Dawson is a 5 year old boy who is active and cheerful. He has been diagnosed with fetal hypotrophy, myopia, and nystagmus. He demonstrates curiosity and is very observant. His psychomotor development is good for his age. He moves independently, both walking and running. He struggles with maintaining balance, but he has improved in coordinating his movement. He hasn’t reached age-appropriate communication skills, but he has made significant progress in this area. He can imitate gestures and words and he understands basic commands. His emotions are becoming more complex. Dawson can remember the names of his peers and caregivers. He eats meals independently and is getting better at changing clothes without help. He is making steady progress and has demonstrated the ability to aquire new skills.

FAS, defect of the atrial septum, kidney agenesis, impaired and delayed psychomotor development, hypoplasia of the corpus callosum. The girl is making progress, but her development is now estimated at 12-15 months of age. She is curious about her surroundings and active in movement. She walks alone (still with her legs wide apart) and climbs the stairs holding her caregiver’s hand. Klair manipulates objects by shaking them or tapping them against herself. She can put items into box and take them out and build the tower. She does not know how to use a crayon yet and she can’t trace. She seeks contact with adults. She likes to be carried, tickled and hugged. The girl is making progress, but her development is estimated at 12-15 months of age.

Nathan: Strong motor skills – correct for age. Walks, runs, overcomes obstacles. He participates in games, wants to attract attention and is upper active. Perception and hand-eye coordination – within the normal range for age. The boy notices details, differentiates shapes and colors. Recognizes pictures, selects pairs. He connects the pictures. He places the blocks in the holes of the puzzle. Builds block structures – simple and complex at the age level. Slight speech delay. Social behavior and emotional zone – age appropriate. There is a great need for a relationship, attention and contact. Sometimes he is too impulsive and reacts hypersensitive.

Iggie: Low birth weight,  FAS
Strong motor skills – the boy walks independently, runs, overcomes obstacles with a slightly lower fluency. He imitates simple, single body movements, claps his hands, raises his hands up, stomps his feet, enjoys simple games with adults, keeps up with the group. He puts circles on the pyramid, builds a tower from blocks, creates a row (“trains”). He scribbles with a crayon without imitating the direction and shapes, but he likes to draw with adults.
Speech shaping – reacts to sounds from the environment, looks for the source of the sound, reacts to musical sounds. Active speech at the word stage – repeats many one and two-syllable words on command. Points to parts of the face, says the correct words (ear, eye, etc.). Social behavior and the emotional sphere – visible improvement of contact and relationships, establishing contact without difficulty. He is cheerful, establishes basic relations with children, reacts positively to games, and imitates. Develops the basics of independence in everyday activities. Eats by himself.

The children experienced neglect and abuse before coming to the orphanage.