russianorphans

This blog will be publishing information, articles, sources and services available for families wishing to adopt or who have adopted children from Russia. This information will hopefully be of assistance to adoptive families or those who are just beginning to open their hearts to adoption and all that it can offer.

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Thursday, January 13, 2005

Medical Information

Travel Medical Information for Parents
Organizations with information about travel and health
International Association for Medical Assistance to Travelers (IAMAT) will give you a world directory of physicians.

417 Center Street

Lewiston, New York 14092

(716) 754-4883



CDC (Centers for Disease Control and Prevention)

Gives health risk info for countries

888 232-3228 or http://www.cdc.gov/travel/travel.html



Shoreland's Travel Health online web site--has health and safety information on 220 countries

http://www.tripprep.com



Insurance
Make sure your insurance covers you when you are in Russia. We understand there are places to get temporary insurance if it does not, but we don't have particular information on this.



Immunizations for you and your current children
Be sure to talk to a travel doctor or go to a travel clinic. Which immunizations are suggested vary. We were given multiple Hepatitis B and A vaccinations, a polio booster, and a typhoid immunization. Your children at home should also be immunized, in case they catch something from your Russian child after he/she comes home.



What to eat and what not to eat
Talk to a travel doctor or clinic! Ours gave us advice about diseases and food and gave us strong antibiotics, just in case. She also suggested we take Immodium for milder stomach upset.



As for the food, only drink canned or bottled drinks or beverages made with boiled water. Do not drink the tap water and avoid ice cubes. Try to make sure the bottled water you use is not just refilled from a tap (carbonated is safer to avoid this risk). Use bottled water to brush your teeth. Avoid leafy and uncooked vegetables (no salads). Eat fruits, nuts and vegetables only if their skin is intact and you peel them yourself, without contaminating the inside. Well-cooked vegetables are probably fine. Meats should be well-done and very hot. Bread is probably safe, as is a dry rice dish. Avoid cold meat platters, mayonnaise and creamy desserts, buffets and food from street vendors. Don't eat dairy products, which are unpasteurized. Be sure eggs are well-cooked and not runny. Always wash hands before eating. Airplane food on flights inside of Russia is included in these cautions.



Because of these risks, we ended up eating a lot of borscht (vegetable soup) without the sour cream (because it's dairy) and bread. We also had some well-cooked meat and rice in restaurants. For breakfast, blini (pancakes) worked well, and eggs if they were well-cooked.



Be careful not to be offensive to the Russians about this--don't talk to the people who are preparing food for you or who live in Russia about their contaminated food. Just order only what you want to eat, and if you get something you are nervous about, leave it on your plate.



Medical information about the adopted child
The information that you receive about your child (if you receive any) before your first trip may be alarming. But many of the medical conditions are not as bad as they appear. Most children in an orphanage seem to have been diagnosed with rickets, anemia, encephelopathy, and various other diseases. Rickets is a vitamin D deficiency, anemia is an iron deficiency, and encephelopathy is their word for being behind in development. All of these are reversible. Many children (50% in our orphanage) are also diagnosed with a false chord of the left ventricle of the heart, which our pediatrician believes is called pre-ventricular contraction in America, and is a very minor, common condition in children.

Of course, some of the children do have alarming medical conditions in addition to these, and this is why you should contact a doctor in the US who is an adoption specialist. These doctors can look over the medical information about your child before your first trip and tell you what might be a concern and what to expect. This is very helpful, because many of the Russian medical terms translated into English don't make sense to regular American doctors. Your agency should have names and phone numbers for these doctors (they can do it all over the phone). Here is the contact information for adoption doctors we know of: http://comeunity.com/adoption/health/clinics.html; http://www.orphandoctor.com/; http://www.pedes.umn.edu/IAC/default.html; http://www.russianadoption.org/; http://www.nemc.org/adoption/.

Sometimes you might want to get additional medical information about your child before you travel. You can request it, but it may or may not actually appear. You may go knowing very little about the medical state of your child.



After you get the child home, make sure you encourage your pediatrician to run all of the tests that the adoption specialist doctor suggests. Even pediatricians who have dealt with adopted children before may not be familiar with what should be tested, but the adoption specialist doctor will know.



One more medical note about the adopted child: When you are in Moscow you will have a visit with a doctor before you can take the child out of the country. This is a very basic physical exam.



You might consider bringing some medicines with you on your second trip. Tylenol or Advil for pain, cough medicine in case the child is congested, lice treatment (we understand some orphanages have a problem with this), and an antibiotic cream for cuts and scrapes. Also bring bandaids. Be sure to talk to your doctor in the US before you go about dosages for all of these medicines if your child is under the age of two.

Court in Russia

What happens overall:

The situation varies from state to state, but in the state of Amur it goes something like this:

The court includes a judge, a prosecutor (no defense), a translator (from the agency), a representative from the ministry of education, the director of the orphanage, and someone from a Russian government agency called the Registry.

First each person stands up and identifies himself or herself;
The judge explains everyone's rights and responsibilities;
The judge and prosecutor question the adoptive parents;
The ministry of education person, orphanage director, and registry person give their findings;
The judge studies the dossier; and the prosecutor gives a concluding speech.
You then leave the courtroom for the judge to decide your case.
After s/he decides (maybe 10-15 minutes), you are called back to hear the verdict.
The whole process can take anywhere from 1/2 hour to 3 1/2 hours.


Questions we were asked in Court:
v Why do you want to adopt from Russia?

v Why this region?

v How many teeth does your child have?

v How much does she weigh?

v How tall is she?

v What diseases has she had?

v How many times have you met the child?

v Do you have any evidence that she is attached to you?

v Do your children fight?

v Will your children be jealous of her?

v How will you keep her Russian ancestry alive?

v How do you keep all ancestries alive of all of your adopted children?

v Was this the first child you saw?

v How do you know you wouldn't like another child better?

v How do you discipline your children?

v What plans do you have for the child's future?

v How much will it cost you to take care of her per year?

v How much do you save per year?

v Is your income considered average?

v What would be an average income?

v In your home state, is four children considered a large family?

v If serious inflation hits the US as it has in Russia--could you still provide for her?

v Would you get government assistance for having her?

v What will you feed her on the plane?

v Follow up questions--

o Do you think a child this age can drink from a straw?

o Is that all you'll feed her, crackers, juice, and bottled baby food?

v Won't she be afraid to share a bedroom with her sister?

v Will you homeschool your child? Note: They seem to mean by this that the child is not sent to boarding school. Some people have been confused by this question into thinking the Russians wanted them to homeschool (in the American sense). We explained that the child would live at home and go to public school for a few hours, then come back home. This seemed to satisfy them.

v What do you tell your kids about adoption? (Follow-up question--Aren't you sugar-coating the truth?)

v Will the mother work?

v Have your kids ever been mocked for being adopted?

v (To the orphanage director) Is it safe for the baby to fly in her condition? Note--they were referring to a minor condition they called false chord of the left ventricle--our pediatrician says this is "Pre-Ventricular Contraction." See the section on the child's medical information.

v What if she never recovers or gets worse?



Traveling

Traveling
What to bring, what not to bring:
Bring
v An extra change of clothes in your carry-on

v Ziploc bags (for the trip when you'll have the baby to dispose of various baby leavings).

v Medicines for child--see the paragraph on medicines to bring for the child.

v Diaper rash cream

v A few diapers and wipes

v Clothes that fit the climate, raincoats or umbrellas. Check a weather website for specific information (try http://www.wunderground.com/).

v Gifts
o Personal gifts can be sticky. On the one hand, most agencies suggest you bring gifts for people who help you, and indeed, gift-giving is very common among friends in Russia. In actual practice, however, since you are not exactly close friends with the random agency representatives you meet, it can be awkward. Also, since anyone connected with adoption in Russia is in a very exposed and public position, they are very sensitive about anything that might be seen as a bribe. Our advice: give gifts only to

v those you really feel went out of their way to help you or

v those that you have developed a close relationship with, and

v anyone else your agency representative tells you to, provided you feel good about it.

o Gifts for the orphanage, on the other hand, were a good thing. Clothes and toys are especially good. If the orphanage can tell you what they need on the first trip, you can bring it on the second. American vitamins and medicines are not so good--they tend to not get used because of the language problem.

o Most things you might want to give as gifts (except touristy things from America) are easily available in Russia, so you needn't carry it all with you from home.

Don't Bring
v A lot of diapers, wipes, or baby food--you can buy them there, unless you want antibacterial wipes, which we didn't find.

v A lot of bottled water--you can buy it there, and you may have to pay for extra weight.

v Big diamond wedding rings (just a band might be better). Crime is not as bad as you might have heard--like most big cities in the US--but it is not especially wise (nor nice) to go flaunting your extreme wealth (see the section on money).


Plane
Flights from the US to Moscow and back
v Frequent flier miles are the best, of course.

v Northwest's adoption fare is 35% of their normal fare, and the dates are completely flexible. See their website at http://www.nwa.com/features/adopt.shtml. The main drawback to Northwest/KLM is that they seem to have a high rate of lost luggage in Amsterdam.

v British Airways also has an adoption fare.

v Lost luggage is common. Apparently it is especially bad in flights connecting through Amsterdam or Paris, so don't put important documents in checked bags. Bringing an extra change of clothes in a carry-on is a good idea, too.

v Be aware that on your return trip (with your child or children) your child(ren) will have Russian passports. This means that if you must stay overnight in another country on your way back you have to get a transit visa for your child to be allowed into that country. Amsterdam is very accommodating about this, and just has you fill out a simple form at the airport. France is supposedly much more difficult. Ask the airline when you book your flights about this issue.


Airlines within Russia:
You probably will have no choice about which airline you fly on in Russia.



A few things to be aware of, however:

v Bring plane snacks--most of the food they serve is not on the travel okay list see the section on what not to eat.

v The planes are very old. This can be disconcerting at first, but depending on the airline, the can be pretty well kept-up. The FAA has determined that their Russian equivalent does a suitable job of checking and enforcing safety standards. The Federal Aviation Administration gave Russian airlines an acceptable rating (see http://www.faa.gov/avr/iasa). We heard Kras air was a bit seedy, and that Transaero was better than Aeroflot, but this is hearsay.

v Airlines within Russia have strict weight limits (but they seem to be extremely variable). On the same airline and the same itinerary it can range from an allowance of anywhere from 20 to 40 kilos per person (including all carry-ons), with a fee of %1 of the cost of ticket per kilo over the limit.

v Lost and broken luggage is common.


Airports in Russia


v Airports in Russia are very hit and miss.

In Moscow:

o Sheremetyevo II is the main international airport, and is relatively clean and modern.

o Domededovo is a very new, primarily domestic airport.

o Vnukovo is quite run-down.

v Be aware that bathrooms might be unusable (even on the plane), or require payment (so keep some small change handy--the bathroom attendant generally won't have change for 100 roubles).

v Lines are not linear (but big blobs), move very slowly, and are full of people trying to cut in ahead of you. Getting checked in can take over an hour, even in a short line.



Hotels
v The Marriott Hotels in Moscow

o The Marriotts have an adoption rate. It varies, of course, but at the Marriott Tverskaya it should be in the ballpark of $170 per night instead of the regular rate of more than $220. However, be warned that this does not include extensive hidden costs like a 30% VAT, and a sneaky way they exchange the money from dollars to rubles and back again when you're billed (which will add another 10% to your total). The telephone charges are also completely unreasonable--$8.50 per minute to call a toll-free number in the US, and big fees even to use your prepaid phone card. All of this (not including any phone calls) makes your adoption rate actual bill closer to $240 per night.

o Nevertheless, the Marriotts are very nice hotels, the staff speaks English, and the food is great. They also have cribs and high chairs for babies, and it is a comfort to stay here after living in the relatively Spartan conditions of some of the outlying regions.

o The people at the main Marriott 800 number don't always know about the adoption rates, so you may have to call the hotel itself, which isn't a problem because they speak English (but it may cost you a bundle to call Russia if you don't have an international calling plan). You can find the phone numbers on the web at http://www.marriotthotels.com.

v Some Russian hotels in Moscow (all in the $70-100 range--including VAT. And as best we know, they do not do the sneaky Marriott exchange rate trick.):

o Hotel Budapest has received very good reviews.

o The Hotel Ukraina has received mixed reviews. Some really liked it, others complained of the staff's speaking little English.

o Hotel Mir appears to be below most Americans' standards



Please send us your reviews (RussianAdoption AT byu DOT edu) of the hotels you stayed in.



Other Travel Notes
v Passport control can take forever in Moscow. Don't dawdle when getting off your plane--a few minutes at the gate may cost you two hours in line at passport control.

v Bring something to do because you will have lots of free time between orphanage visits.

v Don't exchange more money than you need--it's almost impossible to change Roubles back to Dollars once you leave Russia, but it is easy to change Dollars to Roubles anywhere you need them (in Russia).

v Be careful about prepaid calling cards--they might not work outside of a few big cities in Russia. MCI and ATT cards only work in Moscow and maybe St. Petersburg--even if they tell you otherwise. They may even give you an access number, but check for yourself that the number is really valid for the region that you will be in--the American operator has no idea.

v There are usually no seatbelts in the back seat of cars in Russia--people remove them. Even if seatbelts are there, drivers often tell you don't need to wear them. You don't have to listen to them, of course. In fact, telling the translator that you like having seatbelts might (if you're lucky) get you a car with belt on the next day's trip.

v It costs $110 dollars at this writing to get a Russian visa in 3 days, but your agency may charge you MUCH more than this.

v GPS and other electronic devices are regulated in Russia--be careful and read the US State Department page on this issue http://travel.state.gov/russia.html.

v Customs--Make sure you declare the full amount of money you have with you when you enter and leave Russia.

v Sometimes you have very little warning before your trips, so try to be ready to go on a moment's notice. The shortest notice we have heard of was five days'.

v Make copies of passports and visas and keep one copy with you (separate from the originals) and leave one copy with someone you trust at home.

v Get contact numbers for the people who are supposed to meet you at the airport--just in case.


Thursday, December 23, 2004

Frustrated

In adoption it is easy to get frustrated. Americans in particular are not used to the hurry up and wait mentality. As I said in previous chapters, our family was always in a rush, but that didn’t make our process faster. Such minor things a government closing the country to adoption while it retooled the system can be frequent. In our first adoption, the Russian government did close the country while it revamped what was a relatively corrupt system. The Russian process was standardized (as much as possible for Russia). Such changes for positive as requiring adoption agencies to gain accreditation are always welcome.

One thing that one should appreciate is the way people work in Russian culture. We found that when our agency asked a specific question of the coordinator in Russia, we very often didn’t get a direct response. I know that numerous families’ issues are being clarified and the list of questions is long. In Russia what seems to happen is that should your question be say #5 on the list of ten, perhaps in a return communication number one through four and six through ten are answered. This does not mean that question #5 was not received, not understood or ignored; it simply means that there isn’t an answer YET for #5. Most Americans, especially those adopting would like some sort of response; don’t worry it will come. The other aspect of Russia is that yes may mean yes, but no often doesn’t mean no. No means perhaps, maybe or we can negotiate. It appears to me that Russians enjoy this freedom, perhaps an entrenched hold over to Soviet style practices.

Remember, you have hopefully picked experts here in the US that will be coordinating many different aspects of your experience and that of others. It is the practice and necessity of agencies to fully complete your package prior to forwarding the entire package to Russia. In turn the entire package must then be reviewed in Russia and then accepted prior to even getting an invitation to make your first trip. Any little item that is not just so, may require added documentation or clarification. No matter how organized you or your spouse is in completing paperwork and planning ahead, the process appears to stall at a point. The point of sputter for both our adoptions appeared to be making the first trip. You will receive that call from the agency that they have a match for you and then, nothing. Parents are excited, full of joy and especially anxious at this point, you have a picture, a birthdate, name and some medical information. You can now attach yourself, you want to travel and meet your child.

Why does the process sputter at this point? It appears that it’s the paperwork timeline and the availability of dates in one instance. Once you get your invitation, in theory you have ten day to commence your trip, and then another invitation would need to be extended. This invitation is to actually allow you to travel to Russia; you have to have this coordinated with an appointment with the Ministry of Education official in the area (you need to do this prior to visiting an orphanage or specific child). The other delay factor appears to be a problem with Court dates. It seems that most court dates are on Tuesday and Thursday. There could also be a conflict with holidays. When you travel you need to consider the number of work days needed to accomplish the mission. Be careful as the Orthodox calendar differs from ours and the national holidays are as frequent as those in the United States and also include such things as International Women Day (this kept our wheels spinning for a day on one trip).

I also think it is prudent to say that Agencies do not multitask very well. There is usually one family being attended to at a time in Russia, or in a specific region. If your agency has a coordinator that specializes in Moscow region and another for Tula, they may overlap a bit with two families. This is not a group tour program that has numerous drivers, guides and facilitators; it is usually a very tight knit operation.

The final problem is that you just don’t pop in and out of Russia. You need a travel Visa. Even if you were traveling for pleasure you need an invitation which outlines what you are up to, why and who is responsible for you during your trip. Americans used to the global community will find this process frustrating. On our second adoption, we were told perhaps a month prior to our trip the general time we were being considered for travel. Then we were told several weeks later that “it looks like you will be going the first week of August” and again silence. It is difficult to make family and travel arrangements for two trips totally perhaps three weeks in this way. Don’t get up tight! Researching airfare for general time periods is a good idea, but don’t book anything! Some families that have a biological child may wish to also bring the child for the experience; our son did both first trips. Requesting that he go was something that our agency was not really encouraging, but we did it anyway. You will have to decide if your child is a good traveler and will gain (and not be a drag on you) from the experience. This is tough, jet lagged business traveling. You will have plenty of time to site see, but it is a far cry from a vacation.

The never ending paperwork

Application and intent, certificates, financial , checks and clearance, Verifications( taxes, psyc and offender, employment, insurance, passports, photos and the BCIS)


I advise that the most patient and precise of the parents be placed in charge of the entire adoption process. I don’t want to be mean, but the correct completion of adoption information is a very detailed and painstaking exercise. If both parents set out to do a portion, you end with two different styles of completion and often two separate sets of understanding. Things to ask each other when determining who the chosen one may be are:

Who is the most organized?
Who is the most patient?
Who has the best “aptitude” for the terms?
Who knows the avenues to get things done?

I happened to do both adoptions of our children. After the first, the second was a snap. What took me three months on the first took one month on the second. I found it helpful to make a notebook. Record keeping is important. It worked best for me to have a chronological record of the adoption from A-Z. Each and every form I signed or document made or that I had notarized, I made a copy for the book. This is helpful, as you are often called to refer to information during the process, during the trips and afterwards. Please be patient, fill all of the forms out neatly, completely and as directed. Something as simple as not signing the form the same as the other can cause confusion. The accuracy of the paperwork is absolutely essential. Certain items may be sent back for a re-do or clarification, so read the agency instructions for each document submitted. Sometimes the simple things take the longest. When in doubt ask. When we needed a new passport for our son to travel to see his new brother, we were told that we should show up with pictures and completed application at our nearest Passport Office. Well it all went fine until we discovered that until age 16 you need both parents present, and the birth certificate original I got from California wasn’t accepted by the US Government. It appears that the most populous state in our country issues a short form and a long form birth certificate. Who would think?

When I say aptitude, I actually mean who can navigate the situation without getting bogged down. There are things to be done, and on our second adoption we wanted to do them fast. Multitasking is part of the process. There are a lot of new terms so listen, and clarify before going about the job. Understanding that you need four rather than three of something is part of the process leading to a rapid completion of paperwork. One who can rapidly recognize where to find the BCIS office for example and what questions and correct line to wait in gets it done. Don’t get hurt feelings if you are not the one that gets to do the paperwork, there is plenty else to do such as medical investigation, seeking out qualified evaluation of your child’s educational, insurance needs, or even as my wife found out being social with other adoptive parents. One such encounter at an adoption picnic allowed us to have a women traveling to our area to meet with our coordinator and perhaps get more information, video and documentation on the child we wished to adopt.

I will be mentioning some of the more important aspects of things you will need to do or supply. This is an overall sample list of what you will need to supply:

Application and Intent

All agencies will ask for an application and usually an application fee that is non-refundable. Along with the application you may be required to sign a fee agreement, supply tax returns for your most recent tax year and provide a few pictures. If you are asked for more than that or less than that, you may have an early warning of concern. Hopefully you have already had your agency pass YOUR test prior to then passing theirs.

This is the beginning of the paperwork.. All needs to be complete and in order prior to having your adoption dossier submitted to your country program for approval, so let’s hop to it. Remember all of this is happening or can happen concurrently. You will be asked to write your autobiography (you and your spouse individually). This in and of itself is a long and sometimes difficult task for some. Basically you are asked to tell us everything about you. Mine was 20 pages long. With the actual application you follow the instructions. While you are well aware of your name, other details may be more elusive. You need to be honest. Such questions as “Have you ever been turned down by an agency?”, “Has any member of your family utilized family counseling service?” or Have you been involved in a situation where a child has been injured due to your negligence?” “Have you ever been convicted of any wrongdoing?” or catchall “any other information that would be of benefit to you or us?” are all important. When you get to clearances from your local police or state bureau of investigation, the most infinitesimal item can come up. On both of our adoptions, we had both caused “Concern” with the authorities in Russia. You will need to think of references, describe your living arrangements and the purchase price market value mortgage and monthly payments you are now making. Much the same if you are renting. You will be asked about education, employment history, and other sources of income, relatives living or deceased as well as physicians, specialists, psychiatrists and or counseling used in the past five years. Be prepared to list assets like cars, and divulge your life insurance. Some questions such as “will insurance cover your child at the time of placement?” are important and may take research, but this is what adoption is. Listing all of your liabilities, savings and investments may be embarrassing but should be accurate.

You then get into the real meat of an application. Intent.

As suggested earlier, you should be able in one line to describe the age range desired in your child and the gender and last but not least the Country program you are interested in. Don’t worry you will also have to complete an extensive questionnaire as well to more closely determine your yes, no’s or maybes with a child. This is specific to age, race, gender, disabilities, diseases or conditions known or unknown genetic, psychological, health or even lifestyle related of the parents. All of the questions are as important as or more important than the ones about you. The questions are driving at your intent. Why do you want to adopt, what do you want to adopt and what are the underlying reasons? These are about a child that will hopefully be matched to your family. If one puts down you only want a boy, between the ages of 0-1 that had known parents with health and lifestyles as pure as the driven snow; you may be in for a wait. In any event search your sole, your level of experience and your spirit. There are families that wish to adopt a child with HIV for example; we were not in this truly giving special class. Don’t worry about your intent being final once you say it, but you will need a letter of intent with all of these forms. You will meet your child, obtain as much information as available or that will be offered and you may counsel with whomever you wish. Prior to your final visit and court day you will be asked to sign and commit your intent to adopt your specific child.

The realities and reasons for your choices will be brought up in your home study, so it is always good to be able to explain why you are seeking the choices you are making. Several visits to your home by an approved home study worker will be conducted. They will see your house, your children if any how you live and what you have. During these meeting you will be asked specific questions about your life, your jobs, your ambitions and your needs. All of the application and intent information will be screened and specifically applied to what happens during your home study. The idea is that the child matched to you will work, and I do mean forever.

You will receive a number of financial and legal responsibility forms as well as the “risks and realities of adoption” form. You are embarking on a responsibility. It has been said that any idiot can have a child, which is true. Any idiot cannot adopt a child however! Once all of this information is in to your agency you may be scheduled for your home study.

Intent Part II

The other portion of intent begins during your first trip. Once you have seen your child, or after you have seen them as much as you can, you are asked to get the process going from the Russian side. This is a formal Intent that is then filed with the Ministry of Education and the Court that declares you wish to adopt a given child. The only reason you are traveling for the first trip is to meet your child and feel comfortable with your choice.

It is sad, but sometimes a child match doesn’t work out. You may have reasons or issues or the child may have (older children). Undisclosed discoveries that are health or emotionally related can be unpleasant, but not unheard of. Your choice of a good agency came in part with references as to the successes of the past. Local coordinators have a responsibility to “screen out” children who are not matching your intentions. Prior to even seeing our first child it was very open that “if you don’t like her, I have others you can visit”. For most parents this is perhaps heart wrenching, but one must be prepared for the “realities of adoption”. It is most important that you maintain your perspective in the decision process. You should not sign documents as to intention to adopt a child until you are ready to commit.

Even before you commit however, you are one the clock again. Technically a clock starts ticking after your first visit with a child. In St Petersburg region that clock is 20 days. In those days, you need to complete the several correct letters of intent and have notary and apostille if applicable. Both of our matches worked out from meeting one. Those who can play devils advocate may ask what happens if your match is not appropriate, then what?

Once you make your wishes know, your agency may try to get ahead of the curve by filing your intent prior to your departure. These letters need to state the new name of the child. I mention this because you never think of these things like you do when you are having your own “bio” child. You may be asked to get these letters notarized while in Russia. and like anything it is rather difficult to get something notarized in Russia. Things we take for granted such as free notary at the bank, don’t exist in Russia. Each time we set out to accomplish this task it cost a bit more and took from several hours to half a day.

It had been customary at this stage for each of our adoptions; we received a fairly complete and detailed translated copy of our child’s medical records. Prior to committing oneself it is important to go over this information one last time with your pediatrician or better yet medical adoption specialist from a hospital. Your agency is usually an excellent source for contact information with these specialists who are experienced with adoptions medical issues and Russian medical terminology.


Certificates

If you never had a paper trail for your life you will after this point. This is an intensive process for those who up to this point were not so organized. Not to worry, your adoption agency and now the internet make life easier. Your agency should have a lot of the how too's of getting certificates spelled out. Here is a brief list of some of your needs

You will need a number of original and perhaps apostilled certificates for you and your spouse (or even previous spouses as may be the case). These include birth, marriage, divorce and death certificates. If you are using a religiously affiliated agency, you may be asked for Church records such as baptism.

All of these records take some money and time. One of the best sources for these official certified documents is www.vitalchek.com. It may cost some more but they are quick and may help in fact get them faster than mailing your birth cities vital records department. Remember if you were born in a state different than you are now living you will probably need the extra step of sending the records back to the Secretary of State of Apostille. This price varies widely, an of course I was born in California and needed $20.00 Apostilles rather that Colorado’s $2.00 fee.

Financial

Hopefully the financial wizard in your family is in charge of this process. It may be an oversimplification, but Assets- Liabilities = Net Worth. You will for sure need one of these as your financial statement. You will also most likely need the past three years of your COMPLETE Federal Tax return. Sometimes this is a lot of paper. Certain things such as bankruptcy can cause problems.

In the U.S. no one can understand a tax return, try explaining it to a Russian. If your tax return is even moderately complex, plan on some sort of explanation about how you make money to come from you or an accountant. It is interesting, but Russia focused a great deal on what we did and how we made money, in court. Make sure that your income on any other forms or statements corresponds to your letter of intent as well as your employer letters.

In fairly short order you will be asked for more money from your agency, you will need to keep up on the billings at specific stages of the process to insure that the next step will be taken by the agency. It helps during this process to have some of your savings or cash readily accessible. Your checkbook is very active not only with the agency, but the fees for documents, clearances etc.

Checks and Clearances

I would imagine that just about everybody will be checking into your background.

You will each need a health check. If you are up to date on physicals, this is usually a quick step using a supplied form. If you have let this lapse of awhile you doctor will want a physical to answer (Russia) if you have tuberculosis, infectious disease, disorder of the internal organs, history of substance abuse, mental disorders resulting in inability to care for yourself, neurological disorders, any disabling disorder or trauma, or ANY THING ELSE that would impair your ability to be an adoptive parent. You see what I mean about anyone can have a child? Your physician will also need to determine your life expectancy! For Russia you may need to do this form twice as it may have expired its three month life span by the time you get back for your second trip.

You will need police clearances from your local department. It needs to be official letterhead, stating that you do not have a criminal arrest record, or if you have, what it is regarding. You need a criminal clearance, and it must be notarized. You wouldn’t believe the uproar my wife’s traffic stop of expired registration stirred for our first adoption. We needed to do a letter explaining the incident (like I really remembered a ticket three years earlier) and the disposition of the “case”. Don’t think you are out of the woods with a clean record locally either, most Agencies now ask for fingerprinting (can usually also be done at your police department) and the prints are sent to state or federal agencies for background checks. Basically if you were stopped 20 years ago for a traffic violation in North Dakota your information is now at your agencies fingertips. Your fingerprints will also be taken at the Federal level by the BCIS (formerly the INS).

Most agencies also require psychological evaluation for both you and your wife, by a licensed psychologist. Sometimes a standardized test of your emotional health will be applied. Again any idiot can have a child, but not so to adopt!

You will need to supply other checks as to your ability to offer a home to an orphan such as proof of heath insurance (this is an excellent time to verify that your provider will supply coverage the moment the child is yours officially). You will also need a number of copies of your passports, guardianship letters (singles only) and a copy of your Warranty Deed for your home if applicable.

Last but not least (and usually one of the first things you do due to the Federal government time frames) is visiting your friendly BCIS (Bureau of Citizenship and Immigration Services) office. This Federal office used to be known as the INS (Immigration and Naturalization Service), but after September 11th and the new Office of Homeland Security it now has a new logo and name. They are on hand to serve you at many locations around the country. All international adoptive parents must file through their regional office for the child’s visa to enter the United States. At the time of the adoptive parent’s placement or adoption in the other country, the child is still a citizen of that country, and thus cannot enter the United States without a visa issued by the US Embassy in the country they are coming from. In general this appears to be an easy way for the government to get $460.00. Do be educated as to the exact fees required, as this federal office only takes payment in cash or cashier check. You will need to make your application and pay a fee, and then you are invited at a later date to go back for fingerprinting. The approval that follows some six to eight weeks later becomes part of your dossier. From day we filed the application at the BCIS office it took eight weeks to get the approval paperwork. Make sure you complete the form correctly.

Always something to do

If you are frustrated, you should never be bored. While you wait you can involve yourself in a great deal of planning for your trip or to make your return with your new child a far less frantic experience. Some of the key areas of involvement could be getting your own house in order for a new child. Just as birth parents do for a new baby, you need to do for a new child. The process however is accelerated and specifically tailored to the sex and age of the child you now know you will return with. All of the room things can be done as well as you may have a great deal of clothes hunting to do. As in most cases of adoption, you will be returning home with a child that has nothing. You probably won’t be having a shower of gifts either. Your child will have clothes that are provided at the orphanage, but they stay when the child leaves. You start from scratch. Plus you are asked to provide gifts for officials and coordinators as well as for the orphanage.

Your agency and coordinator are very specific regarding the gifts. A big part of Russian culture is gift giving. Coordinators often have gotten the ball rolling out of pocket prior to your arrival. Some agencies tell you to bring a specific dollar amount to reimburse your coordinator. Usually gifts are insurance that the process moves along, and to reward the many individuals who go beyond the call. Our agency had specific requests for each coordinator and each region they worked such as: “please bring gifts for the Director, Social Worker, Social Teacher, Four doctors, ten nurses (similar) and two extra gifts”. All I can say is and a Partridge in a Pear tree! Usually coordinators, drivers, hostesses and translators like gifts too! Gone are the days that you are told to bring a size 44 Fila exercise suit for the official at the Ministry of Education and so forth. Gifts should be small, tokens of appreciation. Pen sets are practical and unisex is best until you meet the players on your first trip. One the second trip, a more tailored gift may be appropriate. On our second trip to Moscow, I took our driver a part to get the four wheel drive of his 1980’s Japanese car working. I must say that such practicality is appreciated in Russia (and allowed us to avoid pushing the stuck car out of a snow bank again).

Orphanage donations are also requested/ required. You will usually get a list that you can follow. The lists are often suggested by other parents who have recently traveled to a specific region or orphanage. Some agencies have donations already boxed and ready to go for a price. Normal is clothes, shoes, bed linens, soap and shampoo; more specific are vitamins, antibiotics, Tylenol. Orphanages in Russia are in general very poor sustaining children on as little as fifty cents per child per day. Don’t worry if you donate something that is not needed, it can be traded for a need by the orphanage. If you are fortunate to meet the Doctor or Director of the Orphanage, I have had good success in asking what specific need I could address on the second visit. Bringing more practical tailored gifts worked well for us. Rather than a suitcase of clothes, we took school supplies, a stethoscope and an infant blood pressure device. Sometimes an orphanage director will take a family out shopping for them to buy specific needs.
We got incredible mileage out of post its (never seen in Russia) and a good stapler (rarely seen, they use an incredible amount of glue).


Sample List:
Measures to measure baby length
Diapers and wipes
Swabs, cotton balls, Kleenex
Shoes and Socks
Overalls
Development toys
Play dough, color pencils and crayons, paints
Paper
Towels
Baby oil, shampoo and lotions
Brushes and hair ties
Shirts
Sheets
Bids
Ski hats
Needles/tread
Pens and Pencils (for staff)
Cleaning supply
Sweaters
Tights
Ear and nose drops
Eye antiseptic
Disposable syringes, rubber gloves
Band-Aids and sterile bandages
Formula

As you can see the list goes on and on. You may think these items mundane, but may of them are unobtainable in Russia, especially when you are on a budget. We usually packed a full suitcase for each of us, and returned home ladened with Russian gifts and tourist items.

Packing and personal affairs

Seasonality is important. Try to pack light, taking clothes that are modest and casual. Bring one outfit that is business like for your court dates. If you travel in summer it can rain, if you travel in winter, it can be colder than cold. We make our home in Colorado and my wife didn’t have a jacket that was appropriate. There is a reason that the Russian winter stopped Napoleon and the Nazis. It is cold, cloudy and damp. Clothing is sensible and not flashy even in Moscow.

You may wish to pack as if you are traveling in the olden days. Bringing amenity size soap, shampoo is wise as are regular razor (like we used to use). Adaptors kits (220 voltage) can be found for use in Russia in most travel stores, but my wife figured she could always find a hair dryer at the hotel. Think again. If you need it take it. Kleenex, aspirin and any medicines you need etc.

Planning and packing for your own piece of mind is also important. Since we were sending only one parent on one of our trips it is essential to have power of attorney for the other spouse to be able to handle affairs in country. One all of our trips we actually each had powers of attorney in hand in case we needed to act in each others behalf irregardless of the situation.

Since 911 the US Embassy has a special registration form to be used in emergency. Fill this out and ax it to the US Embassy in Moscow prior to your trip. I recommend that you take important telephone numbers with you as well as leave them with family members at home. Communication is expensive at times, and we have had taking a Sprint pre-paid telephone card along. One thing that we did is take a special “fax form”. It is fairly easy to send a fax from a hotel (even a Russian one). It cost me $7.00 but you can squeeze a lot on a one page fax to family, friends or the agency.

I think it is always nice to try to learn some phrases in Russian. We really started to learn Russian with our second adoption. Our son was age six and we had no other choice. All of our contacts we had with our agency coordinators were fluent in English. Not so much so on the streets, even in Moscow.

Medical

When you are matched with a child you may get sketchy or good information regarding the child. Prior to the first trip you are fortunate to receive a picture or even video, birthdate, basic circumstances of orphan status and weight and length at birth and currently. You will also receive a very basic diagnosis of the child’s medical condition. This isn’t a lot to go on, but it’s a start. Seeking a medical opinion of your child’s health is the only prudent thing to do.

Your agency probably has suggestions of specialists in your area who have experience in adoption medical issues. Some agencies also have western trained doctors that can visit your child and assess health in Russia. All of this is of great value in determining if the child matched is within your parameters. Again, I don’t wish to be callous but this is a bit like buying a used car. One needs to evaluate what the condition and circumstances of the child are, and then be realistic with your expectations.

I think every parent should read up on medical conditions. Your doctor will also give you things to look for physically and developmentally. Do not flip out when you get the first report of your child from the agency. You will see MANY scary terms, some are important and others mean nothing medically in Russian or in English! The Russian system has perpetuated orphans having a medical label. This is based on the hash reality of an orphan’s life. Chances of adoption are good for orphaned infants, but the chances fall dramatically after age 3. There is the good possibility that a child will remain institutionalize after this point until the age of emancipation. When a child leaves an orphanage at age 14-16 they are given clothes, a few rubles and a diagnosis. The diagnosis allows a small pension until age 21. Any amount is helpful with the life an orphan faces after being institutionalized.

On each of our trips we were armed with a health questionnaire. You will leave your first trip with a lot more specific information such has an ongoing medical record and physical or developmental record of your child from the time he or she entered the orphanage. You can take these records and benchmark your child’s development and uncover health issues. We also took an assessment and the questionnaire supplied by the Adoption Clinic at Denver’s Children’s Hospital to remind us of questions. All of this information is essential now and when you first visit pediatricians or specialists upon returning home with your child. If you have questions ask in Russia and take them back to the US. You can also find some other assessment forms over the internet.

We also began the planning for our child’s life in America at this point. We verified insurance coverage for our child under our plan and investigated our local school district. Needs of your child will be an ongoing issue upon your return. Being prepared and educated parents again is a step that is accelerated for adoptive parents.

Sunday, December 19, 2004

Some agencies who work in Russia

Eastern Adoption Consultants Inc
51 W. 130th Street
Hinckley, Ohio 44233
800- 533-0098
www.eaci.com

China, Guatemala, Kazakhstan, Romania, Russia, Vietnam
Offices: This is a big Mid West or East Coast agency with offices in California, Texas, Ohio, and East Coast serving national need


Frank Adoption
2840 Plaza Place #323
Raleigh, NC 27612
800-597-9135
www.frankadopt.org

Kazakhstan, Russia
Office: North Carolina serves national need

Hand in Hand
9121 East Tanque Verde #105-314
Tucson, AZ 85749
520-745-1322
www.hihiadopt.org

China, Philippines, Thailand, Romania, Haiti, Russia, Guatemala, Moldova
Offices: This big western agency has offices in Arizona, Colorado, Indiana, and Minnesota serving national need


Cradle of Hope
8630 Fenton Street #310
Silver spring, MD 20910
301-587-4400
www.cradlehope.org

Russia, China and Guatemala
Office: This big East coast agency has an office in Maryland serves national need

You can find a listing of all agencies accredited to work in the Russian Federation with a quick trip to the world wide web.

Who to Work With

Location, Location, Location!

What you say? What I mean by this is once you have decided that you want to adopt, then you need help to decide where on Earth. Our book is mainly about our Russian experience. That was our choice prior to really finding an agency. We thought hard and long about our abilities and parenting skills, socio-economic status, and the community we lived in, it’s diversity as well as Colorado in total. We decided who we wanted first. I don’t want to be cruel, but after Columbine we recognized that our community was neither particularly diverse nor tolerant. We also were mature enough to see that when in California we could have had an ethnically diverse family without a problem, but in Colorado it could be “uncomfortable” for us, as a family and particularly as a child.

We then needed to look within ourselves. As you can tell from these pages, I am pretty practical and no nonsense. I needed to feel the correct fit with an agency. I didn’t like the state agency, and I felt really uncomfortable with the faith based agencies. The faith based agency with Christian values seemed to be too sappy and contrived. They required family albums that had a bit too much in the faith department. I didn’t want to join a cult!

We had met families that had been brought together in Russian adoption. We asked all of them for recommendations. It was hands down for a regional agency that happened to have an office in Estes Park. I have found that adoptions don’t fall far from the tree, so local inquiries are sometimes the best. On the East Coast one may hear of Frank or Cradle of Hope a lot in the East, EAS in the East or Midwest and Hand in Hand in the West. In the adoption process one must do his or her homework. In our process we found out as much information as possible about the agency, including reviewing some applications, dossier materials, and even pictures of the staff and adoptive parents trip experiences. Some information can be found on the web. One such site as www.theadoptionguide.com lists agencies, current adoption updates and also a watch list of comments.

All this homework was done prior to approaching the agency. You may find as we did that adoptive parents are extremely hospitable and open regarding the experiences they had. They provide very open assessments of the good along with the bad. We had a good idea what to expect before we went to the first orientation meeting with agency representatives.

Along the way somewhere you will also consider MONEY. NCAI estimates costs of International adoption through Agency or Independently at between $7,000- $25,000.
Not to worry however, the experienced agencies are all very closely grouped in experience and fee structure. I have not found too many individuals driven by price in a life decision such as this…and it’s really not the most appropriate time. Just a word of advise, don’t go it alone. In this case the “Adoption on $5.00 a day” guide book won’t get it done. My wife and I met quite a few couples in Moscow that was doing it themselves and they looked like they had been hit by a bus!

When interviewing agencies (I recommend this) be particular about the contract, expenses, responsibilities and last but not least the staff. In the Adoption Institute Survey 14% of families would not recommend their agency to other families. Ask all of the standard questions such as whether they are non-profit or for-profit, what state they are licensed in, if they are accredited in the Russian Federation, and where they have the support staff in place in Russia. Many specialize in such far off places as Voronezh, a mere eleven hour train trip from Moscow. Others have staff in Moscow, St. Petersburg and surrounding areas. These issues are regulatory as different regions have different requirements that adoption staff and families NEED to know about. Other reasons are practical, such as the city is a 14 hour train ride from Moscow. Believe me Russia is a HUGE country, much of it vast open land. With ten time zones one needs to be practical. Remember, wherever you go, you need to visit the US. Embassy in Moscow with your child for visa and immigration paperwork prior to coming home.

Once these most practical matters are all worked out, last but not least consider how comfortable you feel with the staff handling your adoption in the U.S. Adoption can be one of the most invasive periods in your life. Just think IRS audit and you’ll get the idea. You need to feel as comfortable as possible with the staff as you provide a 20 page life biography, conduct home study, copy your last three years of tax returns, or ask people to write letters of recommendation. Not only that, but you are depending on these people to draw conclusions from your requests and home study dialog in selecting a child that is matched to your family for life.

In Country support is the most important service that the proper agency can offer. Some agencies provide a comprehensive travel guide for adoptive families. The agency we used constantly revised this major piece of writing (over 76 pages). Information is always changing as are forms and official or unofficial fees. Subjects range from “Once your court date is known or you are invited to make your first trip” to entire Chapters on “Information about Russia’, “While you are There”, “Parenting” and “When you Return”. This guide can be very agency specific listing the entire agency contacts in Country and established agency fees for coordinators etc. Travel warnings, telephone use, voltages are practical matters are rather mundane but important considerations. While we did have several little hiccups on the first trip for our second adoption, they were handled with a certain deftness that is highly regarded. The information one needs to complete could take the normal person months of internet work to uncover, much less what to do when things aren’t exactly right. A qualified agency knows exactly step by step what you will need to do, 1st trip, how to pack and what to take for gifts, what you can and cannot take to Russia, what will happen when you meet your child, medical evaluations, court hearing, Embassy packets and what to expect of this process, payment and registration of your child at the Ministry of Foreign Affairs. The sample letters for submitting Visa applications and how to correctly complete a Russian visa request or the new “Form-95” will simplify life dramatically. Practical information on where to stay and what to do can make a difference as well.

Like I said before, this is not the time to be cheap. Financial stability is a necessity of adoptive families because one cannot afford to fly by the seat of ones pants. Having the correct information can save hundreds of dollars or hours. The value of having the correct people in country to guide you through the process is essential.

Trust is essential, but all agencies should have good contracts describing fees. You should also have good solid information on the contract as to country expenses and fees that you must pay to the agency and its coordinators when you travel. Some agencies have escrow accounts in the United States for a portion of these fees and all of the agencies advise against carrying as much as the $7,000.00 in “Foreign Support and Service Fees” in cash. A recent Adoption Institute Survey stated that 3 out of 4 families were required to carry cash to the country of origin. Again, this is where the trust and comfort issue with your agency and its staff enter into the picture. The good news was that in the same survey only 11% of all respondents stated that agency facilitators asked them to pay additional fees not disclosed by agencies. I felt very uncomfortable carrying strapped to my body this money in $100.00, crisp sequential numbered bills. I felt like a drug dealer! (Remember in Russia, no one accepts anything other than a crisp uncirculated U.S. Banknote. If it’s dirty, marked on etc. it will not be acceptable or changed even with the official change kiosks.) Getting this type of money may take your bank up to one week, so plan ahead. At any rate once you hand off your money in cash or travelers checks don’t expect a receipt for anything. If you wished to tabulate how much each transaction may have officially (or unofficially) cost you would lose count.

In one instance, after our Court date in Tula, Russia, the Court Building (I’m talking a five story government building) did not have a printer that worked to print our court documents and translations! Our Coordinator took the diskette all over town to find a printer (and ink cartridge probably) to have our essential official documents for us. In the United States, it would be simply out of the question to get a Passport for your child in 24 hours. On our first adoption we were driven to a part of town I could never find again, escorted through unmarked offices and halls to finally see two female passport officers. Told to sign my name briskly by our coordinator we left. The next day I was given our child’s Russian passport. After traversing the halls of justice and government for a while you will appreciate the daunting obstacles that the most talented and well connected coordinators overcome. Put quite simply getting the two of us through the process and getting all three of us out of the Country in a week is a major miracle that I am sure takes a very greased machine.

Support afterwards from an agency can also be helpful. The agency often has seasonal get together with the parents and kids. This can be a wonderful place to compare notes. Throughout the country you will also find organizations supporting the goals of children adopted from a variety of countries. For Russia it is FRUA Chapters(Friends of Russian Ukrainian Adoptees). These organizations offer newsletters, resources and social outlets that can be very important. We also have a Heritage Camp organization near us that conducts camps for parents and adopted kids from a variety of cultures. It’s not a bad idea to go to parties, meetings and events when starting to think about adoption. The resources offered particularly by the parents attending these programs can help a great deal.

Motivation to adopt a child

Now that I have outlined ever so briefly the bad and the ugly or adoption, I would like to spend time discussing some of the other reasons for adoption. All adoptive parents want a child to love. Beyond that the individual motivations and stories are quite varied. Some I have met are crusaders for the underdog, others possess social goals that lend themselves to adoption and still others are more spiritual in nature. In the previous pages, I have outlined social reasons and family choice reasons to consider adoption. In the parents I have met the common thread in an adoption story is something that “we have thought about for a long time” or “I always knew/ wanted to adopt a child”. I have yet to find parents that simply say they had nothing better to do with there free time than collect kids. It’s O.K. whatever has called you, but a number of parents tell me why they adopt, so I think it bears some hard thought.

I believe I am more spiritual and my wife more socially responsible. What has motivated you to get to this point? Mine was clearly spiritual. Our adoption coincided with what I would classify as “spiritual adoption”. By this I mean, we had thought about adopting a child for a long time. We had been on the fence so to speak, until several defining moments caused us to move into it. In our little world, we have consistently strived to make a difference. We have tried to do so professionally in service businesses, and personally. We run a service business and starting a non-profit disabled riding program in our area. We moved from Los Angeles in 1995 to expand our focus, start our own business and attempt to do something that was meaningful for us and others. This worked for several years, without a change in our basic premise, until our little world was altered by Columbine.

We live about ¼ miles as the crow flies from Columbine. This place and this moment became the September 11th of Littleton, Colorado. Seeing it happen, and the despair that followed, is one of the most difficult experiences you can imagine. For a community you know, kids and friends of kids you know; memorials, funerals, sole searching and fear tend to alter anyone’s perspective of what is important in life. It was at this moment in time that we were forever drawn to adoption. In our on again off again consideration of adoption, we changed to on again. Over the next months a series of “chance” things kept moving us down a path. The first was my wife meeting three or four families with children adopted from Russia. Several were taking part in the physical training offered that the Pegasus Program was offering at our Stables. We were interested and drawing closer. Shortly thereafter we began to sing in the Youth Mass band at St Frances Cabrini. This was a powerful experience as the community and the teens in that community were so deeply affected by events at Columbine. Kids needed help and we felt that we were doing our small bit. We began thinking on a more socially and spiritually responsible level.

I was pushed over the edge one August Sunday. In this Mass the priest anointed a young girl. She had been shot many, many times at Columbine and was to endure yet one more operation. It was in that service that I felt moved by the Holy Spirit. I guess it was a call to participate in RCIA (Rite of Catholic Initiation for Adults). That program lead me to an opening of my heart, a conversion within me. We started our paperwork in February 2000. In essence we were running our adoption plans concurrently with my RCIA experience. I feel that there is a basis for adoption in the Bible and within the context of the Catholic Church. After all, this is a Church that has a “Respect Life” message as the centerpiece. There are some references in the Bible that support the idea of adoption, and I have listed a few:

“Any one who welcomes a little child in my name welcomes me.” Matthew 18:5

“Religion that is pure and undefiled before God and the Father is this: to care for the orphans and widows in their affliction and to keep oneself unstained by the world.” James I 1:27

“Give fair judgment to the poor and the orphan; uphold the rights of the oppressed and the destitute” Psalms 82:3

The help ones religion plays in adoption can be an important one. There are reasons that many adoption agencies are faith based. Without the religious trust that I developed in the Church, I may not have had the faith and strength to keep going in the adoption. Ultimately, when we were presented with a very sketchy picture and some fairly scary medical information about the child matched for us, it was I who felt through faith that this was the child for us. The strength and peace of this type of decision was spiritual in nature. I was initiated into the Catholic Church the day prior to making our first Russian trip to meet our daughter. I havn’t looked back since. With our my experience, and those of some adoptive parents I have met, a real strength and ownership in adoption and the process can be seen as spiritual in nature. In just about every case the people we see, feel certain that what they are doing is right or “just”.

Transracial Adoption

This adoption refers to children that are placed with families of another race or ethnicity. These placements can be both domestic and international in scope. You may hear this discussed as a separate type of adoption as it is a unique form. There may be quite a group of unique cultural issues that new adoptive families face in this type of adoption.

With all of this availability of infants and in Russia’s case many Caucasian, demand is high. But let’s not forget the goals! What are the goals of the international programs? The goals are to find homes… get children out of institutions… and stop costing the governments in these countries money and bad public relations they cannot afford.

Not to say that International adoption is a free for all or children are moved out wholesale. Quite the contrary. U.S. Adoptive parents spent close to $200 MILLION in 2001 for international adoption services(Testimony of Cindy Friedmutter, Esq. Executive Director, Evan B Donaldson Adoption Institute, House Committee on International Relations 5/22/02).This is a business. It is a way to provide for children while at the same time providing hard cash not only for governments but business and individuals. I will go into some financial reasoning later, but in any situation involving adoption, don’t lose sight of the money.

International Adoption

Adopting a child is probably available in ANY country of the world, if you have the right team. There are reasons that many adoptions are currently coming from China, Russia, Former Soviet States, Latin America and the like. Most of these systems are highly organized government projects. They are in general addressing a very real social crisis. Some countries that tried to address such a crisis (Romania for one) mishandled the situation. The players now are about as above board as one could expect, however one should investigate countries individually and then base a decision on each once own merits. In each of these situations, economies are in shaky shape or government policy has created the situation. So in such a world of haves and have nots there are the laws of supply and demand at work. Why do so many adoptions come from international sources? First, it’s the availability. Second, the goals.

Is there a plausible reason statistically? Yes, I believe that the lack of availability of Caucasian and infants or toddlers in the U.S. has lead to supply and demand imbalances. Unfortunately, I believe there is every reason that these imbalances will continue to fuel the growth of International adoption.

Let’s say the 100,000 that have applied with an agency is our available pool or parents.

581,000 children in foster care in the US with only 22% available for adoption.

Nearly sixty percent of the 251,000 children who left foster care in 1999 were reunited with birth parents.

We assume that every child is desired and adoptable as well as the assumption that 50% are infants. (Actual figures do not bear out these assumptions) Also we assume for our exercise that 50-50 race goes to Foster Parents and then be really kind and say only 50-50 infant vs.. older children.
Available for adoption- US Children
Black 42% 53,684 Infants 50% 26842
Hispanic 15% 19173 9587
Cauc 32% 40902 20451
Other 10% 14061 7030
Total avail 127,820 63910

Available U.S.Parents 100000

Adopted through Foster care or relative 50,000
Living with Relative 10% 12,782
Other 15% 19173
Total Adopted/leaving etc 81955

Remaining US Parents available 18045

Available US Children Remaining after adoption %
Black 45% adopted 29526 Infants 50% 14763
Hispanic 100% adopted 0 0
Cauc 38% adopted 25359 12679
Other 2% adopted 13780 6890
Totals Available 68665 34332

With these 18,045 parents available can we apply the needs expressed by the majority to this group? I would have expected that any one of our categories remaining could have been satisfied by remaining parents (i.e. parents could have adopted all black infants if they had wanted to). But why are these remaining parents the same parents looking at international adoption? In the survey fully, 82% of person who were considering adoption said that if they were thinking about adopting, a major concern would be making sure that birth parents could not take the child back. And, 89% of children adopted internationally are under 4, I would assume that the same percentage of potential parents want children under four.

So these 18,045 parents would be vying for a predominantly Asiatic, Hispanic or Caucasian or Other infants of which perhaps there are 19,569(Caucasian or other).This statistic is similar to the 19,200 international adoptions completed in 2002. It is plausible that these parents either do not have the pool of children they are seeking or that that children are not adoptable. The first to go to foster care adoption or other methods are the most desirable.

A number of factors have lead to the ten fold increase in international adoption over the last ten years. Certain countries are meeting the needs of the US family. Each of the big two destinations for international adoption have a huge supply and goal inline with the potential parents. In China, which is still #1 in the number of children adopted to the United States, there are reported to be hundreds of thousands of orphans. In this vast country government policies have lead to a considerable number of orphans. Government or cultural biases leave a great number of infant girls available. The figures seem to bear out that Americans are not at all shy about transracial adoption.

Since the collapse of the Soviet Union the number of adoptions rose from 324 in 1992 to 4279 in 2001. Why is this program popular? Could it be because of racial characteristics? Let’s look at the figures. If there are approximately 251,000The greatest number (two million) of orphans as a percentage of population is located in the Russian Federation. Russia also sufferers from the greatest number of orphans per capita. In the Russian Federation 2/3 of these children without families live on the streets. Claims go as high as about 650,000 orphans in institutions and perhaps another 1,000,000 homeless children living on the street. Contrast this number with the highest level of US children 535,000 for a country of double the population. The social and economic difficulties the Russian Federation has experienced in becoming a free and capitalistic nation are huge. According to a report published in 2002, 60% of all pregnancies in Russia end in abortion, only second in the world behind Romania at a per capita rate. A girl under 18 accounts for 1 in 10 of these abortions. The destruction of the Russian family is seen in an illegitimacy rate that has risen to 20% in 2000. The end result is that Russian women average 2-3 abortions and in 2002 that means of the 3.3 million pregnancies there are over 2 million abortions. Just imagine…this is 53% higher than US estimates in the 30 years since Roe v. Wade. a staggering 61 million abortions for a country of half the population of the US.

The better news is that in fiscal 2002 Russian Federation was the second highest sending country for U.S. adoption with 4,939 adoptions, just a fraction behind China’s 5,053 placements. Russia recently accounted for 22% of international adoptions.

The troubles of these counties are varied; however, the goals are the same. Get the children out of the countries and into loving and secure homes rapidly. Policies are such that children in Russia for instance parent’s rights are removed more rapidly and once that is accomplished children are placed in a government registry for 7 months prior to being permitted to be adopted internationally.

Private Adoption

Yes it does exist, although the number of infants available has been decreasing since 1973. The number of white infants has had the most dramatic decrease over this period. In the United States one can use any number of options or hybrids. Do you want the sperm; do you want a surrogate or perhaps a birth mother who has decided to place her child after birth with a family of her choice? This is a very custom slope sometimes that has worked for lots of people. This is general about US born infants adopted through for-profit or non- profit adoption agencies and independent adoptions in which birth parents place children with adoptive families. They can involve work with attorneys, doctors or the church. In some states it is “illegal”, but that doesn’t present a problem when having a birth mother in another state etc. Our Attorney said it was easily do-able. NCIA estimates an Independent domestic adoption at between $8,000.00 to $30,000.00.

This choice was also one that we felt uncomfortable with. Many contracts, involving attorneys and emotions of a birth mother and adoptive family. However in this same survey 82% said that if they were thinking about adopting, a major concern would be making sure those birth parents could not take the child back.

The United States Foster Care System

The Stats

It is estimated that there were 50,000 U.S. adoptions from Foster Care in 2000. (1) In 1999 there were about 581,000 children in foster care in the US with only 22% available for adoption. The United States in 1992 was reported to have had 127,000 adoptions of all types (NCSC) and it follows several predictable and tightly controlled paths. Fully 87% of US born adoptees were adopted through a variety of means by biological parents or through the foster family system or by means of a private adoption according to the 2000 census. The 2000 Census claimed 126,000 children in the Foster care system were eligible for adoption. Nearly sixty percent of the 251,000 children who left foster care in 1999 were reunited with birth parents. The sad side of the story was that in 1999 there were 2.5 times the number of “waiting” children as those adopted; of these children 60% are black or Hispanic.

When my wife and I began our search, we naturally sought out what we had heard the most of, adopting in the United States. Up until the last 30- 40 years, the United States was served by a large series of orphanages. These orphanages varied from those operated by the Church, the State or Private for profit organizations. As the United States became more “enlightened” this system that has worked for thousands of years was substituted by a philosophy and system of foster care families that would provide homes for orphaned children until a suitable family presented themselves.

As you might already feel from the bite of my previous paragraph, the distaste that this entire system has left in my mouth leads to sadness and outrage at times. A system that basically worked, provided housing and education to prepare children to enter the adult world has led to (in my estimation) a hopeless welfare state. The children waiting to be adopted are disproportionately older and Black and Hispanic. As a result, children of Caucasian race are sought after and those of any race that are younger. More people would like a younger child.

The monetary aspects of adopting a child out of the foster care system may appeal to some families. The National Adoption Information Clearinghouse (NAIC) estimates Domestic-Foster Care adoption costs at zero -$2,500.00. As a result of State and federal funding the adoption costs are VERY reasonable. Many children also have continued medical assistance and stipends based on their particular circumstance. Through a private agency NAIC estimates a cost range of between $4,000.00 and $30,000.00. This of course is not the one and only consideration for adoptive families however. Many successful and well disposed parents seek adoption and understand that nothing in the world is “Free”.

In assessing adoption in general, one must first understand motivations. In 1995, about 500,000 women were seeking to adopt a child, and 100,000 had applied with an agency.(2) the foster care system provides an unending spool of government red tape and employees to keep it tightly wound. There would be no need for social workers without the system that is controlled by government. The United States as the richest country on Earth also has 565,000 in Foster Care in 2001. They are cared for by wonderful people or entities that I am sure would give there eye teeth to find a loving home for each one of them. This is why 64% of the children that are adopted are adopted by the Foster Parents and only 20% by non-relatives. But look at the goal!

In a nutshell the goal of our system is to reunite the family, which is done at all costs. Even for children abandoned, or abused and neglected the United States and law enforcement will work diligently and leave few stones unturned to find birthparents or help a abused child return home. Again nearly 60% are reunited with birth parents. Several months ago a child was found wandering the streets in the inland valley of Northern California. For days police and volunteers took this child in search of his parents. Many days later the mother called anonymously to police to tell them that she no longer wanted the child for a list of reasons. In the same way, children are removed from homes due to neglect, abuse and legal reasons.

Should these children be re-united with their biological parents? Perhaps or perhaps not. The trick is that it our system holds onto the perhaps idea. The ideal that a child should live with a biological parent above all else and our legal protections allow the foster care system to keep these children inside the system. Although Federal Law requires a “permanency plan” within a year and termination of parental rights for children in foster care for 15 of the most recent 22 month I fear things drag out much longer.

My wife and I investigated this adoption alternative twice. Once prior to adopting our daughter and then a second time when we began to think about a third child. Imagine the heart wrenching experience as we went to our state agency seminar and were shown a book with hundreds of children, many sibling groups that were available for adoption. As we read about each, we were struck that so many of them were of black or Hispanic races (we are you’re a typical Caucasian couple), and that so many were older children. Why were so many older children available? Only later did the statistics bear out my conclusion. In 1998 only 2% of children in foster care were under one year of age, 46% were between one and five years of age and 37% were between six and ten years old. In that same year for internationally the less than one age group accounted for fully 46% of the children with 89% being under four years old.


1. www.adoptioninstitute.org/survey
2. www.adoptioninstiture.org/factoverview.html


Children in the United States await the possible return of one or both birth parents. Once an attorney friend told me that we could adopt a child through the system but the adoption would not be finalized for up to 18 months. A birth mother or father could return, be released of otherwise come to the realization that they are O.K. again and come for the child. This was clearly a risk we were not willing to take.

At the same time, a great deal of the foster care children available for adoption have a great deal of issues, physical, emotional or mental. The Child Welfare League of America reports, “approximately 60 % of children in out-of-home care have moderate to severe mental health problems”(www.cwla.org/programs/health).Even faced with these hard choices we inquired a second time regarding a child we saw “published” as available for adoption. When we did get a call from the social worker assigned to the child one of the first things out of her mouth was not why we wanted to adopt, or the family we would provide, or that we could provide for his physical and emotional well being; but the fact that we were Caucasian and the child Black. The social worker must obviously consider this basic fact that we had already considered; but I was not prepared to justify that this would be a “suitable” situation for the child. I then inquired as to how many years the boy had been in foster care; and was shocked and saddened to learn that he had been with three families in four years!

Enough of my soapbox. We were advised to not go this avenue unless we really wanted this experience.

Choosing Adoption

My wife and I were happy to have our son in 1992.

When a couple chooses to have a child it is a labor of love.

It was unfortunate that my wife had any number of medical issues connected to the birth of our son, McKenzie. It was something of a struggle physically and psychologically all during the term of Christine’s pregnancy, but the post-partum results of my wife’s pregnancy left a lasting series of problems. Making the decision to try for additional children was difficult and the series of unfortunate miscarriages made each try more and more painful.

Our thoughts of adopting a child began to develop gradually, but by the time McKenzie was four or five years old, we were seriously considering making this commitment. When one considers such an option, the daunting task seems to be even more so by the flurry of comments and input from friends, family or the press. A day never passed during these years that our ever so sensitized systems didn’t hear or read of some horror story. Several times we began to research options only to pull away. Several times the option of adoption was cast aside when Christine became pregnant only to have a miscarriage. Periods of no discussion of children returned time after time to adoption.

For families in the U.S. adoption is increasingly supported. The Adoption Institute 2002 survey result showed 39% of American has very or somewhat seriously considered adopting at some point in their lives. Comparing survey results 1997-2002(1) there is an increasingly favorable opinion of adoption. Between 1997 and 2002 there was a 11% increase (to57%) of respondents who believe that adoptive parents derive the same satisfaction from raising adopted and biological children . The proportion of Americans with very favorable opinions about adoption increased to 63% in 2002, from 56% in 1997. In 2002, 64% of this national survey respondents reported that a family member or close friend had been adopted, had adopted or had placed a child for adoption.

The U.S. Census bureau’s first profile of adopted children from the 2000 Census also shows the surging choice Americans are making. (2)This “landmark” profile is set to become a major source of statistics on adoptive families. In what has been described as a profile that will change the nation’s image of what U.S.families look like and how they are formed. Using the long form Census data, it was reported that 1.6 million adopted children under 18 are now living in U.S. Households. And while 87% were born in the US, foreign adoptions are increasing dramatically. The number of immigrant visas for foreign born adopted children surged from 7000 in 1990 to nearly 20,000 in 2000. It was reported in the Census that about 49% of the foreign born were reported to by Asian. Increasingly the choice of adopting internationally may cross ethnic barriers. The adoptive parents however are a fairly homogeneous group as the Census reported that 76% of householders with adopted child listed their race as white, and tended to be older and more economically secure parents.

This fact that adoptive parents tend to be older and with some grater measure of economic security does not surprise me. The choice to adopt is a lot of work with the love part coming at the end. Younger parents get the love thing first and the baby follows. With the costs and scrutiny of income and suitability, adoptive parents are making a choice that requires economic security. For many people the choice of adopting a child is not due to medical reasons they are clearly a choice that is applied. When you are considering such a choice you must have your priorities and your life in order. You need to be committed to the process and the outcome in a way much more difficult than having your own “bio” child.

When we began to consider adoption, we were at the beginning of a surge of bad press regarding adoption. It is clear that the attitudes surrounding adoption and the press have clearly turned a corner. More and more, we read stories regarding the choice parents are making to adopt a child and how successful and loving these choices are.


2. Census Counts Adoptees: USA Today August 22, 2003-page one By Mary Jo Sylvester

Around the World in 80 days- A parents adoption primer

Introduction:


In February 2000 we began our first adoption of a child in the Russian Federation. It took 12 months before we made our first trip and met our child. We began our second adoption June of 2003 and it took five months.

The process was new, confusing and somewhat arduous. In that time period one could not help but feel that we had been put through the proverbial ringer. If it wasn’t unknown regulation and red-tape it was travel and trepidation. It took just eighty days before we made our first trip to meet our next child, hence the title of this little book.

Irregardless of length, adoption is something like being pregnant. One never goes through a little adoption. Also like pregnancy it is a journey, and when the journey has concluded one seems to forget the discomfort and pain. As with all parents, having a new child in the family creates new challenges and issues and also unequalled joy and pride.

In this book I will be taking you on a journey. I have included a lot to think about. I believe however, that the candid assessment is but one small portion of the overall ride of your life. I hope that a glimpse of our journey energizes those seeking adoption and the joy a child can bring.

Monday, December 13, 2004

Adoption- A shining light for Russian orphans

Thank you! Russia, the Russia friends we have made, and mostly the two Russian children we adopted all deserve the thanks of our entire family. We deeply respect those that helped to successfully bring two children of Russia to our family in the United States. In 1998 we were a family of three, but not entirely the complete family envisioned by Christine; my wife of twelve years; or McKenzie; our six year old son. We desired another child to complete what we felt a typical family should be. It was only after several difficult attempts at having a second child, that our family thought to seek a child through adoption. I must admit that I was skeptical as an adoption option is still perceived as unusual and difficult. It is also perceived as corrupt and quite frankly a desperate option.

We were at once shocked and pleased that few children were available for adoption in our home state of Colorado. Those children that are available were often older and had a wide range of overwhelming special needs. It was complete destiny that over a several week period we met four local families and the children they had adopted from Russia. We were excited at the growing options available in international adoption; and immediately contacted the same agency these families had used. Naive as we were, we had little understanding of the task before us or the tremendous gift we would receive. Our first adoption began with Hand in Hand of Colorado as a well guided maize of soul searching, family and personal assessment and evaluation.
Adoptive families are rigoursly assessed. Complex and intrusive forms, examinations (physical, psychological, and full background), financial and legal paperwork difficult are just part of the check. All families adopting in America are also required to complete a home study by qualified social workers. The entire process is guided professionally and frankly requires an educated and particularly driven individual to complete. It also requires a financially secure person or family and individuals with patience yet at the same time persistence. Even with a fair amount of these skills our match took a year. Adoption is widely affected by political and policy change. Our adoption process was halted by Russian Federation legislation that set in place licensing requirements for international adoption agencies and the formalization of standards or practice to be used.

When our match was made, we received some limited information on a child in need of a family in Tula, Russia. From our perspective at the time, we felt that we were taking a tremendous risk with the information we had. Even with all of the skills and support we had at our disposal it seemed with a very short notice our family flew to Moscow on faith alone. Our seven year old son traveled with us, though widely discouraged by our agency and those in Russia, he was integral in the process.

Barely two days later, we met our child, Analessa (Yevgenia), then 22 months old. She had been in the baby house since birth. The moment I held this little bald child with the sad grey eyes, she was ours. I make no exaggeration. Our love enveloped her and she was love embodied. It is may be hard for some to understand, but I believe one would find that adoptive parents have absolutely no difference in the love they have for the adopted child or for their own biological child. It is heart wrenching to see so many children, in one place, that could create this type of love and joy within peoples.

As a parent, and a human being; I have heard some shocking rumors in Russia as to “why would someone want to adopt one of these children?”. There must be some type of ulterior motive? We were shocked to even hear the hint that Russians may believe these children were to be used as servants or perhaps were adopted for resale of body parts. How sad, untrue and how absolutely unfair. These children may seem to be forgotten, unwanted and unloved; but this is clearly untrue. There are loving families just waiting for children.

We have a deep respect for workers that care for these children in Russia. They are faced with results of an overwhelming social issue. These workers and the children within their care encounter a series of daily care and development issues that I can only classify as critical. But each and every person appears to accept this responsibility with love and devotion to the children. It is a difficult start, but it is only a small part of the journey that can result in wonders. . I can only say “thank you” every day of my life for mothers who chose to have our children and then the professionals who cared for them and those that facilitated our children’s placement. They have all allowed us the gift to love a child so deeply. In our adoptions we have made four trips to Russia. In this process we have met many of the best people in the world. Many cultural, language or other barriers are removed or proved irrelevant when love and passion drives people. The people working with the children or within this system in Russia understand this and desperately want a child to have a measurably better chance in life. We are entrusted with that mission. Our first adoption created perhaps the poster family for adoption with the poster child. Everything about our first adoption has worked well since returning home. Analessa is charming, witty, bright and personable. We have educated others in adoption, provided for cultural exchange as well as orphan relief. It was really no surprise we again chose to adopt, and again from Russia. Our son McKenzie traveled again to Russia, but this time St. Petersburg and summer camp on the Baltic!

Spencer (Sergei) was six years old and had been in several orphanages since his birth. Better educated and system wise we completed our adoption in six months! We have had our son in our family about eight months. Spencer is older than our first adopted child was and he faces more of an uphill battle. Based on our wishes we knew he has some minor special needs and issues. Despite our fears and almost beyond belief he has rapidly developed a new language and assimilated into a family setting. An older child is different…language needs, social skills, and the entire development required to be a part of a family are ahead of them. A third middle age child also needs to adapt to the existing two children who in turn must also learn and develop a different set of skills. Our new son is more difficult to cuddle and love as one might with an infant, but he is loved and treasured none the less. We all need to know him as an individual, and he will need to establish his place in our family. We must also work harder to win his trust and his heart.

As our family continues to develop, our love grows in intensity. Our children have brought a special light to our lives and hopefully we will be the best parents we can be so that they develop to be the best human beings they too can be. We, like the world over, work our hardest and try our best to raise loving, educated and productive members of society. We would be blessed to do it even again. As we continue our daily lives, we see a shining light. For us the light is Russian. We thank you; our children thank you and the world will thank you for the opportunity you have provided to all of us.