While nearly all international adoption is considered “special needs” these days, what needs we see varies widely country to country, depending on that country’s medical system, social services, and culture. Considering what special needs are common is one way to narrow down which adoption program is the right fit for your family, so read more below about each of MAA’s programs!
We work with the Thai Red Cross Children’s Home in Bangkok, a small children’s home that is part of a large hospital complex. As a result, many of the children come into the TRC’s care because they were born in the hospital, but their biological families are struggling in ways that make it hard to care for their child, including addiction and mental illness. As a result, most of the children placed are toddlers and young children who may be medically healthy, but have background risk factors. The TRC also receives children from government orphanages who need the additional medical monitoring the hospital can provide, so there are also waiting children with a variety of medical needs.
In the China program we see a wide range of medical needs. Typically medical care in China requires full payment up front before care is provided, so sadly many families place their child in institutional care so that they can receive the medical care they desperately need. There also continues to be cultural stigma around disabilities in China, especially visible disabilities, which plays a role in some children being abandoned. Thankfully, as resources grow more biological families are able to keep their children who have correctable conditions, and more and more domestic Chinese families are open to adopting young children with needs like heart defects and club foot, so there are fewer children with those needs in need of international adoption today.
In Colombia, some children are relinquished by their birth family, sometimes because they aren’t able to care for their medical needs. Other children have been removed from their birth families due to neglect or abuse. As a result, we see many older children who may not have any diagnosed needs, but have experienced trauma. Because we often have information about birth families, it’s sometimes known if a child had prenatal exposure to drugs or alcohol, or other risk factors in their background. Many young children referred for adoption have these risk factors and developmental delays, and need families who will help them meet their full potential, whatever that may be.
While the Philippines allows families to submit their dossier and request referral of a child considered “healthy,” families still need to be open to some concerns or risk factors in their child’s background, such as prematurity, speech delays, or corrected medical needs. There are also waiting children of all ages with a variety of medical needs, including many children who have developmental delays. We also see many older children, sibling pairs and groups who are medically healthy, but experienced neglect or abuse in their biological families.
Since there is now a robust domestic adoption program in Bulgaria, there are very few young children with needs families consider “minor” in need of international adoption, as those children are usually adopted within Bulgaria. Children under six years old typically have neurological conditions like cerebral palsy, spina bifida, hydrocephalus, and epilepsy, or multiple diagnoses and risk factors in their background. There are also many older children and sibling groups who were removed from their biological families due to abuse or neglect, and who may have developmental delays. Families who are open to Down syndrome or neurological needs can receive a referral very quickly after submitting their dossier.
The Dominican Republic
Since the Dominican Republic is a small country, it’s also a small adoption program, but there are still many children waiting for adoptive families! We see a range of different medical needs, as well as many young children with broad developmental delay diagnoses who need families prepared for whatever their future may be. Many of the children came into orphanage care very young when their biological families were unable to care for them. Since it is a small program, it is best for families who are open to a variety of different needs if they have not identified a specific waiting child.
In Ecuador, there is a thriving domestic adoption program, which allows many young children with minor needs to stay in their country of birth! As a result, most children in need of international adoption are over the age of six, though there are occasionally younger children with more complex needs, or who are part of a sibling group with older children. Many older children have been removed from their homes due to abuse or neglect, so there are many sibling groups over the age of ten in need of adoption.
Though these are the specific medical and developmental needs we see in each country program, it’s always important to keep in mind that every child in need of adoption has experienced loss and trauma, regardless of where they live. The behavioral, emotional and attachment needs that result from those experiences may be not be diagnoses in their file, but will be some of their biggest needs. We encourage all our families to research how to meet all of their child’s needs to be as prepared as possible for when you finally bring them home!
Interested in learning more about international adoption? Check out the Country Comparison Chart to view general info about each program, and fill out our free Prospective Adoptive Parent form to connect with an adoption specialist!