Other Special Needs

Little Andrew is a friendly, cheerful, and perceptive little boy. He is currently 6 years old. He was born prematurely and was diagnosed with cerebral palsy in the form of spastic tetraparesis, predominantly affecting the right side (grade 3+), with associated dysarthria. He uses a wheelchair.

Andrew regularly receives physiotherapy, occupational therapy, and speech therapy. He continues to receive follow-up care in neuropediatrics and orthopedics, including the administration of botulinum toxin due to stiffness in the upper limbs. He has hip dysplasia, currently without pain, and underwent surgery for hip stabilization on September 1, 2025. He also continues to receive care in nutrition, ophthalmology, physical medicine, and rehabilitation.

Andrew has a good relationship with both other children and caregivers. In his interactions, he verbally communicates his needs and interests and is able to express discomfort or displeasure.

Andrew is a communicative and expressive child with a reasonable vocabulary and the ability to construct sentences, including negative and interrogative forms. He repeats and learns new words; however, he needs support to improve articulation and diction. To support this, syllabic division exercises are incorporated during games and storytelling activities. He demonstrates a good understanding of his surroundings and, with individualized adult guidance, is able to focus his attention on tasks and interpret simple content.

In the area of autonomy, although Andrew is dependent on adults for his daily routines, he enjoys being involved and participating in tasks. He helps tidy up toys and materials and eats independently at mealtimes using cutlery. He shows greater ease in using a spoon but is also able to use a knife and fork. He can drink independently from a cup or mug.

It is not expected that Andrew will be able to walk; therefore, he uses an electric wheelchair. He demonstrates good autonomy in operating the joystick with his right hand and maneuvers the chair with ease (e.g., anticipating obstacles, navigating around them, reversing, and turning left or right to avoid collisions with people or objects). He has a clear sense of space. The acquisition of the electric wheelchair has been fundamental in supporting Andrew’s autonomy in locomotion. During the summer, he independently accompanied the group on several outings. Additionally, using the electric wheelchair, he is able to accompany an adult while carrying out small tasks (e.g., going to the supermarket or pharmacy).

Despite difficulties with fine motor skills, Andrew shows persistence and interest in exploring objects, toys, and new materials. He enjoys matching and fitting games, stacking objects, and painting with pencils, markers, or brushes using a gross grasp. With assistance, he participates in collage and tearing activities. In drawing, he currently scribbles and does not yet represent the human figure. He also enjoys handling books and is able to turn pages independently to observe the illustrations.

Andrew transitioned to the public preschool network in the 2025–2026 school year following a request for school postponement. According to information provided by his teacher, Andrew adapted well, integrated into daily routines, and maintained positive interactions with adults and peers. However, the teacher noted that Andrew experiences difficulties handling tools during writing and artistic expression activities and is not yet able to perform a fine pincer grasp. As a result, he shows limited autonomy in completing more structured tasks and may resist finishing them (e.g., giving up or becoming distracted). He will soon be evaluated by the technological resources center for possible allocation of an adapted computer.

Isabella shows a delayed psychomotor development. Her concentration is short but good. She shows a great interest in her surroundings, follows objects with her eyes. She grabs toys with her hands and puts them in her mouth. She can grab two objects and rotate them with her hands.
She recognizes the familiar people from strangers, and she reacts to her name. Her active speech is delayed – she doesn’t speak full sentences yet but she can say a simple words.  She actively participates in the group activities and also can initiate games by choosing some toys.  Motor skills are delayed – lack of age-appropriate skills, but she is learning every day.  She is very active and her behavior is described as high hyperactivity with anxiety. She is able to understand and follow the instructions; she is doing with in a group with other children. She is learning to put on shoes independently. She can eat some food without help if it is sliced to small pieces.

Recent visit Feb.2026: Isabella is a very promising child. She has undergone cardiac surgery. It was not possible to test her hearing, but she functions normally. Despite her heart problems, she never had blue lips or excessive fatigue.

Her currently weight is 12 kg. She communicates verbally very well and is able to express her needs and emotions. She still uses diapers but she is in the potty training. She is a very active child, but not hyperactive. She functions well one-on-one. She has two favorite friends at the orphanage. She likes to play with other children and does not exhibit any aggressive behavior.
She is a picky eater, but she likes to try new flavors (she recently enjoyed olives). She sleeps throughout the night. She sometimes takes naps during the day. She likes to do puzzles (30 pieces) and “read” the books. She is a girl who likes to dress nicely and has a pretty hairstyle.

Sienna is generally very calm, smiles often, and responds quite well to different people. A year ago, she developed a dysfunction of the ventriculoperitoneal shunt, and the child had to undergo revision and valve implantation. After this procedure, she became calmer and began to be more active, crawling freely on the available surface, and when in her crib, she eagerly pulled herself up to a sitting position.  At the end of last year, she began to use orthoses.

Sienna has a speech delay, although she has recently been eagerly repeating and saying words on her own. Some words are difficult to understand, but progress in speech development is evident. The girl also has difficulty understanding speech, but here too, progress is visible. She understands simple words, especially when they are supported by gestures. The girl can be engaged in a simple form of “dialogue” through play such as sharing toys. She is learning how to draw and eat independently using the spoon. She is able to pick up food cut into smaller pieces and put it in her mouth, although she does so slowly and uncertainly. She has difficulty biting off solid food and chewing it.

Sienna is a very cheerful and smiling child. She is speaking more and more – she can use many basic words, such as “give,” “more,” “come,” “yes,” “no,” “auntie,” and “hello.” She uses them in appropriate situations to express her needs and emotions. She recognizes various animals and can imitate most of their sounds.

Sienna to cuddle and read books. She participates enthusiastically in the group activities and enjoys walks. She responds to smiles, touch, and the voice of her caregivers. The girl has recently made significant progress in her emotional and social development. She is also able to initiate contact – she waves her hands in greeting, says “hello” in her own way, or responds with simple vocalizations. She is able to express her dissatisfaction, joy, or excitement and her progress is getting better and better in many areas.

Robin is a well-developed boy, appropriate for his age. Somatically healthy.  History of trauma and neglect

He is physically fit and eagerly participates in all activities: bike trips, swimming, and bowling. He is a very bright boy and has no behavioral issues. He has a very good manners and rich vocabulary. He is a student of the 4th grade this year. He made a good progress at school and his motivation just visibly increased. The boy attended remedial classes at the clinic, made great progress in education, and his motivation to learn at school has visibly increased. He is good with writing, can solve the math problem and has difficulties with memorization. He feels good of being an “expert”, then he can be very involved and eager to act. He is polite and helpful at the place he lives, he treats the staff with respect, and he has an empathy toward young kids. He has many friends who appreciate his sensitivity and empathy, as well as his sense of humor.

Robin’s joy and carefree nature are sometimes overshadowed by a longing for someone close to him, for whom he would be important and special. He hides his emotions behind a tough exterior, but inside he is fragile and delicate. He lacks love and affection, which he compensates by hugging his teachers when he greets them.

Dakota: FAS suspected, microcephaly, facial dysmorphia, low weight, history of trauma and neglect
Dakota is a healthy, charming and cheerful girl. She is open and kind and eager to play with her peers. She is in the first grade this year. She has a vision impairment and wears glasses: -0.75 in both eyes. According to her teachers, she can be forgetful, has problem with concentration and needs to be motivated. However, she is eager to learn, work fast, she and is active in class. She is very artistic, likes to sing and dance. Often, she will come up with ideas of choreography, grab the microphone, and sing.

Dakota has an age-appropriate knowledge about the world around her, but her cognitive development is below average. She also struggles with math, and her results are lower than normal.  She was tested for FAS and according to her pediatrician, she doesn’t meet the criteria for FASD. She is underweight, has microcephaly, and moderate facial dysmorphia.

For some time, the siblings were placed in two different institutions but since January 2026 they have lived at the same place. They are very close and Robin cares about his sister a lot. Since this year, they have been in the same institution. They are very close. Robin is a caring brother to Dakota.

The caregiver describes them as a very good and unique children. The brother is very mature for his age.  They are both eager for being adopted.  The boy has a plan in his head of what he wants to do with his new family, and his sister is dreaming of a good family who will love her. They want to be adopted together.

There is a grant of 7800 euros toward foreign fees (with the agency) and this specific adoption agency will assist with applying for more.

The brothers have been in foster care for many years now and they are such great kids. They want to have a family and to be together as brothers. Next year, because the older one will become 14 in the summer, they will have to move to another town because of his school. There are no options for foster families there and they will have to go to an institution. The social worker is very hopeful this won’t need to happen and that they will be adopted instead.

IRIO – He is social and communicative. He easily makes new friends. In most cases his relationships with the children and the adults are good. According to the foster parents, he communicates well with the children and the adults. They describe him as a well-mannered child, who can assess different situations and adjust his behavior with them. He is aware that there are many social roles in society, which warrant a certain behavior. He participates adequately in the games of his peers. He can follow the instructions and the rules. He prefers games with physical activity, but he can participate in some role plays, too, and symbolic games (he gets into the role of a policeman or a criminal). He seeks the attention of the other children. He enjoys drawing, riding his bicycle, and games with a ball and other sport games. He only likes to be alone if he is using the computer. He fits in well among his peers.

HAMILTON – The boy is calm, observant, and curious about the surrounding world. He is attached to his brother, who is placed in the same foster family. Together they take care of each other, communicate, and play. He talks about his biological family calmly and talks about how they used to live. He did not like the conditions in his home then. He is attached to the foster family, their children, and their grandchild. It is hard for him to accept the pain of others and is always ready to help. When in conflict situations he defends his opinion, he is stubborn. He follows the rules at home and at school. He sometimes presents himself with stubbornness, but he does not argue and is not aggressive. He has an idea of good and bad, and for punishment and justice. He shares his experiences with the foster family and respects them. In his free time, he enjoys watching movies, listening to music, and dancing.

Gustav is in need of an surgery on his legs that will allow him to walk independently. His mental and speech development is almost age-appropriate and he loves playing with toys and other children.

Sabrina is in good health and developing appropriately for her age. She was placed in the orphanage in 2022 due to her being neglected in her biological family. Her father passed away in 2023, and his loss made a significant impact on her, understandably. She has been receiving counseling to help her to deal with loss and support her mental health. She feels much better now, has more energy, and feels less sad. Her caregivers describe her as a very sensitive, emotional, and empathetic child. She makes new friends easily and she is very friendly. She often cares more about her peers’ problems and likes to help.

She is an average student in the 7th grade this year and her educational difficulties are the result of no motivations and lack of stable conditions in her life in the biological home.
Sabina is in contact with her mother, but it is her mother who initiates these contacts and Sabina provides support for her mother. She expresses her willingness to be adopted. Outside of school, her interests are swimming lessons and English lessons. Reading is her main passion and she spend a lot of times with the books. She likes animals, dogs are her favorite pets and she wishes to have one.

She needs a stable and safe environment based on acceptance, understanding, love and emotional support. She has a great potential for proper development in her education. She wanted to be adopted and according to her caregivers, it will be a great opportunity for her to build a strong emotional bond and develop harmonically. She is highly recommended for adoption.

Stefi uses a wheelchair for mobility. He can propel the wheelchair by himself. He tries to talk by making vocalizations to approximate words. He responds positively to attention and seeks out interactions with staff and the other children in his home. He enjoys playing with stuffed animals. He will push other children if they are playing with a toy he wants. He is completely dependent on an adult for all care tasks (feeding, toileting, dressing, etc).

Phil is a wonderful boy with a calm and curious personality. He enjoys socializing and being around friends. Phil is in good physical health. He has an intellectual delay and a history of strabismus (crossed eyes), which was surgically corrected and currently presents with no symptoms.

Annie’s medical history includes a neurological condition with early-onset epilepsy (seizures are currently well controlled with medication), a syndrome of congenital anomalies with predominantly facial involvement, microcephaly, strabismus, and global developmental delays (neurological and psychological). She can stand with support but does not yet walk independently and has limited coordination. She loves interacting with caregivers and is a very sweet little girl.

Meet precious Johnny! He is only 1 years old, turning 2 in the spring. Because of his special needs, he was never raised by his biological family and has spent his entire young life in the neonatology unit, in a children’s home, and now in his current group home for children with medical needs. Johnny is a gentle, sweet boy who needs a loving and devoted family.

Johnny can sit independently and he can assume a hands-and-knees position. He grasps toys and responds with positive emotion during interaction. He has good hand-to-mouth coordination. Johnny can turn from back to belly and vice versa. When standing, he has weak support on his legs.

Most of the time, Johnny is calm; there are no signs of increased anxiety, frustration, or aggression. He uses crying to seek attention or to satisfy needs but calms down quickly when comforted through hugging, gentle stroking, or talking. His sleep is calm.

Medical diagnosis of the child: low vision, bilateral amblyopia, astigmatism, hypermetropia, secondary exotropia, and nystagmus (irregular eye movements) with a rotational component, and behavioral disorder.

Information is from September 2024

Summary:  Yessica is a 7-year-old girl who has faced significant instability in her early life. She was abandoned by her biological parents, and then she lived with her grandfather until 2023, when he could not longer care for her needs.

Yessica has specific medical needs, particularly concerning her vision and behavioral health, both of which require consistent management. Yenci has complex visual diagnoses including low vision, bilateral amblyopia, astigmatism, hypermetropia, secondary exotropia, and nystagmus (irregular eye movements) with a rotational component. She underwent surgery for strabismus around April 2024 and currently wears corrective lenses. She has been diagnosed with  behavioral disorder. She takes daily medication for her latter diagnosis. Her weight and height are appropriate for her age. She has received dental treatment for cavities and is in good oral health.

Yessica is currently enrolled in the second grade. She has experienced difficulties with academic performance, including low grades and failing subjects, largely due to challenges with concentration and understanding tasks. She struggles particularly with Language but shows aptitude in math, art, and religion. With increased support at home, her interest in studying is improving. Yessica demonstrates clear language use with coherent content and age-appropriate vocabulary. Her thinking is flexible, allowing her to identify risks and consequences. She is also advancing in reading comprehension. She has adequate fine and gross motor function, showing good coordination and manipulation skills.

Yessica is an affectionate child who is learning to navigate her emotions with professional support. She is currently going to psychiatry and psychology therapy to address behavioral difficulties. She needs support managing frustration and developing assertive responses. She can be impulsive (accelerated behavior), has difficulty staying still, and may struggle with following institutional rules, occasionally displaying rebellious or defiant behavior. Yessica is capable of giving and receiving affection. While she can be jealous with significant figures, she is responsive to dialogue and understands situations after discussion. She has developed skills to express her emotions, needs, and desires more clearly. She can lose motivation easily but is capable of regaining it through encouragement and dialogue.

Yessica has distinct preferences that give insight into her personality and what she hopes for in a family. She enjoys playing with dolls and has a fondness for dresses and shoes. Yessica has expressed a preference for adoption by a nuclear family (mom and dad) or a single-parent maternal family. She is indifferent as to whether the family already has other children. Despite her challenges, she shows a willingness to connect and has a preference for feminine figures, though she is open to a nuclear family structure. A balance of clear, consistent rules with warm affection is crucial to help her feel secure and manage her conduct disorder.

He has lived in a foster family since 6 months of age and requires constant supervision due to young age and behavioral challenges. He was diagnosed with childhood autism in June 2025.

He demonstrates a global developmental delay affecting physical, cognitive, emotional, and social functioning. Physical development shows a mild delay: he sits independently, stands up on his own, and walks with hand support. Fine and gross motor skills are slightly delayed; muscle tone is adequate, and there are no musculoskeletal disorders.

Neurologically and behaviorally, Dane shows limited social engagement: he does not respond to his name, does not maintain eye contact, does not follow commands, and does not initiate interaction. Play is non-functional and stereotypical (e.g., spinning objects). He exhibits stereotyped behaviors and requires adult guidance for constructive play.

Expressive speech is absent, with only incomprehensible vocalizations and occasional syllables. Cognitive functioning, memory, and intellect are below age level, and higher mental activity cannot be reliably assessed due to age and developmental limitations.

Emotionally, he is generally calm, responds to positive and negative stimuli with a delayed reaction, and shows attachment through hugging familiar caregivers. He rarely expresses needs verbally and may become distressed when objects are taken away.

Meet adorable Axton!  Axton has never lived with his biological family and has spent his entire life in hospitals and children’s institutions. His special needs are primarily medical, and his congenital malformations have been successfully treated surgically. Although his neuropsychological and motor development are delayed, Axton is making steady progress.

Axton moves around using a walker and is very active. He sits independently without support. His speech is in the process of development; he pronounces individual sounds and produces a variety of vocalizations.

Axton is cheerful and smiles often. He actively seeks the attention of adults and laughs out loud during playful interactions. He shows good adaptation to new environments and daily routines. Axton is calm and does not display self-aggressive behavior. He independently reaches for toys placed around him, taps them, and explores them with curiosity.

Axton is fed with a spoon by an adult while seated in a high chair. Efforts are being made to teach him to drink liquids from a cup. He falls asleep in a crib, and his sleep is calm.

She has been diagnosed with a rare syndrome characterized by tall stature and congenital facial differences. While these differences may be noticeable, they do not define who she is.

Since being placed in a loving foster family, her story has already begun to change. She has shown accelerated growth, improved neuropsychological development, and her physical development is age-appropriate. She is in good general health and does not require ongoing medical treatment at this time, aside from her speech delay, related to her congenital anomalies.

But here’s the part that matters most: she is making real progress. She forms 3-word sentences, asks questions, uses polite expressions, initiates communication, and loves role-play and interaction. With consistent speech therapy, her potential continues to grow.

Bardet-Biedl syndrome type 12. Other congenital anomalies (developmental malformations). Tubulointerstitial nephritis, unspecified as acute or chronic. Specific disorders in the development of motor function. Postaxial polydactyly of the four limbs.

 

Update 1/2026

Anastasia is a calm, emotionally responsive 1-year-old child . She enjoys interaction with adults, tolerates touch well, and shows good eye contact. She often initiates contact by vocalizing, smiling, and reaching out to be held. She recognizes familiar people and responds positively to attention.

She is relatively active and moves both her arms and legs. She can hold her head in the midline while lying on her back and supports herself symmetrically on her elbows. She is not yet rolling over or sitting independently. Her fine motor skills include a present grasp reflex, good hand-to-hand and hand-to-mouth coordination, and the ability to purposefully grasp and hold a toy. When placed on her stomach, she extends her arms.

Anastasia has a diagnosis of polyformative syndrome with genetically confirmed Bardet-Biedl syndrome type 12. She was born from a first complicated pregnancy with prenatal tumor formation. Her birth weight was 3,200 g, and her current weight is 8,510 g. She has a good appetite and is fed by an adult, accepting food from a pacifier.

Congenital anomaly of the nervous system (CANS): Spina bifida aperta, condition after surgical treatment; Hydrocephalus, condition after implantation of a ventriculoperitoneal shunt (VPS). Cerebral palsy. Symptomatic epilepsy. Pseudobulbar paresis. Pelvic-reservoir deficiency. Bilateral inguinal hernias. GER. Protein-energy deficiency. Cortical blindness. Profound delay in neuropsychiatric development

Meet this sweet girl, Mishka, who is 11 years old. We chose the pseudo name Miskha because it means “gift of love.”  Mishka may come across as shy at first, but she quickly warms up and you will learn that she is also approachable, friendly, polite, kind, compliant, and truly heart-meltingly sweet. Mishka loves to give gifts to others as a sign of love and affection as she displays her care through actions rather than words. For example, when the social worker gave her several chocolates in different wrappers, she kept only the duplicate designs for herself and generously gave one of each unique wrapper to a younger foster boy (age 9) in the home. Another example is that while beading bracelets with the social worker and the same younger child, with the rule that each person could make only one bracelet, Mishka quietly made hers for the little boy instead of keeping it for herself.

Mishka has been assessed with mild intellectual disability. She attends a special school that caters to students with mild intellectual developmental disorders. She enjoys school and behaves well there. She also shares a warm and positive relationship with her foster family. Mishka possesses good self-care skills and can communicate effectively in Cantonese with both adults and peers in everyday situations. However, she may find it challenging to understand or process conversations that involve more complex concepts.

Mishka enjoys stable health in general. She had withdrawal symptoms from narcotics at birth. Her urine toxicology test detected morphine, codeine, amphetamine and methamphetamine. Due to her intellectual disability, she is unable to comprehend the concept of adoption. However, she understands that the foster home is temporary and she has shown no resistance to arrangements for finding her a new home with parents. It is believed she has a deep longing for a permanent family.

(Mishka’s full profile is still being developed by the organization in charge of her adoption. It is forthcoming early next year, but if you are interested in receiving that information when it is available, please contact us.)

Ariel has been in protective care since she was 3 years old due to her mother’s inability to care for her. She has lived in her current foster home since 2019.

At the time she came into care, Ariel was referred to physiotherapy, occupational therapy, and speech therapy due to her developmental needs in cognition, speech, social skills and fine motor skills. She was subsequently placed in a special school having been diagnosed with mild intellectual disability in November 2021, and she stayed in that school until June 2023. These measures helped her improve significantly, especially in the area of behavioral tendencies such as being fidgety, having outbursts and being jumpy. In fact, when her foster family moved and she started a new school in June 2023, she adjusted well and her teachers now say she is an above-average student, earning As and Bs in all her grades. While Ariel did have significant improvements in all her developmental areas, she still has some delays in each area. Physically, she can do everything she should, but she is slow when it comes to climbing and needs a handrail to go up and down stairs. She can ride a scooter, but at 11 years old, she still cannot ride a bike. She is able to take care of herself, and can write, draw and do crafts, but she does tend to make mistakes in her Chinese writing. She also tends to eat with a fork or spoon as she does not have the dexterity to use chopsticks effectively. She is also a quiet child who communicates in simple sentences and generally only speaks when spoken to, but she is able to express herself and carry conversations. Ariel does have visual diagnoses of amblyopia, hypermetropia and astigmatism for which she wears glasses and must attend follow-up appointments every six months.

While Ariel was suspected of having autism in 2021 and ADHD in 2023, after attending psychiatric appointments the diagnosis of ADHD was dismissed. The agency is inquiring if she was, in fact, diagnosed with autism as the paperwork is not clear on this matter.

Ariel is a quiet and cheerful girl who is well-attached to her foster family and enjoys going on outings with them. She is helpful in class and enjoys assisting her teacher with various tasks. She is introverted and tends to either play by herself with her special doll or other stuffed toys, or when she does play with others, it is usually with the other foster girl in her home. She enjoys watching videos or playing at the park.

Ariel will benefit from a family who can accept and help her with her mild intellectual disability and social skills challenges. Given her gentle temperament and cheerful nature, she would benefit from a warm, nurturing and stimulating environment where she can continue to receive therapy and receive special education.

UPDATED INFORMATION ON ARIEL!

The agency that sent us her information has received some updated information on Ariel and expects a thorough update January 2026. Please let us know if you are interested in adopting Ariel! (Prior “photo” clipart included for reference to old profile.)

Ariel is a very nurturing and cheerful 11-year-old girl who has been diagnosed with autism and mild intellectual disability as well as vision problems for which she wears glasses and receives follow-up care from ophthalmology. She is healthy overall and is noted to be emotionally stable.

A language barrier won’t be an issue with Ariel–she excels in language, especially English! She can communicate fully in English, including understanding instructions and writing.  She follows the directions of her teachers, social workers and foster mother. While her autistic characteristics lead her to rarely initiate conversations and interactions with others, she responds to every interaction and question which makes her easy to bond with. She is emotionally stable and very rarely has tantrums, but when she does, she usually calms down within a few minutes. She is able to care for her own hygiene as well.

Ariel would benefit from a warm, nurturing environment that accommodates her communication challenges while encouraging her to express her opinions more confidently. She longs for family. When her social worker encouraged her to draw a home she likes, she drew a family with parents, a younger sister, cats, and a dog (see attached picture).

Chronic herpes simplex type 2 encephalitis. Microcephaly. Symptomatic epilepsy. Cerebral palsy – severe quadriparetic syndrome. Profound cognitive delay. Convergent concomitant strabismus. Nystagmus. Atopic dermatitis

Information is from June 2025:

Yoshi was removed from his family at a young age, due to their lack of ability to provide adequate care. Yoshi presents with a complex medical profile requiring ongoing attention and care. His primary diagnoses include: Neurodevelopmental delay: affecting various areas of growth; Macrocephaly: disproportion of the skull/face and minor facial dysmorphisms; Muscular Hypotrophy: specifically noted in the lower extremities, though they are symmetrical; Growth Concerns: short stature and low weight, previously hospitalized for protein-calorie malnutrition; Expressive Language Disorder: significant difficulties in verbal communication; Cardiac Concerns: possible pulmonary valve insufficiency and mild tricuspid insufficiency (syndrome under study). He has a history of hospitalization for respiratory infections (pneumonia) and malnutrition but has stabilized under current care. He has no known allergies. His current medical regimen includes nutritional support. His vaccination schedule is up to date for his age.

Yoshi faces several developmental challenges. He exhibits a significant delay in verbal expression. His vocabulary is limited, and he struggles with pronunciation, articulation, and structuring sentences. He primarily uses gestures and short words to communicate. While he has shown improved mobility, he experiences difficulties with gross motor skills such as running, jumping, and climbing stairs. He exhibits generalized hypotonia and issues with balance and coordination. He has cognitive difficulties understanding complex instructions. He is currently working on sphincter control and still requires diapers. However, he is showing progress in independence, such as using a spoon during meals.

Despite his challenges, Yoshi possesses a warm and engaging personality. He is described as an active, affectionate, and receptive child. He shows a genuine interest in social interaction and engaging with the world around him. Yoshi has an adequate capacity to form bonds with significant adults and is progressively learning to interact with peers. He enjoys group play and is capable of sharing toys. He tends to express his emotions clearly through facial expressions and gestures. He thrives in environments where he feels emotionally secure.

Yoshi is a child with distinct likes and dislikes that help define his daily life: He has a strong preference for symbolic and construction games. He enjoys recreational activities, particularly playing ball, searching for elements, and visiting parks or rivers. He enjoys fruits such as bananas, watermelon, tangerines, and oranges. He dislikes pineapple and chopped papaya (though he accepts papaya in juice form). He benefits from a structured sleep routine, sleeping easily and restfully, which contributes positively to his mood and willingness to participate in daily activities.

Yoshi requires a parenting style that combines deep affection with structure. His ideal home will prioritize his medical and therapeutic needs—including ongoing nutritional support and developmental therapies—while providing an emotionally safe and orderly environment.

Update dated  Sep. 2025:
Significant progress in her skills has been observed in the child’s functioning. She is active, cheerful, and interested in her surroundings. Her gross motor skills require further intensive stimulation. The girl  moves dynamically in a crawling position. She is becoming more stable when standing upright, trying to climb, and taking her first steps with the support of her caregiver. She can move sideways with support, turn around with her back and maintain her position by leaning against a stable surface. She sits independently, but in an incorrect W-shaped or asymmetrical position.

She successfully manipulates toys, grabs and pulls objects, and looks at them. Her orientation is preserved. The child moves her gaze from object to object, looks for the source of sound, and follows the movement of people and objects. She focuses on illustrations in children’s books. She looks for objects that disappear from view.

Her communication skills continue to progress. The girl actively vocalizes and syllabifies, using her own speech more and more clearly. She does not speak, but understands repeated words, mainly those with emotional connotations. She displays appropriate social behavior. She responds to smiles and voices with smiles and vocalizations. She is responsive to changes in facial expressions. She listens to what is said and responds to her name. She willingly cuddles with her caregiver, initiates contact with adults she knows, and maintains an appropriate distance from strangers, as is appropriate for her age.

She does not use pointing gestures, but she does use gestures to express emotions and imitates clapping. She is interested in her reflection in the mirror and laughs. She is reactive to the presence of others. The  girl actively seeks attention and initiates interaction with people around her. She plays with her peers. She maintains a daily rhythm and has a normal appetite. She drinks from a cup, is fed with a spoon, and tries to eat solid foods on her own.

Update November 6, 2025: Little Ember started walking today!

Sibling group of 3 in Eastern Europe- Girl born March 2011, Boy born March 2013, and Girl born March 2015

The children live together and have a close relationship. They all want to be adopted together and live in a family.

The 14 year old girl is described as healthy and attends middle school. She is disciplined and attentive during lessons. Her educational results are satisfactory. She needs the help of a social worker for her homework. She willingly participates in various activities, education, summer camps and trips organized by the school. She has friends and does not have any communication difficulties. She attends a class in the choreography department of the art school. She participates in competitions with a dance group. In the family home, she is friendly with all the children living there. She has a particularly close emotional bond with her brother and sister who live together. She is independent, able to take care of her seasonal clothing, and can cook simple meals. She spends her pocket money purposefully; appreciates the personal items she has bought and knows how to save. She takes care of her personal hygiene, cleanliness of clothes and tidiness of her personal room. In her free time, she plays computer games and goes out with friends. She has no behavioral problems and keeps her agreements with the staff. She always expresses her wishes and thoughts to the staff and attends psychological counselling as needed.

The 12 year old boy also attends a middle school and he has good academic results. He has difficulty concentrating during lessons and is therefore receiving medication. He attends a football club and is in his third year of playing football. He is active and enjoys various sporting activities. He always wants to be a leader. He always makes friends easily, expresses his opinion freely and wants to be listened to. He is friendly, cunning, clever, capricious and stubborn. He tries to avoid or circumvent rules in a way that suits him. He always notices his sisters, shows them his attention and is helpful. He is not inclined to give in, he always tries to get his way, to get the rules that suit him. He is willing to communicate with the staff or other professionals working in the family home. In his free time he plays football and computer games.

Diagnoses: Mixed behavioral and emotional disorders, attention deficit disorder, other tic disorders. He sees a child psychiatrist as needed and is prescribed medication.

The 10 year old girl is described as healthy and is in primary school. Her educational results are very good. Her behavior at school is good. She is active in lessons, extracurricular activities and is friendly with her classmates. She has many friends at school and at the ballet studio. She has no difficulties in communication and does not need help. She does her homework responsibly and asks for help from the staff when needed. She attends a ballet studio after school. She enjoys it very much and her results are excellent. She has won 1st, 2nd and 3rd prizes. She regularly takes part in various competitions with the ballet dance group. In the summer she participates in camps organized by the ballet studio. In her foster family home, she is friendly with all the children there. She has a particularly close emotional bond with her brother and sister who live together. The girl is helpful, hard-working, able to carry out tasks on her own (in line with her age) and knows how to handle money responsibly. In her spare time, she enjoys going out with her friends, playing on the computer, but most of all she likes dancing and drawing. She has no behavioral problems and keeps her agreements with the staff. She speaks openly with the staff, can express herself freely and is always listened to and understood.

Chance is an 11-year-old Asian boy who lives in a small group home for children with mild mental disabilities. At the age of 5, an intelligence test resulted in extremely low range leading to an ICD-10 diagnosis of Mild Intellectual Disability. He has also been diagnosed with autism and ADHD. Through therapy, Chance has become more tolerate to changes in his environment over time.

Taking his special needs into account, Chance is viewed as a smart boy with strong learning abilities. While it is believed that Chance will reach some level of independence, it is not known if he can reach full independence given his impulse control issues. Chance earned an A in “kindness” at his special needs school, showing he has an overall good temperament, but he lacks the ability to control his impulses which sometimes lead him to shove, hit or throw tantrums though it is not believed he intending to hurt others. It is noted that Chance longs for the one-on-one attention that is needed for him to continue to develop, but his current caregivers cannot give it to him. Due to his impulse control issues and his need for one-on-one attention, CHI recommends Chance be the only child or the youngest child by at least two years.

 Epileptic encephalopathy. Microcephaly. Cerebral palsy. Congenital cytomegalovirus infection. Delay in neuropsychiatric development. Protein-energy malnutrition

Izaiah is now living in a foster family and is receiving physical therapy at a rehabilitation center three days a week. The foster family reports that they are seeing major improvements in his motor skills now that he is receiving support and intervention services. His foster mother reports that he can pull himself up to a standing position using support (example: laying down in the crib and pulls to stand by holding on to the side of the crib). His physical therapist stated that he is making “visible progress” and should soon be independently walking. Izaiah has had surgeries for cataracts in both eyes (2 on the right and one on the left). It is believed he has limited vision from his left eye. He has a diagnosis of internal hydrocephalus, however, his foster mother reports that he was recently seen again by neurology and the diagnosis was dropped. Izaiah understands what is said to him. He smiles and makes eye contact. He says a few single words and also uses gestures and facial expressions to communicate. When asked how old he is he shows two fingers. He is beginning to indicate when he needs to use the restroom, but is still wearing diaper. He holds items in his hands and explores them. He plays with toys and participates in games. He shows an interest in other children.

Isaac is a sweet little boy living in an Eastern Europe orphanage. He cannot sit without support or turn between his stomach and back. There is little support in the legs. Isaac doesn’t have an attention span and doesn’t focus on his surroundings. He reacts to touch but doesn’t when verbally addressed. He doesn’t understand speech but sometimes makes sounds. Isaac is mostly calm and smiles. He doesn’t interact with the children and adults around him.

There is little reaction with toys and no playing when in his possession. Isaac is completely dependent on the help of the staff.

Condition after a brain hemorrhage. Cyst in the left cerebral hemisphere. Microcephaly. Spastic quadriparesis. Cryptorchidism. Anemic syndrome. Behind in his neuro-psychical development. When put on his belly or held, he keeps his head up. He slightly turns to one side but doesn’t turn independently from back to stomach and vice versa. He doesn’t try to sit up and doesn’t get up to a standing position. He doesn’t have good support in his legs. He starts after loud sound but doesn’t turn his head to the direction of the sound. He listens to the speech of adults. He doesn’t look at an adult leaning over him. He doesn’t follow with a look moving objects or people. He reacts to touch. He is calm and doesn’t cry without reason. He reacts positively to interactions and laughs loud. Photos and videos from June 2015 are available through the agency.

Bowens’s muscles are very tight. When placed in a sitting position, he can sit “rigid”, with his legs outstretched in front of him. When he moves, he can not control his body (bend at the waist, catch himself, etc) and falls over. His movements are uncontrolled. The amount of vision he has is unknown. He does not follow light with his eyes.
Bowen lags behind in all aspects of his development. He makes sounds, but does not have any functional communication. He does not appear to understand what is said to him. He does respond positively to touch at times. His report indicates that he has difficulty accepting any type of change in his environment.

Everly is an adorable little girl with a bright smile. Everly was born prematurely, and has several special needs. She loves bath time. She also loves affection. Everly is continuing to grow and develop. We hope a loving family sees her while she is so young.

Videos available!

Violet, 15, and Daniel, 13, are wonderful siblings who share a close bond and bring out the best in each other. Violet is thoughtful, kind, and enjoys writing, dancing, and participating in games. Daniel is lively, sociable, and passionate about sports, with a big dream of becoming a professional wrestler.

Both children are independent, responsible, and emotionally aware, able to manage their behavior and maintain friendships. They enjoy hobbies that keep them active and engaged, from board games to competitive play.

Violet and Daniel are looking for a safe and loving family who will support their dreams, nurture their talents, and provide guidance as they grow. These amazing siblings are ready to bring love, laughter, and warmth to a forever home—together.

Yanna is a 13-year-old girl who has shown resilience and adaptability despite a history of neglect and various types of abuse in her early childhood. With the help of therapy, Yanna now demonstrates emotional stability, responsibility, and motivation to continue improving. When reading her full child profile, it is clear that this young lady has put a lot of thought into her past and into her future, including what she hopes for in an adoptive family. Yanna is a clinically healthy young lady, but will need to continue therapy to help her work through her past and to transition into a family.

Academically, Yanna is an excellent eight-grade student. Her teachers describe her as intelligent, punctual, and committed to her studies, showing solid performance and a genuine interest in learning. She enjoys school and maintains positive relationships with her classmates and teachers. Emotionally, Yanna can be reserved at first but gradually builds trust and close relationships with those around her. She can express affection and empathy, especially toward younger children. She is currently receiving psychological support to continue strengthening her emotional regulation and communication skills.

Yanna enjoys listening to music—particularly reggaeton, bachata, and rap, watching movies and tv series, making bracelets, and spending time with her friends. She dreams of completing her education and one day becoming an actress. She understands that her current stay in the institution is temporary and hopes to find a permanent family that will offer her affection, stability, and protection. Yanna has expressed her wish for a family that values communication, patience, and mutual respect, ideally without other children so she can receive focused attention and guidance. She was previously matched with a family for international adoption, but the family and Yanna were not a good fit for each other. She would prefer a family who is relatively young given her previous experience with a potential family. She does not have a preference for whether she has married parents or a single mother.

In summary, Yanna is a bright, affectionate, and reflective adolescent who would thrive in a loving, consistent family environment capable of supporting her emotional growth and providing a sense of belonging and security.

Boy born March 2020 in Eastern Europe

This young boy has been living with a foster family for more than 12 months. During this time, very positive developmental changes have been observed in every area: objections have been replaced by agreements; negative behavior towards other children by friendship and agreements; distraction during tasks (writing, drawing, chores, etc.) by concentration and interest. In kindergarten, the boy sometimes completes tasks from start to finish without the help of an assistant. Hysterical fits have been replaced by emotion management and the ability to find out why he is angry (by asking questions and communicating). The boy’s speech has also become more coherent and his vocabulary richer. However, speech therapy sessions are still needed and will be needed in the future. It is observed that he does not yet have a sense of self-care and does not feel full when eating.

He is completely restricted from screens (except in the educational institution) while living with the foster family. They have been observed to have a negative impact on the child’s emotional state. Spending even a small amount of time in front of any type of screen makes him very irritable and emotionally unstable. Toys that make loud, noisy noises, flickering lights (guns, robots, etc.) also make him emotionally unbalanced. He is mobile, enjoys sports and has been attending a football club since October 2024. He has severe special educational needs and needs support from a speech therapist, special educator, teacher‘s assistant and psychologist is very curious. He likes to travel, visit and socialize. He is independent and is learning to manage emotions. When calm, he can usually explain the reason for anger. Often keeps agreements. Establishes friendships with peers, has some ability to play common games. His favorite activity is building legos. He is diagnosed with post-traumatic stress disorder, which sometimes results in a regression in behaviour and emotions.

Diagnosed with mixed specific developmental disorder, post-traumatic stress disorder, unspecified behavioural disorder.

This sweet girl loves music, animation, musical toys, taking baths, being outdoors and riding in the stroller. She often plays in the playpen and ball pool. She likes to sit and play alone. She can sit, roll, clap her hands, tries to stand up on her own in the crib, struggles, but stands up holding onto the crib rails. She is spoon-fed and likes a variety of mashed food. She drinks well from a bottle and from a baby bottle. She takes a variety of toys in her hands and holds and plays with them. She likes dolls and has a favourite doll which she plays with nicely. She has attended rehabilitation services and physiotherapy and occupational therapy specialists work with her. She responds to being spoken to by her name and observes and makes eye contact.

Diagnosed with mixed specific developmental disorders, disorder of normal physiological development, congenital hypotonia (reduced muscle tone); bilateral unstable hip joint; specific motor development disorder, hypermetropia (farsightedness).

This precious child is calm, responds to being spoken to, smiles often and is interested in everything. She knows how to clap her hands, likes different musical toys, dolls, blocks, animation and radio. She is rolling in her bed and can sit up by herself. She has a gastrostomy but can eat mashed food from a spoon and drink liquids from a bottle. She sleeps soundly. The institution has medical staff working with her:  nurses, nurses’ assistants, occupational therapist, physiotherapist and she gets massages.

Diagnosed with subarterial ventricular septal defect, multiple congenital malformations, not elsewhere classified, oter secondary pulmonary hypertension, atrioventricular block, complete, supraventricular tachycardia, congestive heart failure, mild to moderate intrathoracic asphyxia, neonatal cardiac arrhythmia, other neonatal feeding disturbances, cerebellar reduction abnormalities, secondary atrial septal defect, patent ductus arteriosus, congenital absence of umbilical artery, oesophageal atresia with tracheoesophageal fistula, unilateral renal agenesis, cardiac appliance, and specific motor development disorder. It should be noted that prospective adoptive parents should have the knowledge and skills to be able to provide the necessary assistance, as the girl needs nursing and care.

Kaylyn is in severely impaired condition and her development is delayed in all areas. She is completely dependent on adults’ care. Her sleep is calm and rhythmical. She is fed with a spoon by an adult.

Meet Brothers Kole (12), Shay (11), and Vance (8)

These three kind and joyful brothers share a close bond and long to be adopted together. Despite living in separate foster homes, they see each other often and treasure every moment spent playing, celebrating, and growing side by side. Kole is responsible and sociable, Shay is caring and thoughtful, and Vance is curious and full of wonder.

All three are healthy, independent in their routines, and eager to join a loving forever family where they can be reunited and thrive together.

William, 10, is a calm, stable and cheerful child who can sometimes be a bit too straightforward in expressing his thoughts. Even though he can be blunt, he is willing to listen to advice from adults and make changes. He resides in a small group home in his Asian country and attends mainstream school. He is an outstanding student with excellent performance in both academics and conduct. He has been diagnosed with Autism Spectrum Disorder and weak social skills. 

William loves reading and many outdoor sport activities such as riding bicycle, scooter and playing soccer. He is a bright and adaptable child with a warm spirit, ready to thrive in a nurturing environment.

Due to his country’s matching process, families with a home study for any country can submit to be considered for William.

Court will turn 14 years old next week–still waiting for a family. Court came into care when he was a baby though his biological father initially was involved and sought custody of him. However, he eventually became untracable and Court’s birthmother relinquished him to the system for adoption in 2016. From the ages of 3-9, Court lived with a foster family where he had a good relationship with the foster family. Court then was placed for adoption with a local family in his country and while the post-placement at six months showed everything was going well and the domestic adoption was granted, two months later the adoptive parents dissolved the adoption citing difficulty in managing Court’s emotional outbursts and challenging behaviors in school after resumption of classes post-COVID.  Despite professional intervention, the family relinquished Court back to the system. He was later diagnosed with ADHD and Oppositional Defiance Disorder (ODD). 

After the relinquishment of the adoptive parents, Court settled in to an orphanage and its adjacent school. He became a “big brother” and role model among his co-residents at the orphanage and excelled academically and in sports at school.  His emotions were generally stable while staying there.    At the time of the report written in July 2025, he was preparing to be promoted to a mainstream school in September and had been moved to a small group home near the school after a successful interview with his social worker. 

Court impressed his social worker as a smart, polite, articulate, level-headed, sensible and frank teenager on the day of visit.     He was able to articulate his thoughts clearly and showed readiness to be adopted again.   He has demonstrated diligence, maturity, and incredible inner strength and motivation over difficult circumstances in life.   While he has developed many strengths and life skills throughout the journey, deep in his heart he still envisions a loving, stable and permanent home that he can call his own—a family where he can find rest, stability and peace through the highs and lows in life.   Court expresses his wish to be adopted by a nurturing and loving family who understands his tangible and psychological needs.   Surely, Court is in need of a strong, patient, well-informed, committed, and psychologically trained family who has the resources and knowledge for supporting his needs and dealing with his trauma. 

 

Hunter is a cheerful 10-year-old boy in need of a loving home capable of supporting him and his long-term needs. In 2018, Hunter was diagnosed with Coffin-Lowry Syndrome, a genetic disorder, with dysmorphic features including hypertelorism, depressed nasal bridge, thick lips, wide mouth, and broad tapering fingers. He also has developmental delay, profound sensorineural hearing loss, scoliosis, hyperopia and astigmatism, asthma, beta thalassemia trait, and short stature. He received a cochlear implant in his left ear in April 2020 and continues to use a hearing aid in his right ear. He is required to attend medical appointments at different specialties, including the Endocrine Clinic, Eye Clinic, Asthma Clinic, ENT, Prosthetic & Orthotic, Neurology Clinic, General Pediatrics, Hearing Aid Prescription and Spinal and Brace Clinic. His asthma has become stable in recent years and is prescribed medication if needed.  He also has history of seizure but has been stable as well.  Despite all of his long-term conditions, his health is generally stable and he does not take any regular medications.

Hunter is an active, pleasant, friendly and outgoing boy who always shows his smiles. He is an affectionate child who enjoys holding hands, cuddles and hugs from his familiar caregivers. Hunter currently does not have any speech; however, he can express himself by producing some vocal sounds, such as “er” or “ar” or through some simple gestures, such as pointing to things he is interested in or wants or through pictures and Quick Talker. He has received sign language training and learned to use body gestures to express himself. He can wave his hand to greet or to show refusal occasionally. Even with his limitations, Hunter shares a good relationship with the other children. He is generally calm, though he can get upset when he doesn’t get what he wants, but he is easily diverted and his frustration will resolve.

Though Hunter is slightly weaker in trunk control, shoulder stability, upper limb control, muscle tone, bilateral coordination, and motor planning, he can keep his balance while standing and walking. He can also walk up and down stairs by holding someone’s hand, run, and climb up and down as shared. In terms of fine motor skills, he has poor to fair finger strength, finger dexterity and bilateral coordination of both upper limbs. He has a fair to poor tripod and pincer grip in picking up small objects, and fair to poor performance in handwriting and manipulating scissors to cut a straight line. Being curious, Hunter likes exploring his environment and new things.  He likes playing with building blocks, coloring, and watching TV and YouTube videos. He enjoys participating in activities at the orphanage.

Hunter needs a family who can help him continue in his development and who will be dedicated to his life-long needs.

Darling Brianna sometimes turns herself to a side position. She grabs toys with both hands and handles them. A smile is observed when interacting with an adult. She looks at herself in the mirror. She pronounces vowel sounds. She enjoys individual attention, and she gets upset if she is not paid attention to or if she is left alone in the crib after she has been paid attention to. She tries to initiate contact with her eyes and facial expressions, and she responds to her name.

The position of Brianna’s legs doesn’t allow her to sit and she doesn’t straighten her head, but sometimes she rotates her torso laterally to some extent.  She reaches and grabs a toy handed to her by an adult or placed in her immediate environment and handles it briefly. She follows moving objects and people with a glance and a turn of the head.

Brianna is described as “absolutely adorable, easy to communicate with, and curious about new people and new toys.” Her caregiving staff says she is a calm and gentle child and is “everyone’s favorite in the house where she lives!” Please help us find Brianna’s family!

Alan is amazing 10 years old boy who had a rough start with an unstable and unhealthy environment. He is the victim of parental physical abuse and suffers from post-traumatic past

He connects well with both peers and adults. He is calm, helpful and kind. The boy eagerly learns about nature, sings songs, makes interesting art works, uses computer programs well.

He needs a forever home to support him as he continues to overcome negative experiences of his past and shower him with the love every child deserves.

He has a lot of potentials and wants to be adopted. He is highly recommended by his caregivers. The family with an involved, hands-on father will be ideal for this boy. He would do really well as the youngest or only child (or in a family where the other children are grown). He needs an experienced adoptive family who can give him a lot of one-on-one attention and help build his trust in humanity back.

Bilateral sensorineural hearing loss (with hearing aid); shunt due to internal hydrocephalus; spastic cerebral palsy

Tyson was born premature and had several complications after birth. He can sit on his own with good balanced reactions. He crawls following the correct motor model. He stands up and walks sideways vertically. He can walk when one of his hands is held and has more control when it’s his right hand being held. He can stand up straight without falling for 2-3 seconds. When walking with a walker, he begins to bend his knees. He purposefully grabs a toy that is handed to him and can switch it from hand to hand. He shows an interest in musical toys and enjoys them. He has started making sounds and simply syllables such as “ma-ma”. He enjoys having someone sing to him and likes to receive hugs. He eats from a spoon. His overall development is delayed.

Photos and videos from August 2020 are available through the agency.

Ashton is an adorable little boy who is described as a social child who loves to be around others who give him affection. He shares with the people around him. He loves to hear music and pleasant sounds. He likes painting and watching animated shows. Contact the agency to learn more about Ashton and his special needs!

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Valeria is a very protective girl.  She loves drawing and doing art projects.  Valeria currently has a feeding tube.

Update in 2025 states that she no longer has a feeding tube, and is doing really well!

Valeria was previously listed on Reece’s Rainbow as Marisol.

Melissa is an extremely loving girl!  She enjoys playing with her dolls.  Although she likes all food, she loves chicken and rice.

Melissa has a diagnosis of Cornelia de Lange syndrome, which causes developmental delays.  She continues to make progress with therapy.

Melissa was previously listed on Reece’s Rainbow as “Lucia.”

Information presented is from the October 2024 Child Study

6-year-old Chuck is described as an energetic and curious boy with a lively personality. He is attached to his caregivers and teachers, and tends to prefer adult relationships over playing with other children. Chuck was originally cared for by his parents, both in their 40s, as a baby. Sadly, his mother became terminally ill and she asked her friend to care for him before she died in May 2020. His mother knew his father would not be able to care for him, and ultimately, his father soon died as well in September 2020. After the father’s death, the friend brought him to authorities and said she could no longer care for him, and no other relatives accepted care of him.  It is known that his mother had two children previously—one that is an adult with an unknown disability, and another child who is a teenager and lives with the mother’s younger sister in Indonesia. Unfortunately, Chuck has had a few different placements, including being moved from one children’s residential home after it was determined that five different caregivers had physically abused him.

In May 2021 at the age of 27 months, Chuck had a cognitive functional age of 17 months. He has shown slow progress over time. During the October 2024 visit by the social worker, he was able to identify shapes, name colors and select certain colored pens from a group, but occasionally struggled with matching colors correctly though he has significantly improved since previous visits. A psychologist noted in October 2024 that he is able to learn basic concepts one at a time, but struggles to learn multiple things simultaneously and often forgets what has been learned the previous day. They will evaluate his developmental progress. Even though he has problems remembering what was learned, he has a strong memory in daily life matters. While at the age of 2 years old, Chuck was noted to have significant delay in both gross and fine motor skills, Chuck has shown improvement in both areas. As of August 2024, he could walk independently, jump with both feet, and throw balls/beanbags; however, he still needed help climbing stairs and balancing on one leg. While he used to loose his balance and fall when walking, he is now steady without assistance. With regard to fine motor skills, he can thread beads, unscrew bottle lids, hold a pen to connect dots, and is learning to draw vertical and horizontal lines. Tasks that involve hand coordination such as folding paper, fastening buttons and using scissors are areas he struggles in, but he is receiving therapy services. CHI is seeking updated information on his skills.

Chuck wears glasses due to astigmatism in both eyes as well as refractive errors. He has normal hearing. When he was 2, he was noted to have significant speech delay, but this too has progressed substantially. At the age of 4, he was mainly using single words or sometimes very short phrases, but by August 2024 he was able to express his needs and wants in simple sentences as well as being able to respond to questions. As stated above, CHI is seeking updated information.

While Chuck has learned to express his needs and wants with words and simple sentences, he still gets frustrated and cries or sometimes has a tantrum when he is upset over something. It has been found that he responds well to tangible rewards and consistent boundaries to help him learn to manage his desires and emotions when he can’t have something he wants and to know what to expect. Chuck is sensitive to loud noises which leads him to be hyperalert and scared. Chuck is also afraid of unknown males and of dogs. However, once he knows a man he is more at ease around them.

Currently, Chuck is scheduled for testing regarding suspected Attention Deficit/Hyperactivity Disorder due to observed behaviors and tendencies and also suspected Autistic Spectrum Disorder due to hypotonia in his legs, for which his also getting an MRI and genetic testing.

Other mixed disorders of behavior and emotions. Disorder in psychological development, unspecified. Moderate cognitive delay, without mention of behavioral disorder

Augustus was born full term, and was found that he has internal hydrocephalus; at the age of 4 months a liquid drainage valve system was implanted. The child lies in bed; he has spasticity in his limbs and his active and passive movements are limited. He depends completely on the care provided by adults. He receives kinesiotherapy. The child is subject to observation by a neurologist and by a neuro-surgeon.

The child’s lower and upper limbs are highly spastic and are with diffuse muscle hypotonia. His fine motor skills are not developed. He does not grasp a toy given to him. Atanas holds his hands bent in fists. He is seriously delayed in his psychomotor development. The boy reacts to tactile stimulation by adults. When teased, he does not smile. He is unable to interact with the other children. Atanas depends completely on the care provided by adults. He is fed by a bottle. From time to time he cries when given a shower. He sleeps well.

Wyatt is a child with a lot of energy. He is very handsome with long hair and a beautiful smile. He loves music and anything that makes noise around him. He thoroughly enjoys interacting with people who talk to him and will make noise in response to them. He loves many activities including the trampoline, swings, going for a walk, and playing with other children.

A therapist works with him weekly. He presents with many neuromuscular deficits that impact his ability to move his arms. He is able to move his left arm a little to touch objects; however, he does not pick up and hold objects yet. Movement is also limited in both legs, with his right leg having less mobility. He is unable to sit, stand or walk. He is able to hold his head up for short periods of time; however, he is making great progress with this. Wyatt is extremely motived during his therapy sessions.

Cognitively, he is extremely aware and currently does very well in school. He knows shapes, colors, some letters and numbers. He can identify them and answer questions using eye gaze with 2 choices. He loves to laugh at kids when they are running around. Sensory materials and adapted activities are helpful in school to further develop his academic abilities.

He lives in a home for medical and social childcare. He was born to a minor mother who had epilepsy and took anti-epileptic medications during pregnancy. There was a complicated pregnancy and birth, resulting in extreme posthemorrhagic hydrocephalus. A shunt was implanted but failed. A new one was inserted. Malachi is on permanent antiepileptic monotherapy, without convulsive manifestations.

Due to the extreme hydrocephalus, Malachi is in impaired general condition, with significant lag in psychomotor development – no head control, does not turn around, does not sit or stand. He needs specialized care, monitoring by medical specialists, and daily medical rehabilitation. He is usually in a positive emotional state. He coos frequently and continuously. He reacts animatedly to the speech of an adult. He initiates a desire for physical contact by smiling. The boy is completely dependent on the care of an adult. His sleep is peaceful. He takes food with a pacifier. The agency has videos of him.