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Related Experiment Videos

Pre-placement screening in international adoption.

Gary W Diamond1, Yehuda Senecky, Daniel Schurr

  • 1Child Development Center, Schneider Children's Medical Center of Israel, Petah Tiqva, Israel. diamondg@zahav.net.il

The Israel Medical Association Journal : IMAJ
|December 3, 2003
PubMed
Summary

Pre-adoption screening of internationally adopted children identified significant medical and neurodevelopmental issues. A child's developmental performance, medical status, and weight influenced adoption decisions, not past history.

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Area of Science:

  • Pediatric Health
  • Developmental Pediatrics
  • International Adoption Medicine

Background:

  • Increasing rates of international child adoption necessitate understanding the health status of these children.
  • Adverse pre-adoption living conditions raise concerns about medical and neurodevelopmental well-being.
  • Lack of standardized pre- and post-adoption medical evaluation guidelines poses challenges.

Purpose of the Study:

  • To assess the medical and neurodevelopmental condition of young children awaiting international adoption from Eastern Europe.
  • To identify factors influencing families' decisions to adopt or decline specific children.

Main Methods:

  • Comprehensive medical and neurodevelopmental evaluations were conducted on 82 children (median age 11 months) in Eastern Europe.

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  • Standardized assessment tools, behavioral observations via videotape, and laboratory tests were utilized.
  • Evaluations occurred 3 weeks to 6 months before adoption placement.

    • Main Results:

    • Children exhibited growth retardation; 14.8% had ongoing medical issues like hepatitis, failure to thrive, and sensory disorders.
    • Thirteen percent displayed abnormal neuromotor status.
    • Families rejected 22% of children, with adoption decisions linked to developmental testing performance, current medical status, and weight.

    Conclusions:

    • Pre-placement screening effectively identifies medical and developmental strengths and impairments in children eligible for foreign adoption.
    • Family adoption decisions were significantly associated with the child's performance on developmental assessments (Bayley Scales), weight, and current medical condition.
    • Past medical history and family background did not significantly influence adoption decisions.