“Hi! We are the Cotner family! We are a big, fun, loud, loving, rocking family. We have six beautiful kiddos. Four were homegrown and two grew in our hearts via international adoption and they both just happen to be rocking an extra chromosome a.k.a. they have Trisomy 21 or Down Syndrome.
Our first son, Harvey, came home from Eastern Europe and completely stole our hearts. Soon after our first adoption, we knew that we wanted to adopt again, and specifically another kiddo with Down Syndrome. We knew financially that it might be easier for our family to wait a few years, but when I saw the profile of this waiting kiddo, my heart skipped a beat. I requested his file and I read it over and over. I was looking at it, yet again, when my youngest daughter Quinn said, “Oh, there he is… there’s my brother. I’ve been looking for him!” I knew he was our son and another adventure was beginning!
Harrison joined our family thanks to help from Spence-Chapin and our fabulous in-country team. In a beautiful coincidence, Harrison came home in October, which is Down Syndrome Awareness Month.
Parenting a child with Down Syndrome is truly a blessing. Our sons who have Down Syndrome have overcome so many obstacles that most people take for granted. Seeing them overcome and succeed has given us a new insight on life and we truly appreciate all the little and big things. They are our shining lights. There are the hard days when the struggles of Down Syndrome and prior institutional trauma can hurt your mama heart, because we want to take all their pain and struggle away. But it just makes us love them more and remember that with love and patience we can all do hard things.
Our older four children are incredible with their little brothers. They are so loving and protective, and they are the boys’ biggest cheerleaders. They loved them before they even met them, and their admiration for their brothers only grows. I always say the greatest gift we’ve ever given them was each other.
My husband, William, is active duty Army and that can add some additional hiccups, but Spence-Chapin handled it with such grace and ease. Our process was smooth, and we truly fell in love with Harrison’s birth country. The Army is incredibly supportive of adoption and we are so grateful for this. They let my husband take a substantial leave and even reimbursed some of our adoption expenses.
Every child deserves a family…. every child has worth, and we are forever thankful to be a part of the lucky few that get to have some rocking kiddos with Down Syndrome in their family thanks to adoption and Spence-Chapin!”
Spence-Chapin finds families for the most vulnerable children in South Africa – children with a medical diagnosis who are in need of an international adoptive family. It takes a dedicated and resourceful parent to adopt a child with special medical needs. At Spence-Chapin, we guide families in how to make an informed decision about their family’s particular medical openness and offer support and resources before, during and after their adoption. Spence-Chapin is confident that in a loving home with the right family who is dedicated to learning about, or already has experience with special medical needs, these children can thrive!
But how does a family determine if adopting a child with special medical needs from South Africa is right for them? Here are 5 places to start:
Learn about the most common medical needs in South Africa.
Check out this article on the Top 10 Medical Needs in South Africa! Currently, the two most common needs our partners Johannesburg Child Welfare (JCW) see in the children in their care are: a diagnosis of HIV and unknown or unpredictable developmental delays. We are actively looking for families who feel open and prepared to parent a child with one of these two needs. You can learn more by exploring these resources specific to adoption from South Africa.
Consider the medical and developmental care children receive in South Africa.
JCW strives to provide an environment that caters to the overall development of the children in their care which includes their physical, emotional, spiritual, and educational needs. Children receive medical treatment at JCW through a partnership with Thusanani Children’s Foundation. Thusanani provides safe and modern medical care to ensure each child receives the medical and developmental care they need – HIV testing and treatment, occupational therapy, physical therapy, antibiotics, surgery, well-baby visits, etc.
Additionally, Spence-Chapin sponsors a Granny Program at JCW to help the children develop the important socio-emotional bonds that are so important to a child’s development. Through the Granny program, children are paired with surrogate “grannies” from their local community who spend special, one-on-one time with them every day. This humanitarian aid initiative gives institutionalized children the opportunity to form important healthy attachments with a trusted adult. We see incredible progress made by children who are matched with a granny. In South Africa, the children call their grannies “gogo”!
Consult with an international pediatric specialist to make an informed decision.
It’s recommended that families considering adopting a child with medical needs consult with a pediatrician about diagnosis, treatment, and prognosis of specific conditions to consider if your family has the ability to provide the care a child will need. There are many experienced international adoption medical specialty clinics throughout the United States that are a resource for prospective adoptive families. Physicians with an international adoption specialty are familiar with common medical issues involved in intercountry adoption and many of the common needs seen in children eligible for international adoption.
Because South Africa is a signatory to The Hague Treaty on Intercountry Adoption, adoptive families benefit from a transparent and ethical process for receiving a child’s information. At the time of referral from South Africa, Spence-Chapin will provide all known social and medical history provided by JCW so a family can make an informed decision. The family will review the medical history with a Medical Specialist and support from Spence-Chapin.
Gather information about resources and eligibility for services in your state and community.
Each state offers a variety of services for children with special needs through state agencies and community organizations. Free services through Early Intervention and CPSE services are offered nationally and children 0-3 may qualify when they have a developmental delay in the areas of cognitive, physical, speech and adaptive development. It can be helpful to anticipate the programs offered in the local schools as well as the State laws and regulations for special needs education.
Additionally, when considering the adoption of a child with special needs, it can be helpful to consult with other parents of children with medical needs or international adoptive families. They can be a great source of information, support, and referrals. They may be able to share their suggestions, insights, and recommendations for ways that you can strengthen your ability to parent a child with a medical need. It may also be helpful to prepare for what to expect through help from the local home study agency, special needs support groups or even online through adoption websites such as AdoptionLearningPartners.com.
Are you willing, and do you have the time to become informed about the realities of raising a child with special needs?
Do you have access to medical resources in your community that specializes in the treatment of pediatric special needs?
Are you able to make sure that your child takes medication or attends therapies?
Does your schedule allow for the time it takes to parent a child with a medical need?
Are you comfortable with any attention it may bring to your family?
Are you willing to advocate for your child in your home, school, and community?
Are you prepared to accept unknowns for the future development of your child and to find solutions to any challenges that may emerge?
Following the adoption of a child from South Africa, Spence-Chapin welcomes adoptive families to engage in post-adoption services through our Modern Family Center. Spence-Chapin’s Modern Family Center offers counseling, parent coaching, post-adoption support, mentorship and birthland trips. These services can be provided to families in person, over the phone or via video conferencing in all 50 states. We also invite you to attend our annual family events so you and your child can meet other South Africa adoptive families!
Children with special medical needs are waiting for adoptive families in South Africa. If you feel you might be a good match for these children, let’s talk! To learn more, send us an email to firstname.lastname@example.org or call us at 212-400-8150.
Families often have questions about what the matching process is like in our Domestic Special Needs Adoption Program. Similar to Spence-Chapin’s Domestic Infant Adoption Program, the matching process in our Domestic Special Needs Program is driven by birth family whenever possible.
Spence-Chapin’s Domestic Special Needs Adoption Program (formerly called ASAP – A Special Adoption Program) was created when parents struggling with an unexpected diagnosis for their child came to us needing support. Since creating this unique program in 1995, we have found over 500 loving adoptive families for children with special medical needs, and we continue to work hard at expanding the benefits of adoption to more medically-fragile children and the prospective adoptive parents who want to love them.
The Spence-Chapin Way
For both our Special Needs and Domestic Adoption Programs, our counselors provide free, confidential, unbiased and culturally-sensitive options counseling for parents in crisis. Our goal is to support these families in understanding all their options and rights as well as the resources available, so they can be empowered to make informed decisions and plans for their child. This includes connecting families to early intervention services, Social Security Income (SSI), and finding additional resources to parent a child who is medically fragile.
For birth parents choosing adoption, we are uniquely qualified to support and guide them through the adoption planning process. Our Special Needs Adoption Program is one of the only places in NY and NJ that has expertise to support birth families and find loving adoptive families for medically-fragile infants. Sometimes we know prenatally that a baby will have a special need, other times we are contacted after the birth of the baby. We know that all birth parents have a great deal of love for their baby and want to make a plan that they feel is best for their child. When a child is born with a special needs, we look for adoptive families registered in our Special Needs Adoption Program.
Birth Parent Perspective: Watch Melissa tell her story about how Spence-Chapin helped her through a difficult time.
Ideally, birth parents can review profiles from multiple adoptive families. Some children have very severe medical conditions and it may be challenging to find multiple families for every child. When looking for prospective adoptive families, we network with other special needs organizations and advocates around the country to find supportive and loving families for children with diverse medical needs.
Additionally, some families have requests about the adoptive family, such as one or two-parent household, religious, racial, or ethnic preferences. In some cases, a birth parent may be looking for families that reflect their own heritage or cultural background. This means that not all families who are open to adopting a child may be profiled with birth parents. If a preference is known, we will often write it in the child’s online profile. Since the children are ready to be adopted immediately, birth parents are only presented with profiles of families that meet their preferences and have a current home study written by a social worker at an accredited agency in the family’s state.
Sometimes we already have adoptive families who have pre-registered with SC who can be considered. Other times we need more options for the birth family and are looking for more prospective adoptive families. Not all waiting children are photo listed on our website. It is the birth parent’s choice if their child’s photo and/or background information is shared online and each parent makes a choice that feels comfortable for them.
Because the children have special medical needs, it is important to know how and why a prospective adoptive family feels prepared to parent a child with significant medical needs. Eligibility is very flexible; we see all types of families: people who are not yet parents as well as parents of 8 or 10 children, families who live in urban, suburban, and rural areas throughout the U.S., families of different races and ethnicities, and parents of different ages. Families living in any state are eligible to apply to adopt. Overall, we are looking for loving families who are prepared and excited to adopt a child with special medical needs! Spence-Chapin supports open adoption and is seeking adoptive parents who are open to ongoing contact with their child’s birth parents, often in the form of phone calls, video chat, letters, emails, visits, and texts.
Ultimately, birth parents select an adoptive family by reviewing adoptive family profiles with their social workers. Once they have narrowed their choice to one family they would like to meet, a match meeting is held between the birth and adoptive parents with their social workers.
Birth Parent Perspective: Hear Zeke’s birth parents speak about their experience working with Spence-Chapin to make an adoption plan for their son. Zeke’s story was featured at the Spence-Chapin Gala in 2017. Learn more about his story here.
Birth Parent Perspective: Watch Scotttalk about the unknowns he faced when his third child was diagnosed with Down syndrome prenatally and how he and his partner explored adoption and ultimately chose to parent their daughter.
To learn more about becoming a prospective adoptive parent through our Special Needs Adoption Program, read our Special Needs FAQ on our blog! You can also contact us at 212-400-8150 or email@example.com.
If you are a birth parent considering making an adoption plan, you can contact us 24/7 for free, confidential and unbiased options counseling: Call 1-800-321-LOVE or Text: 646-306-2586.
Spence-Chapin’s fundamental belief is that Every Child Deserves a Family. We are a Hague accredited agency with over 40 years of experience in international adoption. Since 1994, we have been finding and preparing families to adopt children from Colombia, a Hague country. Our agency is approved by the Instituto Colombiano de Bienestar Familiar (ICBF), the central authority for inter-country adoption.
Colombian Heritage Program
In July of 2017, we expanded our Colombia Adoption Program to find permanent, loving families of Colombian heritage for children in Colombia between the ages of 0-10 years old. According to Colombia’s eligibility parameters, families of Colombian heritage who are between 25-45 years old may apply to adopt a child as young as 0-4 years old. Children adopted through this program may have no pre-identified special needs.
How do you know if you are of Colombian heritage? This includes a person who was born in Colombia or a person with a parent born in Colombia. When submitting your application for the program, the adoptive parent would provide a Colombian birth certificate, passport, or Cedula to show this heritage. The estimated wait time for child referral after dossier submission by heritage families is 18-24 months.
Greatest Need of Adoption in Colombia –Children with Special Needs, Older Children and Sibling Groups
We continue to seek American families living anywhere in the United States who are drawn to Colombia as the country to build their families and who will embrace the process of incorporating Colombian culture into the life of their family going forward. Through our Colombia Waiting Child Program, our agency remains committed to finding families for children in the greatest need of adoption in Colombia, including toddlers and school-age children with significant special needs, such as Down syndrome, and developmental delays. There are also siblings in need of adoption in Colombia. Since this is a waiting child program and families will be recruited for specific waiting children, there is no wait time to be matched with a child. The entire process is estimated to take 12-18 months.
Support and Guidance for the Lifetime of Your Family
Many adoptive families are drawn to Colombia as it’s a country with beauty in its people, landscape and culture. However, the fears, unknowns, and myths surrounding the adoption of school-age children, children with special needs and sibling groups discourage many prospective parents. Spence-Chapin offers myriad of services during the adoption process to encourage and support adoptive parents to overcome these barriers. Our social workers assist families in taking inventory of their individual, family and community strengths and determining various resources available to help their child and family thrive. We take great care in helping adoptive parents anticipate the needs of the child in order to develop a resource plan for parenting children in the areas of medical, school, mental health, parenting, attachment, sibling preparation, home, support system, stress reduction, self-care and budgeting.
Following placement of a child or sibling group from Colombia, Spence-Chapin is available for support and guidance for the lifetime of your family. Our Modern Family Center offers counseling, parent coaching, post adoption support, mentorship and birthland trips.
Children in Colombia are waiting for you! We would love to tell you more about our program in Colombia. We welcome families living anywhere in the United States to call us at 212-400-8150 to speak with our international adoption staff. Or, visit our website to learn more about Colombia Adoption by clicking here!
Families often have many questions as they are beginning an adoption process. These FAQs will help you decide if adopting through Spence-Chapin’s Domestic Adoption Program is the right path for you to grow your family.
1. Who are the children in need of adoption?
The children in need of adoption through our Domestic Adoption Program are newborns to approximately 8 weeks old. The babies reflect the racial and ethnic diversity of the NYC Metro Area; most children are of Black or Latino backgrounds. Families adopting through this program need to be open to parenting a child of either gender.
2. Who can adopt through this program?
We are often asked who can adopt. We are happy to share that all types of parents adopt: married couples, unmarried couples, LGBTQIA+ parents, single women and single men can adopt. Families who are already parenting adopt, as do families who are transitioning out of fertility treatments. Families of all ages, income levels, ethnicities, and religions adopt. Truly, the one thing that all adoptive families have in common is that they want to be parents – and from there they are as diverse as the kids themselves.
3. What is open adoption?
What if I want a closed adoption? How is open adoption negotiated? Open adoption is when adoptive and birth families meet and are able to have ongoing contact with each other at their own discretion. Frequency and type of communication can range from the exchange of letters and emails, phone calls, shared pictures, and visits. Open adoption is not co-parenting. It is an opportunity for birth and adoptive families to develop a relationship that will benefit the adopted child. Research shows that open adoption is beneficial to all members of the adoption triad: the birth parents, the adoptive parents and the adopted person. Having access to their birth parent can help an adopted person develop a better sense of self with access to information about his or her background. Families who are the best candidates for Spence-Chapin’s Domestic Adoption Program are open to periodic exchange of emails, photos, and visits with the birth family. Adoptive parents and birth parents each have their own social worker at Spence-Chapin. Your social worker will help you establish an open adoption plan that is comfortable to both you and your child’s birth parent(s). Both adoptive families and birth parents will get support from their social worker throughout this process.
4. What are the common medical risks?
Many infants in need of adoption have some risks or unknowns in their medical backgrounds.Some of the infants come from backgrounds where they may have been exposed to cigarette smoke, recreational drugs, and/or social drinking during pregnancy. Good candidates for the Domestic Adoption Program are open to some risks and unknowns in the child’s medical history. This is something you will discuss with your social worker throughout your adoption process.
5. Who are the birth parents?
Any woman of childbearing age could find herself in the position of an unplanned pregnancy. All birth parents have a great deal of love for their baby. They want to make a plan to give the baby a stable life that they are unable to provide at time of birth. Spence-Chapin’s experienced social workers provide intensive unbiased options counseling to biological parents in the NYC metro area to help them make the decision that is right for them and for their baby.
6. What is the matching process and how does it work?
Birth parents select an adoptive family by reviewing adoptive family profiles with their social worker. Once they have narrowed their choice down to one family, a match meeting is held between the birth family and the adoptive family. Both the adoptive family’s social worker and the birth parent’s social worker are present for this meeting to provide guidance and support. Adoptive families wait an average of 1-2 years to be matched after completing their home study.
7. What is interim care?
We understand that women and their partners need time and space to make a decision about the future of their family, especially after a recent birth of a child. Spence-Chapin’s Interim Care Program allows babies to be cared for in a loving home by a nurturing caregiver so that biological parents have additional time to plan for their child. Biological parents retain parental rights while their baby is in Interim Care and are free to visit their child. Our interim care givers are families who are trained and screened to care for the newborns on a temporary basis. Interim care allows the birth parents to feel confident in their plan before making the decision to place the infant for adoption.
Spence-Chapin’s Bulgaria adoption program has placed children with permanent, loving families since 1995. During this time, we’ve come to discover Bulgaria as one of Eastern Europe’s treasures; a country steeped in tradition, but with modern sensibilities.
Bulgaria’s history is vast and its culture rich. Bordered by Romania in the North, Serbia and Macedonia in the West, Greece and Turkey in the South and the Black Sea in the East, Bulgaria is centrally located on key land routes from Europe to the Middle East and Asia.The size of Tennessee, Bulgaria is the 14th largest nation in Europe and boasts wondrous landscapes ranging from lowlands and river valleys, to mountains of varying elevations.
The first Bulgarian state was formed in the late 7th century when The Bulgars, a Central Asian Turkic tribe, merged with the local Slavic inhabitants. In succeeding centuries, Bulgaria struggled to assert its autonomy against the Byzantine Empire and the Ottoman Turks, eventually succumbing to the rule of both.
In recent history, Bulgaria fell within the Soviet sphere of influence and became a People’s Republic in 1946. Communist domination ended in 1990 and a democratic constitution was instituted in 1997. Today, Bulgaria is a parliamentary democracy and is on the international stage as a member of the European Union, NATO, Council of Europe and a founding member of the Organization for Security and Co-operation in Europe.
Bulgarians take great pride in their literature, arts, music, and architecture which is mainly of Thracian, Slavic, and Bulgar heritage, with Greek, Roman, Ottoman, Persian and Celtic influences.
Visitors and citizens alike enjoy the wild, wooded mountain ranges dotted with villages, vibrant cities, and long sandy beaches hugging the Black Sea Coast. Bulgaria is home to over 200 museums and architectural wonders such as Byzantine Medieval fortresses, Thracian sanctuaries and tombs, and a multitude of churches, monasteries and mosques. The landscape features mineral springs, picturesque beaches, and the highest point of the Balkan peninsula, Musala (9,596 ft.), lending itself to spa retreats, water sports and hiking.
But underneath the rich sights and sounds, there is an imbalance. Bulgarians are the main ethnic group and comprise 84.8% of the population, with Turkish and Roma (Gypsy) minorities comprising 8.8 and 4.9 percent. Oftentimes discriminated against, the Romani are descended from low-caste Indian migrants who immigrated to Bulgaria during the Middle Ages. The Romani practice nomadic lifestyles based around selling their wares and skills, and as such, must combat an entrenched social stigma. The Romani experience a high rate of child abandonment due to poverty and limited resources such as health care, public transportation and sanitation. Unfortunately, Roma children in need of homes are usually on the losing side of stereotypes and discrimination and are typically not adopted domestically by Bulgarian families.
Spence-Chapin partners with ANIDO, a Bulgarian non-governmental organization licensed by the Ministry of Justice, Bulgarian’s central authority for adoption. The Bulgarian Ministry of Justice maintains a waiting child registry of over 1,800 children that are primarily Roma. Bulgaria prioritizes finding families for these vulnerable children. Those available for adoption are school-age, sibling groups, and children with medical issues.