy;
  • the middle brother resides together with his oldest sister in the same foster family since July 2015. He has dark grey eyes and light brown hair. The boy is friendly, obedient, active, he plays football and gladly spends time with his friends;
  • the child has been consulted by:
    • ENT (10.03.2017.) – without pathology. Hearing – norm;
    • oculist (10.03.2017.) – OU Mob. conv., OU hypermetropia. Glasses for constant use;
    • neurologist (27.02.2017.) – central nervous system: psychic nervous system corresponds the norm;
    • speech therapist (21.03.2017.) – specific speech articulation disorder (F80.0);
    • surgeon (10.02.2017.) – scoliotic posture;
    • dermatovenerologist (16.01.2017.) – practically healthy;
    • pediatrician (29.03.2017.) – practically healthy;
  • the youngest half-brother resides in a different foster family since July 2016, previously for 3 months resided in an out-of-family care institution. The boy has bluish-grey eyes and light color hair. The boy is sincere, friendly, kind-natured. He is interested in acquiring everything new and he likes to copy actions of others. Can get angry and nervous if he is not successful in something. His behavior in unpredictable in a non-standard situations. He builds contact with unknown persons easily;
  • the child was born to a 43 years old  mother, from her 4th pregnancy, in her 4th delivery, with weight of 2280g and height 48cm;  
  • the child has been treated in a hospital:
    • 02.12.2015. – 10.12.2015. – initial facial phlegmon;
    • 01.02.2016. – 08.02.2016. – flu. Acute left side pneumonia;
    • 05.01.2017. – 17.01.2017. – F83 (Mixed specific developmental disorders), F80.82 (Other developmental disorders of speech and language), E46 (Unspecified protein-energy malnutrition, Z 60.1 (Atypical parenting situation);
  • the child has been consulted :
    • ENT (24.11.2016.) – hearing corresponds the age;
    • oculist (05.04.2016., 19.08.2016.) – OU Myopia, 1st degree;
    • dentist (10.08.2016.) – chronic periodontitis, dental infection;
    • neurologist (09.01.2017.) – features of cognitive disorders;
    • speech therapist (09.01.2017.) – expressive and receptive language disorder;
    • endocrinologist (11.01.2017.) – protein-energy malnutrition;
  • final diagnosis – mixed specific developmental disorder. Mixed language and speech development disorder, which is related to intellectual development disorder. Unspecified protein-energy malnutrition;
  • further necessary treatment – audio-speech therapist classes, speech and language development promotion, endocrinologist’s supervision in dynamics, recommended geneticist’s consultation, additional examination of magnetic resonance imaging and electroencephalography;
  • by a court verdict the mother and the father of the 2 oldest children were deprived of custody rights in October 2016, the paternity for the youngest boy has not been stated. Both parents are addicted to alcohol, they change their place of residence regularly. The parents did not provide adequate care for the children, the children suffered from emotional violence. Currently their emotional state is stable, they feel safe. The children no longer keep in touch with their parents. Sometimes they have contact with their oldest maternal adult half-brother, who invites the children for biological family events, such as funerals;
  • the children have 1 major maternal half-brother. The two oldest siblings, who reside in the same foster family do not wish to be separated from each other in case of adoption. The two oldest siblings have not met the youngest half-brother since their placement in an out-of-family care. The girl has teenage age and therefore possibly shows indifference in this question, whereas the middle brother agrees to the possible meeting with the youngest sibling.

13. Girl, born on September 23, 2006, resides in a foster family since August 2015, previously resided in an out-of-family care institution since February 2012:
  • the girl has grey eyes and light color hair. The girl has finished 3rd grade at specialized boarding school for children with mental health problems. Her marks are satisfactory. The girl likes handicrafts, to make jewelry, to make things from clay. She draws beautifully, dances, enjoys to perform in front of an audience and to be in the center of attention. She has problems to concentrate for longer tasks. The girl is in regular psychiatrist’s surveillance and needs to take medicine every morning and evening. However approximately once in every 3 weeks the girl may become hysteric – she may attack others, hit them, scratch, may stand on window-sills, take off clothes, kick (e.g. teachers at school), run away. If the girl becomes hysteric at home, the foster mother tries to take the girl to a different room away from other children, she gives additional portion of medication and speaks calmly with the girl. The girl needs a special approach, in that way her behavior can be controlled well. If the girl is provoked, hysterics may happen more often. In 2015 and 2016 the girl has been hospitalized for treatment in a psycho-neurological hospital. The girl does not like to study. The girl has participated in hosting programs in the USA for several times, she would like to be adopted;
  • the child was born to a 17 years old mother, from her 1st pregnancy, in her 1st delivery, with weight of 2860g, height 49cm;
  • the child started to sit at the age of 5 months, to crawl at the age of 9 months, to walk independently at the age of 12 months, to speak – 2 years, her first teeth came out at the age of 8 months;
  • the child has been treated in a hospital:
    • 11.04.2012. – 18.04.2012. – flu;
    • 01.01.2012. – 09.01.2012. – acute respiratory viral infection. Right side perineal pneumonia;
    • 14.07.2012. – 24.07.2012. – acute pharyngotonsilitis, moderate pace. Enterobiosis;
    • 15.07.2013. – 29.07.2013. – acute respiratory viral infection. Mutual antritis;
    • 17.05.2016. – 17.06.2016. – F92.8 (Other mixed disorders of conduct and emotions);
    • 03.07.2015. – 29.07.2015. – F92.8 (Other mixed disorders of conduct and emotions);
  • the child has been consulted by:
    • ENT (07.04.2017.) – without pathology;
    • oculist (10.04.2017.) – V 0,85-0,9. Foc. Norm. OU -1.0 OU Astigmatism;
    • neurologist (10.04.2017.) – healthy;
    • speech therapist (06.04.2017.) – phonetic-phonematic disorder. Reading disorder;
    • surgeon (07.04.2017.) – surgically healthy. Weak posture;
    • dermatovenerologist (07.04.2017.) – practically healthy;
    • pediatrician (10.04.2017.) – skin is clean, isthmus faucium clean. No pulm. vesicular noise. Stomach soft, painless. Regional lymph nodes not detected. S79 (Other and specified injuries of hip and thigh), F92.8  (Other mixed disorders of conduct and emotions);
    • psychiatrist (21.04.2016.) – F70.1 (Mild mental retardation, significant impairment of behavior requiring attention or treatment), F80.9 (Developmental disorder of speech and language, unspecified), medicine-free treatment;
  • further necessary treatment – in surveillance of a psychiatrist;
  • by a court verdict the mother was deprived of custody rights in October 2013, the father – in July 2013. The child was taken out of the biological family due to the fact that the mother consumed alcohol, did not take care of the child’s medical needs, there was no food at home, the electricity was cut off, the mother often left her children in the care of others. The father never visited his daughter, but the mother visited only 3 times while the child was in orphanage. Currently the mother contacts the child via Internet regularly, she tries to manipulate with her daughter’s feelings, wants to influence the girl’s decisions regarding participation in hosting programs; 
  • the girl has 1 younger paternal half-brother, who is in the care of his mother. The decision of the Orphans’ Court on separation of the children in case of adoption has been made. The girl also has 3 other siblings, who are adopted.

14. Boy, born on June 4, 2011, resides in a foster family since September 2014, previously resided in an out-of-family care institution since October 2011:
  • the boy has grey eyes and light color hair. Since September 2016 the boy attends pre-school education group, he has adjusted well in the group. He has speech therapy in order to improve his speech. The boy is a child with special needs, he is taken regularly to various specialists and complies with their recommendations. He is very active, joyful and merry by nature. He likes to play with other children in the foster family, to sing together or listen to the fairy-tales. He likes to observe nature and to watch cartoons;
  • from 10.10.2011. – 24.09.2014. the boy was placed in an out-of-family care according to the mother’s application, based on the fact that the boy needs regular surveillance and consultations of various specialists and medical manipulations;
  • there is no medical information available on the child until October 2014;
  • the child has been treated in a hospital:
    • 04.11.2011. – 17.11.2011. – left side pneumonia. Scabies with secondary infection;
    • 17.02.2012. – 21.03.2012. – congenital heart disease. Atrioventricular septal defect. Cardiovascular failure II (NYHA (after the New York Heart Association classification)). Horseshoe kidney. Soft and hard cleft palate;
    • 17.10.2014. – 21.10.2014. – iron deficiency anaemia. Pierre-Robin syndrome. Congenital heart disease – the state after the AVSD (Atrioventricular septal defect) plastics in 2012. Cardiovascular insufficiency II. Protein-energy malnutrition. Wide total bilious cleft palate. Secondary hypothyroidism;
  • the child has been consulted by:
    • ENT (24.11.2016.) – hearing corresponds the age;
    • oculist (22.08.2014.) – OU hypermetropia;
    • neurologist (21.04.2015.) – Pierre-Robin syndrome;
    • speech therapist (04.02.2015.) – soft and hard cleft palate. Disorders of speech and language development;
    • traumatologist-orthopedist (16.12.2015.) – hypermobility of joints;
    • cardiologist (26.04.2016.) – VSS-congenital heart disease. State after the AVSD (Atrioventricular septal defect) plastics in 2012. Insufficiency of mitral and tricuspidal valves;
    • endocrinologist (26.04.2016.) – Pierre-Robin syndrome. Protein-energy malnutrition II. Language development delay. Secondary hypothyroidism;
  • final diagnosis – Pierre-Robin syndrome. Congenital heart disease. AVSD (Atrioventricular septal defect) plastics in 2012. Cardiovascular insufficiency. Soft and hard cleft palate (surgery on 18.08.2014.). Physical development delay. Protein-energy malnutrition II. Secondary hypothyroidism;
  • the child has a disability status;
  • further necessary treatment – regular surveillance in dynamics of a cardiologist, endocrinologist (upon necessity). Speech therapist consultation in dynamics. No medication therapy needed at the moment;
  • by a court verdict the mother was deprived of custody rights in December  2016, the father deceased in December 2015. The child was taken out of the biological family due to the fact that the parents neglected him. The parents had alcohol addiction problems. No one has visited the child in the foster family, the boy has no contact with his biological family. The boy has good relationship with the foster family; 
  • the boy has 2 older minor brothers and 2 older minor sisters, who are in the guardianship of a grandmother. She refused to take care of the adoptable boy due to his health problems. The children are not attached to the adoptable boy. The decision of the Orphans’ Court on separation of the children in case of adoption has been made. 

15. Girl, born on September 29, 2010, resides in an out-of-family care institution since June 2017. From April 2014 till June 2017 the girl resided in a foster family:
  • the girl has brown eyes and light brown hair. She is very beautiful, small and thin. The girl likes to draw, to watch cartoons, to play with her dolls and to leaf through the picture-books. She is used to talk to herself. The girl is spiteful, wants to gain her end. She is accurate, has good self-care and hygiene skills. She likes to take care of younger children, she plays “mum” and imitates older children, wants to be like them. The girl has weak memory, she often doesn`t remember what was said the previous day. The girl pronounces well only the first syllables of words, endings of words is hard to understand. In unfamiliar environment she can be nervous, she doesn`t like to go to sleep, especially at midday. When the girl attended kindergarten, she was delayed in the studies, but a large progress was observed. The girl is somatically healthy, she has a strong immune system;
  • the child was born to a 33 years old mother, from her 3rd pregnancy, in the 2nd delivery, with weight of 2870g and height – 48cm;
  • the child has been treated in a hospital:
    • 13.03.2014. – 17.03.2014. – acute respiratory illness. Acute rhinopharyngitis;
    • 29.11.2016. – 07.12.2016. – final diagnose: F71.1 (Moderate mental retardation with significant impairment of behavior requiring attention or treatment). F80.0 (Specific speech articulation disorder). F80.1 (Expressive language disorder). Z60.1 (Atypical parenting situation). The girl was placed in a hospital with a referral of a psychiatrist and because of complaints of the foster mother: the girl has mood swings and tantrums, she can become aggressive, her language and mental development is delayed. During the hospitalization the girl was active, communicative, wasn`t aggressive, there was no need for medical treatment. The girl`s state after hospitalization: mental state – good contact, clear consciousness, oriented correctly in all ways. Reserved, uncommunicative during the conversation. Shows on her fingers that she is 4 years old. Mixes up primary colors, identifies animals only partly. Eats and goes to the toilet independently. There was no aggression observed during the conversation. No psychopathological symptoms, delirium, hallucinations or paroxysms observed. Neurological state – without acute CNS pathology. Somatic state – weight 15kg, height 111cm, without acute pathology. Recommendations: surveillance of psychiatrist and pediatrician, to form a disability status, to attend specialized school program for children with mental development disorders, check-up after a year, no need for medical treatment;
  • the child has been consulted by:
    • neurologist (27.09.2014.) – language development delay;
    • speech therapist (27.09.2014.) – language development delay;
    • ENT (26.10.2015.) – norm;
    • surgeon (26.10.2015.) – norm;
    • dermatovenerologist (26.10.2015.) – clean skin;
    • pediatrician (26.10.2015.) – acute rhinitis;
    • ENT (24.05.2016.) – organs without pathology, norm;
    • speech therapist (30.05.2016.) – motor function development delay. Clumsiness in fingers. Has difficulties to color, draw and write, scissors clumsily. Can`t button up, tie shoelaces, close up sandals. Speech motor functions: peripheral articulation, anatomical structure corresponds to norm, immobile tongue, open mouth and twisted lips often. Small vocabulary, doesn`t correspond to her age. Answers to questions in one word, speaks in small sentences, often uses a wrong word, misses endings of the words, doesn`t use prepositions and adjectives. Counts to five, has unintelligible pronunciation, doesn`t pronounce “r” and sibilants, is agrammatical. Has voice disorder and reduced working capacity. Necessary to repeat the tasks, unsustainable attention. Conclusion – speech and language development delay with unsustainable attention;
    • oculist (31.05.2016.) – OU Myopia I. Control after 9-12 months;
    • psychologist (31.05.2016.) – difficulties in communication, small vocabulary, difficulties to concentrate, slow working pace, gets tired quickly, needs additional time. Reduced long-term and short-term audible memory. Can co-operate with adults, is friendly and open. Can analyze simple visual information and accomplish task after a given example. Conclusion: reduced cognitive skills that could be related to functional disorder, language development delay. Recommendations: to extend vocabulary every day, to give additional time in the learning process, to use a small number of illustrative materials, to support and encourage, to express acknowledgment of her work. Consultation of neurologist recommended;
    • psychiatrist (01.06.2016., 16.06.2016.) – F90.0 (Disturbance of activity and attention). F07.0 (Organic personality disorder). F80.0 (Specific speech articulation disorder). Recommended specialized school program for children with mental development disorder;
    • pedagogically medical commission (16.06.2016.) – recommended specialized school program for children with mixed development disorder (language development disorder);
    • EEG in sleep (25.07.2016.) – no pathology;
    • hearing test – norm;
    • neurologist (September 2016) – recommended repeated consultation of psychiatrist;
    • psychiatrist (21.10.2016.) – referral to hospital for examination;
    • special education teacher (01.12.2016.) – recommended specialized school program in kindergarten, control after a year. Pedagogically neglected, but with satisfactory social skills;
    • psychologist (01.12.2016.) – intellectual abilities are reduced, doesn`t correspond to the girl`s age. Language: low verbal ability, small vocabulary, speaks in short sentences. The girl is talkative, but often it is difficult to understand her. Thinking: knows her name, age (but sometimes is wrong). Reduced level of knowledge, has difficulties with arithmetic tasks, can count to five. Has difficulties to analyze visual information. Memory: reduced memorizing skills. Has difficulties to remember new information and to reproduce it, is necessary to repeat it. Attention: cognitive abilities are on low level, unsustainable, easily distractible attention. Recommended repeated psychological evaluation before to start the school;
    • speech-language pathologist/audiologist (05.12.2016.) – recommendations: regular consultations of speech therapist/audiologist, consultation of myofunctional therapist due to breathing and articulation, consultation of gastroenterologist, to evaluate the most appropriate specialized school program, to extend vocabulary;
    • clinical psychologist (05.12.2016.) – reduced intellectual abilities, doesn`t correspond to her age, correspond to mild to moderate mental development delay (IQ 48-54). Reduced level of knowledge and language development, expressive language disorder;
    • psychiatrist (13.06.2017.) – F71.1 (Moderate mental retardation with significant impairment of behavior requiring attention or treatment). The child has a disability status. Recommended repeated evaluation of pedagogically medical commission. Therapy: Relaxen (1 capsule once-twice a day);
  • final diagnosis – language development disorder. F71.1 (Moderate mental retardation with significant impairment of behavior requiring attention or treatment);
  • the girl has a disability status since January 2017;
  • further necessary treatment – repeated evaluation of pedagogically medical commission. Regular consultations of speech therapist/audiologist. Surveillance of psychiatrist and pediatrician. Therapy: Relaxen (1 capsule once-twice a day);
  • by the court verdict the parents have been deprived of custody rights in November 2015. The parents consumed alcohol and the girl lived in conditions that were dangerous to her health and life. The parents were violent towards each other, the girl was experiencing it. The parents were not interested in the girl, didn`t visit the girl while she resided in the foster family and didn`t visit her also in the out-of-family care institution, but at the end of June 2017 the parents have expressed an interest to meet the girl in the out-of-family care institution and to take her home for the weekend. The Orphan`s Court will consult with the social service which supervises the parents and will make a decision on the possible visits in the near future. The parents have received rehabilitation course and there are no problems of alcohol abuse or violence in the family at the moment. The girl`s grandmother (mother`s mother) visited the girl a couple of times when she resided in the foster family, has expressed an interest about her, but is very old, she has health problems and she can`t take care of the girl. In case of adoption it would be advisable that the adopters maintain contact with the girl`s grandmother if it is possible;
  • in July 2016 the girl was in a pre-adoption care in Latvia, but adopters decided not to continue it because of the girl`s mental health problems. In June 2017 the girl was placed from the foster family to the out-of-family care institution for the same reason – the foster family couldn`t take care of the girl anymore because of her mental health disorder, the foster parents were afraid that the girl could hurt their biological child;
  • the girl has 1 younger sister, who is in the care of the parents. The decision by the Orphan’s Court on separation of the children in case of adoption has been made.

16. Boy, born on August 28, 2009, resides in an out-of-family care institution since May 2015. From February 2014 till January 2015 was under a guardianship:
  • the boy has grey eyes and light brown hair. He is open, friendly, communicative and loud. The boy attended the 1st grade at school this year, but the next year it will be necessary to repeat the program of the 1st grade. The psychiatrist recommended to attend the specialized school program for children with learning disorder, but the pedagogically medical commission and the specialists of the out-of-family care institution have given an opinion that the boy should repeat the program of the 1st grade, but attend a regular school program, not specialized, he just needs an individual attention and support in the learning process. The boy likes sports games, he can swim and ride a bike. The boy wants to be a leader in all situations, if it`s not possible, he can become aggressive towards other children. Sometimes he can be impulsive and react inadequately, especially if he is tired and dissatisfied with something. The boy is in a surveillance of psychiatrist, receives medical treatment – uses Rispolept once a day, every day. Despite the fact that the boy receives therapy, he has behavior disorders that becomes apparent spontaneously – the boy screams, behaves violently, can assault younger children, runs away. His social behavior corresponds to his age, he tells fibs, is emotionally unstable. The boy works rashly, is superficial, the most important for him is to be the first in everything;
the child was born to a 30 years old mother, from her 2nd pregnancy, in the 2nd delivery, in 35/36th week of gestation, with weight of 2796g and height – 48cm. After the birth the boy had intrauterine infection, pneumonia, secondary anaemia, an umbilical cord was wrapped around his neck, he was swallowed amniotic fluid, therefore artificial (pulmonary) ventilation was carried out;
the child started to sit at the age of 6 months, to crawl – at the age of 8 months, to walk independently – at the age of 8 and a half months;
the child has been treated in a hospital:
  •  
    • 03.09.2009. – 08.09.2009. – intrauterine pneumonia. State after artificial (pulmonary) ventilation. Secondary anaemia. Born prematurely. Predisposed HCV, B20 (HIV), because the biological mother had such diseases, but the suspicion was not confirmed;
    • 10.08.2011. – primary surgical veneer of a wound (got the wound in a kindergarten);
    • 20.09.2012. – flea-bites;
    • 16.04.2015. – 21.04.2015. – acute respiratory viral infection. Acute nasopharyngitis. Acute exudative tonsillitis (cold, tonsillitis);
    • October 2016 – March 2017 – psycho-neurological hospital. Behavioral and emotional disorders. F06.6 (Organic emotionally labile [asthenic] disorder). F06.7 (Mild cognitive disorder);
  • the child has been consulted by:
    • neurologist (14.08.2015.) – F06.6 (Organic emotionally labile [asthenic] disorder). Behavioral and emotional disorders;
    • oculist (10.02.2016.) – Vod 1.0/Vos 0.9;
    • psychiatrist (09.05.2016.) – F06.6 (Organic emotionally labile [asthenic] disorder);
    • pediatrician (21.07.2016.) – health group II in sports;
  • laboratory tests on HbsAg, HIV1/2, SED (23.08.2016.) are all negative;
  • final diagnosis – behavioral and emotional disorders. F06.6 (Organic emotionally labile [asthenic] disorder). F06.7 (Mild cognitive disorder);
  • further necessary treatment – regular surveillance of psychiatrist, therapy: Rispolept once a day, every day;
  • the mother deceased in June 2013, by the court verdict the father has been deprived of custody rights in February 2016. The father doesn`t want to take care of the boy, because he can`t and doesn`t want to deal with the boy`s behavioral problems and doesn`t consider himself as the boy`s biological father. The mother used drugs and alcohol. None of the relatives have shown any interest in the boy since he resides in the out-of-family care institution;
  • from February 2014 till January 2015 the boy was under a guardianship, but the guardian refused to continue to fulfil these duties, because she considered that the boy`s behavior is inadequate and he can endanger other children in the family. She also observed sexualized behavior of the boy, he was loud, used to be aggressive towards other children, couldn`t concentrate and was the initiator to comply with the rules;
  • the boy has 1 older brother, who is in the care of his father. The decision by the Orphan’s Court on separation of the children in case of adoption has been made.

17. Boy, born on February 16, 2012, resides in a foster family since April 2012:
  • the boy has brown eyes and light brown hair. The boy has a disability status, his development doesn`t correspond to his age, he doesn`t speak. The boy attends specialized kindergarten and consultations of speech therapist;
  • the boy`s characterization provided by the teacher of the kindergarten (19.10.2016.) – the boy attends kindergarten since August 2014. In June 2014 pedagogically medical commission has given an opinion that the boy needs special education pre-school program for children with mental development disorders. The boy is kind-hearted, sunny and curious, an observer, but sometimes can be spiteful, wants to be the leader of his peers and also adults. He likes to play with the construction materials and the big toy cars. He observes adults around him and imitates cooking and cleaning. Helps to clean the group and to lay the table according to his abilities in the kindergarten. Tries to take a part in the sports activities in the kindergarten. The boy has acquired self-care skills partially, can eat independently, has started to go to the potty without assistance, but still needs to use diapers. His attention and concentration skills are low. The kindergarten program has not been acquired in accordance with his age;
  • the child was born to a 35 years old mother, from her 5th pregnancy, in the 4th delivery, with weight of 3900g and height – 54cm. The mother was not in doctor’s surveillance during the pregnancy;
  • the child started to sit at the age of 9 months, to walk independently – at the age of 1 year and 6 months, first teeth came out at the age of 9 months. At the age of 4 years and 6 months the boy didn`t speak and couldn`t go to the potty himself;
  • the child has been treated in a hospital:
    • 07.10.2012. – 17.10.2012. – acute bronchitis. Conjunctivitis;
    • 31.01.2013. – 06.02.2013. – rotavirus enteritis;
    • 07.02.2013. – 12.02.2013. – acute bronchitis. Otitis;
    • 18.07.2013. – 31.07.2013. – mixed specific developmental disorder;
    • 26.03.2014. – 04.04.2014. – pneumonia of the left lung;
    • 14.11.2014. – 19.11.2014. – functional gastrointestinal disorders;
  • the child has been consulted by:
    • neurologist (29.10.2012., 14.06.2013., 31.07.2013., 03.04.2014.) – mixed specific developmental disorder. Psycho-motor and language development delay. Dysmorphism;
    • allergist (15.01.2013.) – irritant contact dermatitis;
    • geneticist (19.09.2013., 11.02.2014.) – analysis carried out. No genetic pathology;
    • gastroenterologist (12.01.2015.) -– functional gastrointestinal disorders;
    • speech therapist – language development delay. Attends specialized kindergarten, consultations with the speech therapist;
    • pediatrician – psycho-motor and language development delay. Dysmorphism. Attends regular consultations with the pediatrician;
  • final diagnosis – mixed specific developmental disorder. Psycho-motor and language development delay. Dysmorphism (a specific form of the head and lower jaw);
  • the child has a disability status;
  • further necessary treatment – consultations of speech therapist. Course of Nootropil. Training of social skills. To follow a diet (can`t eat egg white, bananas, milk, white bread, sweets);
  • by the court verdict the mother has been deprived of custody rights in July 2013, the father has given consent to the child`s adoption in June 2016. There were suspicions regarding emotional and physical violence in the family, the violence was directed towards the oldest children in the family. The mother has not shown any interest in the boy;
  • the boy has 1 older maternal half-brother, who resides in an out-of-family care institution, and 1 older maternal half-brother, 1 older maternal half-sister and 1 younger maternal half-sister, who reside in the same foster family. There is no close emotional bond between the boy and his siblings, because the boy is disabled, doesn`t speak and the other children doesn`t want to communicate with him. The decision by the Orphan’s Court on separation of the children in case of adoption has been made.

18. Girl, born on September 28, 2010, resides in an out-of-family care institution since June 2015. From August 2013 till June 2015 the girl was under a guardianship, the guardian was suspended from her duties:
  • the girl has grey eyes and brown hair. She attends specialized pre-school program for children with mental development disorders. The girl has serious disorders in almost all areas of development. She has language development disorders, difficulties to concentrate, needs individual approach and support and calm attitude from adults. There are small positive dynamics observed in her development. She likes to play. The girl seeks for attention and care of adults. She has a disability status, mental development disorders, language development disorders that requires patience, calm and sensitivity. It is very important to give the girl all the individual attention she needs, to continue to develop her skills and abilities. It is necessary to play together with the girl and to take care her to all the specialists she needs to improve her development;
  • the child was born to a 32 years old mother, from her 4th pregnancy, in the 4th delivery, with weight of 2710g and height – 46cm;
  • the child has been treated in a hospital:
    • 02.06.2015. – 16.06.2015. – F71.1 (Moderate mental retardation with significant impairment of behavior requiring attention or treatment). F80.8 (Other developmental disorders of speech and language. Lisp). Z60.1 (Atypical parenting situation. Problems related to a parenting situation (rearing of children) with a single parent or other than that of two cohabiting biological parents). Z61.6 (Problems related to alleged physical abuse of child). B86 (Scabies);
  • the child has been consulted by:
    • surgeon – practically healthy;
    • oculist (20.11.2015.) – H52.0 (Hypermetropia);
    • psychiatrist (21.04.2016.) – F71.1 (Moderate mental retardation with significant impairment of behavior requiring attention or treatment). F80.8 (Other developmental disorders of speech and language. Lisp);
    • speech therapist (14.06.2016.) – F80.8 (Other developmental disorders of speech and language. Lisp);
    • dermatovenerologist (14.06.2016.) – healthy skin and mucosa;
    • pediatrician (14.06.2016.) – no somatic illnesses;
  • laboratory tests on HbsAg, HIV1/2, SED (01.06.2016.) are all negative;
  • final diagnosis – F71.1 (Moderate mental retardation with significant impairment of behavior requiring attention or treatment). F80.8 (Other developmental disorders of speech and language. Lisp). H52.0 (Hypermetropia);
  • the child has a disability status;
  • further necessary treatment – therapy: Rispolept (1/2 tab. twice a day);
  • the father deceased in March 2013, by the court verdict the mother has been deprived of custody rights in May 2016. The parents didn`t take care of the girl, she was neglected, didn`t received necessary medical care, the parents had addiction problems. There were suspicion regarding sexual violence in the family, a criminal investigation was started, but these suspicion was not confirmed. The girl received rehabilitation course. None of the relatives have shown any interest of the girl;
  • the girl has no siblings.

19. 4 sisters: the oldest half-sister, born on December 22, 2005, the 1st middle sister, born on July 28, 2009, the 2nd middle sister, born on February 6, 2011, the youngest sister, born on July 4, 2012. The children reside in the current foster family since November 2014. They have been in out-of-family care since August 2012. The 3 oldest girls from August 2012 till April 2013 resided in several out-of-family car institutions and from April 2013 till November 2014 – in a foster family. The youngest girl from August 2012 till November 2014 resided in two different out-of-family care institutions;
  • the oldest half-sister has brown eyes and brown color hair. She graduated 4th grade this year with very good results. The girl likes manual training, she takes a part in declamation competitions, sings in a choir. The girl reads a lot, is very moving and talkative. In 2015 the foster mother observed behavior problems – the girl showed the hatred towards other children, could hurt them, shouted at them, and the foster mother gave an opinion that the girl should be the only child in the family so she could get all the attention and love. After these behavioral problems were observed, the girl attended consultations of psychiatrist and received psychological rehabilitation. The girl still has some behavior problems, but it appears less frequently than before. She can shout to teachers, can be ill-mannered, but respects the foster mother. She still can hurt the younger half-sisters, always wants to be the leader. At the moment there is no need to use any medicine or attend any specialists;
  • the child has been treated in a hospital:
    • 01.06.2015. – 18.06.2015. – adjustment disorders with mixed behavioral and emotional disorders. F43.25 (Adjustment disorders). Z61.1 (Removal from home in childhood). Z61.4 (Problems related to alleged sexual abuse of child by person within primary support group). Recommended consultations of psychologist and psychotherapist, and mild sedative therapy (Noofen);
  • the child has been consulted by:
    • psychologist (13.05.2013.) – the girl is aggressive, sexualized behavior has been observed that can indicate to experienced violence. The girl told that her mother`s partner has been physically and sexually violent towards her. The girl received psychological rehabilitation, consequences of the violence have been reduced;
    • EEG (03.06.2015.) – clinical diagnosis: organic emotional lability. Conclusion: Moderate general changes with insufficiently registered alpha rhythm, slowed dysrhythmia in theta spectrum;
    • psychologist (08.06.2015.) – observations: communicates boldly, takes a part in conversation, makes eye contact. Emotionally involved, warm, friendly. Carries out the given tasks willingly, is interested in it. She understands conditions of the tasks, executes them accurately. Quick working pace. Clever, adequate perception. During the consultation observed fluctuation of attention, hurried answers. Results of the evaluation indicate adequate thinking process of emotionally sensitive, labile child with adjustment disorders and explicit need for secure, stable relationship;
    • oculist (2016) – Vod 1.0/ Vos 1.0. Accommodative spasm;
    • pediatrician (2016) – somatically healthy;
    • psychiatrist (February 2017) –  adjustment disorders with mixed behavioral and emotional disorders. No need to use Noofen or any other medicine anymore. Consultation of psychiatrist only if it is necessary;
  • final diagnosis – somatically healthy. Adjustment disorders with mixed behavioral and emotional disorders;
  • further necessary treatment – consultation of psychiatrist or psychologist if it is necessary;
  • the 1st middle sister has brown eyes and brown hair. She graduated the 1st grade this year with average results. The girl has some difficulties in mathematics and Latvian, because previously she used mostly Russian. It`s likely that from the next year the girl will have teacher`s assistant that will help her in the learning process. The girl is very active, moving, rowdy, wants to be the first in everything. She attends aerobics, plays football and basketball. The girl is sweet, gentle, helpful, diligent, gladly plays with younger children (but not with her sisters). The girl had eating disorders before, she used to overeat, but this problem disappeared. She also was very aggressive towards insects, but also this problem disappeared. The girl had some emotional disorders in 2015, she used to be aggressive towards other children. After she received psychological rehabilitation and special therapy (theraplay), aggression has not been observed. The girl is healthy, there is no need to use any medicine or to attend any specialists;
  • the child has been treated in a hospital:
    • 01.06.2015. – 18.06.2015. – adjustment disorders with mixed behavioral and emotional disorders. F43.25 (Adjustment disorders). Z61.1 (Removal from home in childhood). Z61.4 (Problems related to alleged sexual abuse of child by person within primary support group). Recommended to continue consultations with psychologist or psychotherapist and to carry out evaluation on intellectual ability;
  • the child has been consulted by:
    • psychologist (13.05.2013.) – the parents were emotionally and physically violent towards the girl. She received psychological rehabilitation, consequences of the violence have been reduced;
    • oculist (06.02.2015.) – Vod 0.6/ Vos 0.6;
    • EEG (03.06.2015.) – clinical diagnosis: organic emotional lability. Conclusion: Moderate general changes with alpha-theta dysrhythmia. Signs of damage in middle structures;
    • psychologist (09.06.2015.) – observations: communicates well, can answer to simple questions about herself. Knows her name, surname and age, can tell with whom she is living with. Understands and executes simple instructions. Takes a part in task with an interest. Can comply with the rules. Can concentrate her attention on the given task and complete it. Can write down her name and surname, recognizes some letters, counts to 19. Doesn`t distinguish the right and the left side, but distinguish colors. Knows basic geometric figures. During the consultation observed fuss while she is doing some task or answers to some questions – she sits in the chair restlessly, twirls her hair, gives many different answers to one question, etc. Results of the evaluation indicate slightly reduced, unequally developed intellectual abilities, but overall it corresponds to her age. The girl is unsure of herself, with emotional disorders, with slightly increased level of anxiety. Recommended evaluation of intellectual abilities in dynamics and consultations of psychologist;
    • pediatrician (2016) – practically healthy;
  • final diagnosis – adjustment disorders with mixed behavioral and emotional disorders. Practically healthy;
  • further necessary treatment – consultations of psychologist or psychotherapist if it is necessary;
  • the 2nd middle sister has fawn-colored eyes and light brown hair. She graduated pre-school program for five-years-old children, quickly learns all the new. The girl likes to sing and to dance, she attends aerobics. She is diligent and accurate, sweet and gentle, can be loud. Some time ago the girl often used to yell and cry protractedly and without any reason, she also had difficulties to fall asleep. The girl received consultations of psychologist and used psychiatrist`s prescribed medicine (Noofen), and at the moment there are no such problems anymore. But she still can start to cry without any reason a rare time (for example, recently some boy in the playground showed her tongue, she started to scream and cry uncontrollably). At the moment the girl doesn`t use any medicine and doesn`t attend psychiatrist or psychologist, there is no need;
  • the child has been consulted by:
    • neurologist (01.02.2013.) – mild muscular dystonia with small gait disorder. Recommended consultation of physiotherapist;
    • physiotherapist (04.02.2013.)  – psycho-motor development corresponds to the child`s age. Observed development in all functions. Recommended to continue to develop the child`s psycho-motor development, to draw attention to development of correct posture, to improve the child`s gait, to be in a surveillance of pediatrician and rehabilitator;
    • psychologist (13.05.2013.) – the parents were emotionally and physically violent towards the girl. She received psychological rehabilitation, consequences of the violence have been reduced;
    • oculist (06.02.2015.) – Vod 0.8/ Vos 0.7;
    • pediatrician (2016) – practically healthy;
  • final diagnosis – practically healthy;
  • further necessary treatment – surveillance of pediatrician. Consultations of psychologist or psychotherapist if it is necessary;
  • the youngest sister has blue eyes and light hair. She will start pre-school program for five-years-old children the next year. The girl likes to sing and to draw. She is self-dependent, quickly learns all the new, can be spiteful. She doesn`t like to communicate with other children, conflicts with them often, sometimes can even become aggressive. The girl prefers to play alone. While the girl resided in the out-of-family care institution, she received physiotherapy, ergotherapy, physical therapy, consultations of speech therapist and psychologist. The girl had orthopaedic problems, but she attended recreative gymnastics and there were significant improvements observed. For a period of time the girl used psychiatrist`s prescribed nutritional supplement, but there is no need anymore. She continues to attend recreative gymnastics once a week in kindergarten and uses syrup Sedalia periodically because of her behavioral disorders (aggression);
  • the child was born from her mother`s 4th pregnancy, in the 4th delivery, in home birth, with weight of 3350g, height – 52cm;
  • the child started to sit at the age of 10 months, to walk – at the age of 1 year and 1 month, first teeth came out at the age of 10 months;
  • the child has been treated in a hospital:
    • 30.07.2014. – 04.08.2014. – bacterial infection with unspecified localization;
  • the child has been consulted by:
    • neurosonography (26.11.2012.) – brain structure differentiated properly. No extended cavity systems;
    • neurologist (01.02.2013.) – mild pyramidal insufficiency in extremities. Designated physiotherapy and control of neurologist in dynamics;
    • surgeon (28.12.2013.) – dislocated joint of the left elbow;
    • rehabilitator (01.01.2014.) – kinesio tape for elbows;
    • dentist (20.03.2014.) – healthy teeth;
    • surgeon (17.06.2014.) – sprain of joint of the right foot;
    • speech therapist (27.08.2014.) – language corresponds to the age;
    • MFDD (28.08.2014.) – psycho-motor development corresponds to the age;
    • physiotherapist (28.08.2014.) – muscular tonus corresponds to the age. Weak apparatus of ligaments. Unstable joints. X-shaped legs. Weak arches of the foot;
    • oculist (23.09.2014.) – healthy;
    • surgeon (26.08.2015.) – incorrect position of the 3rd toes. Consultation of orthopaedist;
    • orthopaedist (2016) – testing carried out. No need for orthopaedic footwear. Recommended recreative gymnastics in order to straighten the toes;
    • neurologist (16.02.2016.) – behavioral disorders;
    • neurologist (October 2016) – behavioral disorders. Recommended to use syrup Sedalia periodically;
  • final diagnosis – behavioral disorders;
  • further necessary treatment – recreative gymnastics once a week. To use syrup Sedalia twice a day periodically;
  • by a court verdict the mother was deprived of custody rights in October 2015, the father of the oldest half-sister deceased in February 2013, and the father of the 3 younger sisters deceased in July 2016. The children were neglected and the parents were emotionally and physically violent towards them. The mother or other relatives haven`t shown any interest in the children;
  • the girls have no other siblings. The sisters use to conflict with each other.

20. Boy, born on November 24, 2003, resides in an out-of-family care institution November 2007:
  • the boy has light blue eyes and light brown hair. He graduated 6th grade this year in a specialized boarding school for children with behavior disorders. The boy likes sports and information science. He needs to be motivated to learn, his work capacity is reduced, he can be lazy, uses to cut classes and has tendency to rove. He is impulsive, can be aggressive and conflict at school. Some time ago he had tendency to steal from his schoolmates, but at the moment this problem is decreased. The boy uses aggression as a protective response, can be rude if someone blames him for something. The boy has smoking addiction, he searches for stubs of cigarettes. However, lately he has shown a determination to fight with this addiction and will attend psychologist once a week to talk about his problems. The boy desperately needs individual attention and also additional time to calm down after flare-ups of aggression. He is in the registry of a psychiatrist since 2007;
  • the child has been treated in a hospital:
    • 17.11.2010. – 04.01.2011. – psycho-neurological hospital – early central nervous system damage with mental development delay and emotional and behavioral disorders;
  • the child has been consulted by:
    • oculist (14.01.2009.) – Vod 0,6/ Vos 0,5. OU Hypermetropia;
    • neurologist (26.11.2010.) – no symptoms of focus of disease observed;
    • pediatrician (21.01.2011.) – mild mental delay;
  • final diagnosis – mild mental delay. Early central nervous system damage with mental development delay and emotional and behavioral disorders. Learning disorders;
  • further necessary treatment – regular surveillance of psychiatrist. Consultations of psychologist once a week. Therapy: Rispolept (1/2 tab. 3 times a day), Truxal (1/2 tab. before sleep);
  • by the court verdict the mother was deprived from the custody rights in November 2011, the father deceased in July 2011. The child was neglected and lived in conditions that were dangerous to his health. The parents had psychiatric illnesses and disability status. They used alcohol and failed to provide the basic needs for the child. The mother has been in the out-of-family care institution and has phoned a couple of times, but the boy has no close emotional bond with her, he doesn`t show interest to contact the mother;
  • the boy has 1 younger brother, who has been adopted to the USA. The children didn`t have close emotional relationship and the Orphans` Court made a decision on separation of the children in case of adoption.

21. 2 siblings: sister, born on August 31, 2000, and brother, born on January 14, 2002, reside in the current out-of-family care institution since October 2013. From January 2013 till October 2013 resided in a different out-of-family care institution:
  • the sister graduated 9th grade this year, learns after a specialized school program. Sometimes she needs motivation in the learning process. The next year the girl plans to study in technical school, where she will learn a profession of cook/nutrition specialist. The girl likes to dance, she sings in an ensemble and takes a part in school and out-of-school activities. She needs to wear glasses and to attend oculist regularly. She also attends psychologist twice a month. The girl has tendency to have outbreaks of anaemia periodically and in these moments she uses extra iron preparations. The girl smokes, but she has no behavioral problems or tendency to rove;
  • the child has been consulted by:
    • ENT (08.09.2014.) – healthy;
    • oculist (09.09.2014.) – Hypermetropia;
    • pediatrician (20.09.2016.) – weight 51 kg, height 163cm. Vod 0,8/ Vos 0,5. Health group II. Iron deficiency anaemia;
    • psychiatrist (2016) – F81.2 (Specific disorder of arithmetical skills). F70.0 (Mild mental retardation with the statement of no, or minimal, impairment of behavior);
  • final diagnosis – F81.2 (Specific disorder of arithmetical skills). F70.0 (Mild mental retardation with the statement of no, or minimal, impairment of behavior). Iron deficiency anaemia. Hypermetropia;
  • further necessary treatment – consultations of psychologist twice a month. To wear glasses and to attend oculist regularly. To use extra iron preparations if necessary;
  • the brother graduated 5th grade this year, he has stayed in the same class for several years and learns after a specialized school program. The boy is communicative, can express his opinion. He plays floorball and takes part in youth guard movement. He likes to be with adults and to receive praises. The boy`s results at school are low, he has no motivation to study. He also has shame and fear to speak in public, that`s why he doesn`t take part in public school activities. In contact with adults he is looking for his own benefit. Sometimes the boy has difficulties to comply with the rules, he can be loud and impulsive, but can apologize. He smokes, but has no behavioral problems or tendency to rove. The boy needs to wear glasses and to attend oculist periodically. He also attends psychologist twice a month. The boy is somatically healthy and he has no need to use any medicine;
  • the child has been consulted by:
    • oculist (02.11.2015.) – Vod 0,9/ Vos 0,6. Hypermetropia;
    • pediatrician (04.11.2016.) – weight 51 kg, height 163 cm. Health group II. Needs to wear glasses;
  • final diagnosis – Hypermetropia;
  • further necessary treatment – to wear glasses and to attend oculist regularly. Consultations of psychologist twice a month;
  • by the court verdict the parents have been deprived of custody rights in July 2016. The children were neglected, the parents used alcohol and didn`t take care of the children`s health and education. There were unsanitary conditions in their place of residence. The children received social rehabilitation. They visit the mother occasionally;
  • the children have 2 major maternal half-sisters, 2 major maternal half-brothers, 1 major paternal half-sister and 2 major paternal half-brothers. Sometimes the children visit one of the major half-sisters.

22. 3 siblings: the oldest sister, born on March 20, 2003, the middle brother, born on April 16, 2004, and the youngest half-brother, born on October 13, 2007. The 2 oldest siblings reside in a foster family since April 2008, the youngest half-brother resides in the same foster family since December 2009:
  • the oldest sister has blue eyes and light brown hair. She graduated 7th grade this year, learns after a specialized school program because of learning disorders. Her results at school are average and she has difficulties in mathematics. The girl attends art school, she likes to draw. She is accurate, diligent, she has no behavioral problems. The last three years the girl has diabetes mellitus, she has to attend endocrinologist every 3 months, has to follow a special diet, needs to measure the level of sugar in the blood regularly and needs to use prescribed medicine: Apidra (before eating) and Lantus (vaccine every evening);
  • the child was born to a 29 years old mother, from her 7h pregnancy, in the 7h delivery, with weight of 3830g and height – 54cm. The mother was not in doctor’s surveillance during the pregnancy. Until the age of 1 year the girl had hypoxic ischaemic encephalopathy (HIE) with muscular hypotonia, psycho-motor development delay and abduction limitation of the right hip;
  • the child started to talk at the age of 3 years, to walk – at the age of 1 year and 6 months;
  • the child has been treated in a hospital:
    • 02.04.2008. – 15.04.2008. – allergic dermatitis. Neurosis. Mental development delay;
    • 06.05.2009. – 13.05.2009. – acute tonsilitis. Acute bronchitis;
  • the child has been consulted by:
    • neurologist (25.01.2007.) – F82.3 (specific developmental disorder of motor function). Mild mental delay;
    • ENT (28.10.2010.) – without pathology. Often gets cold;
    • oculist (28.10.2010.) – Vod 1.0/ Vos 1.0;
    • surgeon (2011) – no surgical pathologies;
    • dermatovenerologist (2011) – clean skin;
    • pediatrician (26.07.2011.) – somatically healthy;
    • endocrinologist (every 3 months) – diabetes mellitus;
  • final diagnosis – learning disorders. Diabetes mellitus;
  • further necessary treatment – surveillance of pediatrician and endocrinologist. Therapy: Apidra (before eating) and Lantus (vaccine every evening). To follow a special diet;
  • the middle brother has blue eyes and light brown hair. He graduated 5th grade this year, learns after a specialized school program because of learning disorders and language development delay. The boy has difficulties in mathematics. He attends art school and domestic science group, he likes to create things out of wood. The boy has language development delay and he attends speech therapist twice a week. He stammered before, but this problem no longer exists. The boy is healthy and he has no need to use any medicine;
  • the child was born to a 31 years old mother of her 8th pregnancy, with weight of 3000g and height – 53cm. The mother was not in doctor’s surveillance during the pregnancy. The boy had hypoxic ischaemic encephalopathy (HIE) with intermittent hypertension, muscle hypertension;
  • the child started to talk and to walk at the age of 2 years and 6 months;
  • the child has been treated in a hospital:
    • 13.02.2006. – prenatal posthipoxic encephalopathy. Motor development delay;
    • 02.02.2010. – 12.02.2010. – psycho-motor development delay;
    • 02.04.2010. – 15.04.2010. – allergic dermatitis. Mental development delay;
  • the child has been consulted by:
    • neurologist (01.02.2006.) – premature central nervous system damage. Mental delay;
    • pediatrician (02.05.2011.) – language development delay;
    • ENT (12.05.2011.) – healthy;
    • oculist (12.05.2011.) – Vod 1.0/ Vos 1.0;
    • neurologist (2011) – language development delay, psycho-motor development delay;
    • surgeon (2011) – no pathologies;
    • dermatovenerologist (2011) – clean skin;
    • speech therapist – receives consultations;
  • final diagnosis – learning disorders. Language development delay;
  • further necessary treatment – consultations of speech therapist twice a week;
  • the youngest half-brother has blue eyes and light hair. He graduated 3rd grade this year, learns after a regular school program. The boy also attends art school. He can be superficial and lazy, needs motivation in the learning process. The boy has no behavioral problems at school, he respects teachers, but he tends to talk back at home, wants to be a leader. Some years ago the boy had speech and language development delay, but he received consultations of speech therapist and there are no such problems anymore. The boy is healthy, there is no need to use any medicine or to attend any specialists;
  • the child was born to a 34 years old mother, with a weight of 4150g and height – 55cm, prematurely;
  • the child started to sit at the age of 8 months, to crawl at the age of 9 months, to walk at the age of 1 year and 3 months, to talk at the age of 2 years, the first teeth came out at the age of months;
  • the child has been consulted by:
    • ENT (2011) – without pathology;
    • oculist (20.09.2011.) – hypermetropia;
    • neurologist (2011) – language development delay;
    • speech therapist (2011) – receives consultations in kindergarten;
    • surgeon (2011) – no surgical pathologies;
    • dermatovenerologist (2011) – clean skin;
    • pediatrician (13.10.2011.) – language development delay;
  • final diagnosis – healthy;
  • by the court verdict the mother has been deprived of custody rights in June 2011, the father of the 2 oldest siblings has been deprived of custody rights in July 2010, paternity for the youngest half-brother is not stated. The children were neglected, the 2 oldest siblings were taken to the hospital with dirty clothes and shoes, doctors found rashes on their skin, the children couldn`t control their bowel movements, didn`t speak and communicated with each other in their own language. The parents or other relatives haven`t shown any interest in the children;
  • the children have 1 major maternal half-sister and 1 major maternal half-brother. The 2 oldest siblings have 2 major paternal half-sisters and 1 minor paternal half-brother, who is in the care of his mother. The children have no contact with their siblings. The decision of the Orphans` Court on separation of the children in case of adoption has been made.

23. Boy, born on July 28, 2003, resides in the current foster family since June 5, 2014. From January 2011 till October 2011 the boy resided in a different foster family, from October 2011 till October 2013 he was under a guardianship, from October 2013 till June 2014 the boy resided in an out-of-family care institution:
  • the boy has light brown eyes and brown hair. He graduated 6th grade this year, learns after a regular school program, his results at school are average. From the next year he will be attending another school, because in this one there were conflict situations with the boy`s schoolmates. School`s psychologist worked with the boy and these schoolmates, but it didn`t succeed to resolve these conflict situations, and responsible specialists understood that it would be in the best interests of the boy to change the school. The boy needs motivation in the learning process, he can be forgetful, careless and lazy, is a day-dreamer. The boy is very kind-hearted, sometimes childish. He likes to play with Lego, to watch TV and to read books. The boy grows very fast, that`s why at the moment he has mild problems with his bones. He is waiting for a rehabilitation course in sanatorium, but at the moment there isn`t concrete time known, when it will happen;
  • the child has been treated in a hospital:
    • 09.06.2005. – 22.06.2005 – acute respiratory viral infection. Rhino-pharyngitis;
  • the child has been consulted by:
    • pediatrician (04.11.2013.) – practically healthy;
    • educational psychologist (03.06.2016.) – the boy`s common intellectual level is lower than average. Relationship and attention problems are at the borderline, but problems caused by atypical thinking corresponds to critical level. The boy has difficulties with self-criticism and self-esteem, has desire for increased individual attention;
    • psychiatrist (12.01.2017.) – mixed emotional and behavioral disorders. Mixed learning disorders. Recommendations: individual approach, psychological and pedagogic support needed in the learning process. In the case of explicit learning disorders – consultation of pedagogically medical commission. Consultations of psychologist. Therapy: Phezam (1 tab. twice a day) for a month, Finlepsin (¼ tab. 3 times a day) for 2 months;
  • final diagnosis – mixed emotional and behavioral disorders. Mixed learning disorders;
  • further necessary treatment – consultations of psychologist if necessary (at the moment it is not necessary). Consultation of orthopaedist and rehabilitation course in sanatorium. Psychological and pedagogic support in the learning process, consultations of pedagogically medical commission if necessary (at trous to his health and development – the boy had frost-bite for both feet (stage I-II). The parents failed to provide the basic needs for the child. The mother`s partner was sexually violent towards the boy. Criminal investigation was started, but this man deceased. Sexualized behavior of the boy was observed after that, he received serious psychological rehabilitation for several times, and at the moment there are no such problems anymore;
  • from October 2011 till October 2013 the boy was under a guardianship. In August 2013 the guardian together with the boy moved to Ireland, but the boy couldn`t get accustomated there – his behavior changed, he didn`t like to learn in English and he asked to return to Latvia, but the guardian stayed in Ireland and was suspended from her duties;
  • the boy has 1 younger paternal half-brother and 2 younger paternal half-sisters, who are in the care of their mother, 2 younger maternal half-sisters, who are in the care of their father, and 3 younger maternal half-brothers, who are in the care of their mother. The Orphans` Court has made a decision on separation of the boy and seven of his siblings in case of adoption. The Orphans` Court will make a decision on separation of the boy and the youngest of his siblings in the near future.he moment it is not necessary);
  • by the court verdict the parents were deprived from the custody rights in August 2012. The child was neglected and lived in conditions that were dange

24. 3 siblings: brother, born on August 13, 2003, the oldest sister, born on August 1, 2005, and the youngest sister, born on October 14, 2008, reside in an out-of-family care institution since February 2014:
  • the brother has blue eyes and dark brown hair. He graduated 6th grade this year, learns after a regular school program. His results at school are average, he has some difficulties, but he can learn the required. The boy is interested in sports – he likes to play football and rugby, but sometimes he can be too lazy to attend the trainings. He also likes to work with technique, to repair something and to take pictures. The boy is calm and a little bit shy. He has good self-care skills, has no behavior problems or bad habits, has no tendency to rove. The boy is somatically healthy and doesn`t have to use any medicine. He regularly attends speech therapist and recreative gymnastics in the out-of-family care institution;
  • the child was born to a 27 years old mother, from her 1st pregnancy;
  • the child has been consulted by:
    • ENT (18.02.2014.) – healthy;
    • speech therapist (25.03.2014.) – specific speech and language development disorders;
    • surgeon (16.04.2015.) – posture disorders. Deformation of chest. Hernia multicoli;
    • oculist (27.04.2016.) – OU astigmatismus mixtus;
    • dermatovenerologist (09.06.2016.) – food allergy. Allergic dermatitis;
    • pediatrician (09.06.2016.) – specific speech and language development disorders. Unspecified learning disorders. Food allergy. Allergic dermatitis. OU astigmatismus mixtus. Deformation of chest;
  • laboratory tests made for:
    • SED (05.03.2014.) – negative;
    • HIV ½ (05.03.2014.) – negative;
    • HBsAg – has been vaccinated;
  • final diagnosis – specific speech and language development disorders. Unspecified learning disorders. Food allergy. Allergic dermatitis. OU astigmatismus mixtus. Deformation of chest. Health group II;
  • further necessary treatment – regular consultations of speech therapist. Recreative gymnastics;
  • the oldest sister has brown eyes and dark brown hair. She graduated 5th grade this year, learns after a regular school program. Her results at school are very good, she is hard-working and one of the best scholars in the class. She sings in an ensemble, dances modern dances, draws, plays rugby and football. She also likes to cook, to work in the garden and to ride a bike. The girl is calm and a little bit shy, but strong-willed. The girl`s physical development has significantly improved because of recreative gymnastics, dancing and sports, she has no X-shaped legs anymore. She has good self-care skills, has no behavior problems or bad habits, has no tendency to rove. The girl is somatically healthy and doesn`t have to use any medicine. She regularly attends speech therapist and recreative gymnastics in the out-of-family care institution;
  • the child was born to a 29 years old mother of her 2nd pregnancy, in Caesarean delivery, with weight of 2750g and height – 53cm, 6/7 points by Apgar. Diagnosis: diaphragmatic hernia of the left side. Small for gestational age. Inborn ptosis of the right eyelid. Dextroposition of the heart. Atrial septal aneurysm with micro-defect in foramen level without hemodynamics disorders;
  • the child has been treated in a hospital:
    • October 2005 – November 2005 – muscular dystonia. Glandulae thymus hypotrophy;
    • 23.07.2014. – 25.07.2014. – OD ptosis congenita. Exotropia secundaris;
  • the child has been consulted by:
    • ENT (18.02.2014.) – rhinitis allergica suspecta. Deviatis septi nasi;
    • neurologist (07.04.2014.) – clumsy child syndrome;
    • speech therapist (07.04.2014.) – dyslalia;
    • oculist (23.07.2014.) – OD ptosis congenita. Exotropia sexundaris;
    • surgeon (16.04.2015.) – posture disorders. X-shaped legs. Hernia umbilicalis;
    • dermatovenerologist (09.06.2016.) – allergic dermatitis;
    • pediatrician (09.06.2016.) – allergic rhinopathy. Deformation of nasal septum. OD ptosis (operation in July 2014). Exotropia. Clumsy child syndrome. Dyslalia. Posture disorders. X-shaped legs. Umbilical hernia. Allergic dermatitis;
  • laboratory tests made for:
    • SED (05.03.2014.) – negative;
    • HIV ½ (05.03.2014.) – negative;
    • HBsAg – has been vaccinated;
  • final diagnosis – allergic rhinopathy. Deformation of nasal septum. OD ptosis (operation in July 2014). Exotropia secundaris. Clumsy child syndrome (has improved). Dyslalia. Posture disorders (has improved). X-shaped legs (has improved). Umbilical hernia. Allergic dermatitis. Health group II;
  • further necessary treatment – surveillance of oculist. Regular consultations of speech therapist. Recreative gymnastics;
  • the youngest sister has greyish-blue eyes and brown hair. She graduated the 1st grade this year, a regular school program. She dances both modern and folk dances, sings in an ensemble and choir, draws, plays rugby and football. She also takes a part in cooking, rides a bike and does manual training. The girl likes animals very much. She has good self-care skills, has no behavior problems or bad habits, has no tendency to rove. The girl is somatically healthy and doesn`t have to use any medicine. She regularly attends speech therapist and recreative gymnastics in the out-of-family care institution. Her physical development has significantly improved because of recreative gymnastics, dancing and sports, she has no X-shaped legs anymore. The girl is calm and a little bit shy;
  • the child was born to a 32 years old mother. Diagnosis: small for gestational age. Deformation of the left side of nose. State after Caesaren operation. Deformation of chest. Umbilical hernia. Post-hypoxic encephalopathy. Dysembryogenetic stigmas;
  • the child has been treated in a hospital:
    • 08.08.2014. – 12.08.2014. – OS contusio capitis et bulbi oculi;
  • the child has been consulted by:
    • surgeon (20.02.2014.) – asymmetrical posture and gait. X-type legs. Hernia umbelicalis;
    • neurologist (25.03.2014.) – unspecified speech and language development disorders. Other emotional disorders in childhood;
    • speech therapist – dyslalia;
    • oculist (23.02.2016.) – OU hypermetropia;
    • dermatovenerologist (26.04.2016.) – naevus pigmentosus thoracis lateralis;
    • pediatrician (10.06.2016.) – OU hypermetropia. Unspecified speech and language development disorders. Emotional disorders. Dyslalia. Asymmetrical posture. X-shaped legs. Umbilical hernia. Naevus under the left arm. Healthy group II;
  • laboratory tests made for:
    • SED (05.03.2014.) – negative;
    • HIV ½ (05.03.2014.) – negative;
    • HBsAg – has been vaccinated;
  • final diagnosis – unspecified speech and language development disorders. Other emotional disorders. Dyslalia. Asymmetrical posture. X-shaped legs. Umbilical hernia. Naevus pigmentorum thoracis. OU hypermetropia. Health group II;
  • further necessary treatment – regular consultations of speech therapist. Recreative gymnastics. Planned operation of naevus under the left arm at the age of 11-12 years;
  • by the court verdict the parents have been deprived of custody rights in April 2016. In 2014 the mother told the 2 oldest siblings to go to an out-of-family care institution and to do not come home anymore. After then the Orphans` Court removed from the family also the youngest sister. The parents has alcohol addiction problems, they haven`t shown any interest in the children. The boy misses the father and the sisters miss the mother, but they don`t visit the children;
  • the children have no other siblings.

25. Girl, born on April 14, 2004, resides in the current out-of-family care institution since August 2016. From February 2010 till March 2010 the girl resided in a different out-of-family care institution. From March 2010 till July 2016 the girl was under a guardianship, the guardian was suspended from his duties:
  • the girl has blue eyes and blonde hair. She graduated 7th grade this year, her results at school are average. The girl needs motivation in the learning process, she can be lazy, but attends school regularly. She is friendly, nice, kind-hearted, polite, takes care of younger children. She likes to cook, to sing and to play football and rugby. Recently the girl has started to rove – on Fridays after school she goes to her classmates, stays there over night, has started to smoke secretly;
  • the child was born to a 19 years old mother;
  • the child has been treated in a hospital:
    • 28.07.2016. – 28.07.2016. – subcutaneous haematoma on the right thigh;
    • 05.08.2016. – 05.08.2016. – unspecified gastroduodenitis;
  • the child has been consulted by:
    • neurologist (11.01.2016.) – F93. 8 (Other childhood emotional disorders);
    • oculist (21.09.2016.) – amblyopia. Hypermetropia. Astigmatismus;
    • ENT (03.01.2017.) – sinusitis maxillaris chronica bilateralis;
    • surgeon (26.01.2017.) – asymmetrical posture. Crooked feet;
    • speech therapist (08.03.2017.) – speaks well;
    • dermatovenerologist (08.03.2017.) – atopic dermatitis. Acne vulgaris;
    • pediatrician (08.03.2017.) – emotional disorders. Chronic sinusitis. OU amblyopia. Hypermetropia. Astigmatismus (wears glasses). Asymmetrical posture. Crooked feet. Atopic dermatitis. Acne vulgaris. Health group II;
  • laboratory tests made for:
    • SED (05.12.2016.) – negative;
    • HIV ½ (05.12.2016.) – negative;
    • HBsAg – has been vaccinated;
  • final diagnosis – emotional disorders. Chronic sinusitis. OU amblyopia. Hypermetropia. Astigmatismus (wears glasses). Asymmetrical posture. Crooked feet. Atopic dermatitis. Acne vulgaris. Health group II;
  • further necessary treatment – therapy: Buronil 25mg (1/2 tab. twice a day) (doesn`t use at the moment);
  • by the court verdict the mother has been deprived of custody rights in June 2015, paternity is not stated. The mother repeatedly is in custody, the girl writes letters to her. The mother uses drugs and the grandfather (the mother`s father) has alcohol addiction. Criminal investigation against the girl`s grandfather and the girl`s uncle (the mother`s brother) of emotional and physical violence towards the girl has been initiated. In the out-of-family care institution the girl lives together with her cousin;
  • the girl has no siblings.

26. 2 siblings: half-brother, born on August 4, 2003, and half-sister, born on January 30, 2006, reside in an out-of-family care institution since September 2014:
  • the half-brother has brown eyes and brown hair. His results at school are average, he attends a regular school program. The boy is emotional. He likes to play football, he has participated in international football competitions. He also likes to ride a bike and to roller skate. The boy speaks Russian fluently and a little bit – in English;
  • the child was born to a 25 years old mother;
  • the child has been treated in a hospital:
    • 19.05.2015. – 25.05.2015. – in contact with tubercular patient. Tests carried out;
    • 24.10.2015. – 27.10.2015. – fractura diaphysis ossium antebrachii sinistri cum dislocationem;
    • 27.10.2016. – 27.10.2016. – fracture of the left forearm in a phase of consolidation. Hypertrophic scars on the left forearm;
  • the child has been consulted by:
    • oculist (01.10.2014.) – OU exotropia. Hypermetropia. Astigmatismus;
    • surgeon (27.10.2016.) – fracture of the left forearm in a phase of consolidation;
    • ENT (30.11.2016.) – ENT organs without pathology;
    • neurologist (30.11.2016.) – without pathology;
    • speech therapist (30.11.2016.) – without pathology;
    • dermatovenerologist (30.11.2016.) – pigmentation disorders;
    • pediatrician (30.11.2016.) – OU esotropia. Hypermetropia. Astigmatismus;
  • laboratory tests made for:
    • SED (12.11.2014.) – negative;
    • HIV ½ (12.11.2014.) – negative;
    • HBsAg – has been vaccinated;
  • final diagnosis – OU esotropia. OU Hypermetropia. Astigmatismus. Skin pigmentation disorders. Health group II;
  • further necessary treatment – surveillance of oculist. No need for medical therapy;
  • the half-sister has green eyes and brown hair. She learns after a special program for children with mild mental delay, her results at school are average. The girl speaks Russian fluently and a little bit – in English. She plays football and dances modern dances. The girl likes to sing – she sings in an ensemble. She also likes to ride a bike and to roller skate. The girl likes animals;
  • the child was born to a 28 years old mother;
  • the child has been treated in a hospital:
    • 03.02.2015. – 11.02.2015. – F70.1 (Mild mental retardation with Significant impairment of behavior requiring attention or treatment). Z60.1 (Atypical parenting situation). Z62.2 (Institutional upbringing);
    • 13.05.2015. – 19.11.2015. – primary pulmonary tuberculosis in the left lingual of the left lung in a phase of resolution;
  • the child has been consulted by:
    • oculist (26.05.2015.) – Vod 1,0/ Vos 0,8. Fundus oculi;
    • ENT (26.10.2015.) – ENT organs without pathology;
    • neurologist (13.01.2016.) – sleep disorders;
    • speech therapist (30.11.2016.) – speech corresponds to the age;
    • surgeon (30.11.2016.) – well-formed posture;
    • dermatovenerologist (30.11.2016.) – clean skin;
    • pediatrician (30.11.2016.) – F70.1 (Mild mental retardation with significant impairment of behavior requiring attention or treatment). Z60.1 (Atypical parenting situation). Z62.2 (Institutional upbringing). A small body;
  • laboratory tests made for:
    • SED (12.11.2014.) – negative;
    • HIV ½ (12.11.2014.) – negative;
    • HBsAg – has been vaccinated;
  • final diagnosis – F70.1 (Mild mental retardation with significant impairment of behavior requiring attention or treatment). Z60.1 (Atypical parenting situation). Z62.2 (Institutional upbringing). A small body. Health group II;
  • further necessary treatment – no need for medical therapy;
  • by the court verdict the mother of both children and the father of the half-sister have been deprived of custody rights in November 2016. The mother deceased in April 2017. Paternity of the half-brother is not stated. The children were neglected, the parents used alcohol and didn`t take care of the children. The father of the half-sister was in custody. The parents haven`t been interested in the children. The children received social rehabilitation after they were placed in the out-of-family care institution;
  • the children have 1 major maternal half-brother and 1 younger brother, who resides in a different out-of-family care institution. The decision by the Orphan’s Court on separation of the children in case of adoption has been made.

27. Boy, born on July 24, 2003, resides in the current out-of-family care institution since September 2016. From July 2006 till September 2016 the boy has resided in 2 different out-of-family care institutions and in a foster family:
  • the boy has light brown eyes and brown hair. He graduated 6th grade this year, attends a specialized school. His results at school are average, has difficulties with memorizing. The boy is hard-working and dutiful. He takes care of his hygiene, can tidy up and cook. The boy likes sports – he plays football and swims. The boy has no behavior problems, he has good contact with girls. The boy is healthy and there is no need to use any medicine;
  • the child has been consulted by:
    • ENT (29.11.2016.) – adenoids. Rhinosinusitis;
    • neurologist (02.12.2016.) – muscle hypertonus. Myopathy (on question);
    • speech therapist (02.12.2016.) – language disorders. Unintelligible speech;
    • surgeon (02.12.2016.) – kyphoscoliosis, stage I;
    • dermatovenerologist (02.12.2016.) – without pathology;
    • pediatrician (02.12.2016.) – meteorism;
  • final diagnosis – M92.5 (Juvenile osteochondrosis of tibia and fibula). F70.1 (Mild mental retardation). R26.8 (Other and unspecified abnormalities of gait and mobility);
  • further necessary treatment – consultations of speech therapist and neurologist. Surveillance of pediatrician;
  • by the court verdict the mother was deprived from the custody rights in September 2015, the father deceased in August 2006. The child was neglected and the mother didn`t take care of the boy. The mother hasn`t been interested in the boy since he resides in the current out-of-family care institution, has visited him only once;
  • the boy has no siblings.

28. Girl, born on July 12, 2003, resides in a foster family since February 2011:
  • the girl has green-brownish eyes and light brown hair. She graduated 7th grade this year. The girl is kind-hearted, sincere, accurate and honest. Sometimes she might become secluded, she needs encouragements. She reads very much, from the subjects at school she likes literature, has difficulties in English and Russian. The girl takes a part in student council at school, she likes to sing and she draws beautifully. She communicates with both peers and adults gladly. She builds trust in others slowly and gradually. After large emotional experience nocturnal enuresis for the girl can still appear, but it happens very rare. Previously she attended speech therapist regularly, but there is no such need at the moment. The girl still attends consultations of psychiatrist and uses psychiatrist`s prescribed medicine;
  • the child was born to a 27 years old mother, from her 2nd pregnancy, in the 2nd delivery, with weight of 3970g and height – 56cm. The mother was in doctor’s surveillance during the pregnancy, but there is no information on the pregnancy;
  • the child started to sit at the age of 7 months, to crawl – at the age of 9 months, to walk – at the age of 1 year, first teeth came out at the age of 7 months;
  • the child has been treated in a hospital:
    • 05.03.2004. – 09.03.2004. – acute respiratory viral infection;
    • 22.03.2004. – 29.03.2004. – obstructive bronchitis;
    • 14.10.2005. – 18.10.2005. – herpes labialis infection;
  • the child has been consulted by:
    • neurologist (01.03.2011.) – neurotic reactions. Nocturnal enuresis;
    • dentist (02.03.2011.) – healthy teeth;
    • speech therapist (07.03.2011.) – phonetic disorders. Speech therapy required;
    • oculist (05.11.2012.) – healthy eyes;
    • pediatrician (06.11.2012.) – neurosis. Nocturnal enuresis;
    • psychiatrist (21.06.2017.) – F92.8 (Other mixed disorders of conduct and emotions). F20.8 (Other schizophrenia) – on question, is not approved. F42.0 (Predominantly obsessional thoughts or ruminations). Recommended therapy: Rispolept and Anafranil. Next consultation scheduled in August 2017;
  • final diagnosis – nocturnal enuresis. F92.8 (Other mixed disorders of conduct and emotions). F20.8 (Other schizophrenia) – on question, is not approved. F42.0 (Predominantly obsessional thoughts or ruminations);
  • further necessary treatment – therapy: Rispolept and Anafranil. Consultation of psychiatrist in August 2017;
  • by a court verdict the mother has been deprived of custody rights in June 2012, the father deceased in October 2004. The girl was neglected and suffered from emotional and physical abuse in the family, possibly also from sexual abuse. The mother used alcohol, and she and her partner were physically violent towards each other, did not have permanent job and income, and there were unsanitary conditions in their place of residence. The girl received psychological rehabilitation in a crisis center. Since deprivation of custody rights the mother hasn`t shown any interest in the girl;
  • the girl has 1 major paternal half-sister, 1 major paternal half-brother, 1 older sister, who is under a guardianship, and 1 younger maternal half-sister, who resides in the same foster family, but they have very conflicting relationship, there are often quarrels between them and the girls have expressed their opinions that they would like to be adopted in different families. The decision of the Orphans` Court on separation of the children in case of adoption has been made.

29. 2 brothers: the oldest brother, born on June 4, 2006, and the youngest brother, born on November 11, 2007, reside in a foster family since October 2015. From September 2015 till October 2015 the brothers resided in an out-of-family care institution:
  • the oldest brother has light blue eyes and light hair. His results at school are good, he likes to study. The boy likes to draw, to play computer games. He helps in housework, tidies up, washes the dishes. The boy likes to be the leader. He also likes animals;
  • the child was born to a 23 years old mother, from her 1st pregnancy, in the 1st delivery, with weight of 3610g and height 53cm;
  • the child started to sit and to crawl at the age of 6 months, to walk – at the age of 9 months, his first teeth came out at the age of 5 months;
  • the child has been consulted by:
    • ENT (11.03.2016.) – chronic purulent tympanitis of the right side. Cerumen (sulfuric cork) in the left ear;
  • final diagnosis – chronic purulent tympanitis in the right ear;
  • the youngest brother has grey eyes and dark hair. He likes to draw, to play computer games and to ride a bike. He helps in the housework – tidies up, washes the dishes. The boy likes animals. The boy needs motivation in the learning process. He needs additional time to trust and to make contact with unknown people;
  • the child was born to a 24 years old mother, from her 3rd pregnancy, in the 2nd delivery, with weight of 2740g and height 47cm;
  • the child started to sit at the age of 6 months, to walk – at the age of 10 months, his first teeth came out at the age of 8 months;
  • final diagnosis – practically healthy;
  • by the court verdict the parents have been deprived of custody rights in November 2016. The parents have alcohol abuse problems, they didn`t take care of the children, and the brothers lived in life and health threatening conditions. The parents haven`t been interested in the children since September 2016. The children received social rehabilitation and consultations of psychologist;
  • the children have no other siblings.

30. Boy, born on September 2, 2007, resides in a foster family since January 2016. From October 2013 till January 2016 the boy resided in an out-of-family care institution:
  • the boy has blue eyes and light brown hair. He graduated 2nd grade this year, attends specialized boarding school;
  • characterization from the school (21.02.2017.) – the boy reads slowly, understands what he has read, quickly memorizes poems. Can count to 100, understands simple text exercises. Takes a part in sports and visual art lessons gladly. Likes music lessons if IT technologies are used. The boy needs motivation and control of teachers to finish what he has started, has unstable attention. The boy is superficial, is not diligent, he doesn`t like to listen to directions from teachers. There have been behavior and discipline problems observed during the lessons. Sometimes he can offend his classmates without any reason, can be aggressive towards them, often conflicts. The boy can`t calm down after he gets angry, throws everything, makes a noise, can even abuse teachers. The boy fights for the place of leader in his class;
  • the child was born to a 22 years old mother, from her 2nd pregnancy, in 2nd delivery, with weight of 2589g, and height 52cm;
  • the child has been treated in a hospital:
    • 02.09.2007. – 10.09.2007. – choroid plexus hemorrhage. Dystopia of the left kidney. Prematurely born child in the 35th/36th week of gestation. 
  • the child has been consulted by:
    • ENT (04.12.2013.) – without pathology;
    • neurologist (10.01.2014.) – behavior disorders;
    • speech therapist (10.01.2014.) – pronunciation disorders;
    • psychiatrist (03.11.2014.) – mild mental delay with behavior and activity disorders;
    • oculist (12.11.2015.) – amblyopia. Hypermetropia; 
    • surgeon (16.11.2015.) – proportional;
    • dermatovenerologist (16.11.2015.) – clean skin;
    • pediatrician (16.11.2015.) – somatically healthy;
    • psychologist (10 consultations from 08.06.2016. till 11.11.2016.) – the boy makes adequate contact, has eye contact. His behavior is jumpy, he has difficulties to sit calmly, fidgets all the time. He has difficulties to concentrate protractedly, has slow working pace. The boy has difficulties to comply with the rules if he doesn`t want to do something. He also has emotional disorders – weak control of his emotions, anxiety, anger, and social disorders – difficulties to contact with his peers. The boy needs support, love and understanding. He is very sensitive and childish. He can be apathetic and inattentive. His common intellectual abilities are low. Recommendations – regular consultations of psychologist and neurologist, physical activities;
    • pediatrician (16.01.2017.) – mild mental delay. Physical development delay. Kidney dystopia. Recommended consultations of neurologist, ENT and psychiatrist;
  • final diagnosis – mild mental delay with behavior and activity disorders. Amblyopia. Hypermetropia. Physical development delay. Kidney dystopia;
  • further necessary treatment – consultations of neurologist, ENT and psychiatrist and psychologist. Surveillance of oculist;
  • by the court verdict the father was deprived from the custody rights in June 2015, the mother – in September 2015. The child was neglected and lived in life and health threatening conditions. The father used alcohol regularly and was physically violent. The parents phoned and visited the boy, when he resided in the out-of-family care institution;
  • the boy has 1 younger brother, who resides in the same foster family. The brothers have conflicting relationship, have no close emotional bond. The younger brother wants to be adopted in his foreign host family. The decision of the Orphans’ Court on separation of the children in case of adoption has been made.

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 28, 2017.
Additionally we would like to inform that due to the fact that the information on the children is provided simultaneously to Central Authorities and Accredited Bodies of several countries, additional information on the child or children will be provided after July 28, 2017 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.


Acting State Secretary,
Deputy State Secretary                                                                              I.Kārkliņa




Sunne 67782954
Klinklāva 67021619
14.07.2017.
17-N/8282