Special Needs Adoption

Domestic Special Needs Adoption at Spence-Chapin: Who Chooses the Adoptive Family?

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 Scott talk 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 asap@spence-chapin.org.

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.

International Adoption Story: Making the Decision to Adopt Again

“About six months after bringing home Kurhula from South Africa, we knew that we needed to adopt again. It was clear that Kurhula missed being around other children. She had been the youngest child in a foster family, living with four older foster-siblings – and although she was thriving with the individual attention that my husband and I were able to give her, she also seemed visibly lonely, and missed interacting with other children.

Bulgaria and Roma Adoption

Bulgaria as one of Eastern Europe’s treasures but underneath the rich sights and sounds, there is an imbalance and a need to find loving homes for many Roma children.

Special Needs Adoption FAQs

Since 1995, Spence-Chapin has found adoptive families for 520+ children with special needs. Spence-Chapin is currently accepting applications from families who are open to adopting a child with significant medical needs. To be considered as a prospective adoptive family please complete our free pre-application send us a copy of your current home study (completed within the past 12 months), conducted by a licensed adoption agency. In order to reduce barriers to special needs adoption there are no professional service fees for special needs adoptions. Read more: www.spence-chapin.org/asap Emailasap@spence-chapin.org Fax: (888)-742-6126 Mail: Special Needs at Spence-Chapin, 410 East 92nd Street, 3rd Floor, New York, N.Y. 10128

Frequently Asked Questions:

I would like to be considered as an adoptive parent. What’s my first step? Please share a copy of your current home study and complete the Spence-Chapin online pre-application. Please email your home study and/or family profile to asap@spence-chapin.org.

Unfortunately, families without a current home study are unable to be considered.

Since the children are ready to be adopted immediately we need families that are ready to adopt.

Complete the free online pre-application here: www.spence-chapin.org/asap

I’ve emailed my home study and submitted the pre-application. What’s next? All families who have completed the online pre-application and emailed their current home study are considered active prospective adoptive families. We will contact you if your family is a potential match for a current or future waiting child. We will provide status updates regarding the adoption process on our website within the child’s profile. All available information about a child is on our website. Spence-Chapin will keep a home study on file for as long as it is current and keep the family in mind for any future situations.

When will I hear from the social workers? We will provide status updates on our website within the child’s profile. Due to the volume of emails, we are unable to respond to every email about a waiting child. Please stay in touch with Spence-Chapin through our newsletters, facebook, and twitter. Keep up with waiting babies through our website.

What kind of home study do I need? You will need a current home study written by a social worker at an accredited agency in your home state. We ask for an agency home study because it’s important for families to be connected to ongoing support and services. You can submit any home study you currently have and if you are chosen we may have additional questions and ask for it to be updated depending on the child’s situation.

The children needing adoptive families are born with a wide variety of medical needs and we are looking for adoptive families who are open to severe medical conditions. Please indicate in your home study and the pre-application the types of medical conditions your family is open to and share the resources which will allow a child thrive in your family.

I need more information- what else can you share? Everything that we are able to share at this time is available on our website. If information changes or more becomes available, we will update the website. If a diagnosis sounds unknown or you are unsure about prognosis we encourage you to speak with a pediatrician. It is not possible to visit with the child before being identified as the adoptive family.

How much will this cost? In order to reduce barriers to special needs adoption there are no professional service fees for this adoption program. There is no cost to submit the online pre-application and be matched with a child. Costs to consider include home study, travel to NYC for the placement, post-placement reports, and adoption finalization. If a two-parent household then both parents are required to travel to the Spence-Chapin offices for the placement and should expect to stay in NYC metro area for about 1 week.

Who picks the adoptive family? Am I eligible to adopt? Eligibility is very flexible; we see all types of families: people who are not yet parents as well as parents of large families, 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 states 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! Whenever possible the birth family chooses the adoptive family. 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. 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.

Where do the children come from? All of the children are born in New York, New Jersey, or Connecticut Spence-Chapin offers free, unbiased options counseling to women and their partners in the NYC metro area. Sometimes birth parents know prenatally that a baby will have a special need, other times we are contacted after the birth of the baby.

You can watch two videos on our special needs adoption webpage from birth parents of children with special needs. You’ll hear Melissa talk about how when her daughter was diagnosed with Down syndrome Melissa and her husband did not feel ready to provide her with the parenting she needed. They made an open adoption plan. You’ll also hear Scott talk about the unknowns of 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. The same diagnoses with different outcomes and our social workers are here to support all birth parents in exploring their options. www.spence-chapin.org/asap

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. Sometimes we already have adoptive families who have pre-registered with SC who are able to be considered. Other times we are in need of a more options for the birth family and looking for more prospective adoptive families.

If I’m chosen as the adoptive parent what are my next steps? The social worker will be in touch about gathering a current family profile from your family and to discuss the logistics of meeting the birth family in a match meeting, either in-person or through video chat. You’ll receive the any additional information that has become available and review medical history with your pediatrician. After the match meeting you’ll speak to your social worker about if you’re ready to move forward with the adoption and the same for the birth family. Our team will plan placement of the child to your family.

When will a child be placed with me? I wish this was simpler to answer! There are so many factors that go into an adoption placement that this is very difficult to predict and there is no guarantee that a child will be placed with your family through this adoption program. We encourage you to network with other agencies or advocacy groups once your home study is completed. Whenever possible biological parents chose the adoptive family. Some biological families have requests about the adoptive family, such as 1 or 2 parent household, religious, or racial preferences. This means that not all families who are open to adopting a child may be profiled with all biological parents. If a preference is known, we will often write it in the child’s online profile.

Who are the children? What are special needs? The children are infants and young children in the NYC metro area who have been diagnosed with a medical condition or are at significant risk for developing a severe medical condition. The children are born in New York, New Jersey, or Connecticut and are from diverse racial and ethnic backgrounds. The infants and children in need of adoption have a variety of special needs, from significant developmental issues to serious medical and congenital conditions.

The conditions usually require therapeutic and/or medical interventions during the child’s entire life. These non-correctable conditions can include:

  • Genetic Disorders
  • Brain Anomali
  • Neurological Disorders
  • Rare Syndromes
  • Cardiac and Pulmonary Disorders
  • Shortened Life Span
  • Excessive Drug and/or Alcohol Exposure
  • Significant Risk of Psychiatric Disorders

Many children are eligible for Early Intervention Services, Social Security Disability, Adoption Subsidy, and Medicaid.

When Doctors believe that a child’s prenatal environment will most likely lead to developmental delays or other medical needs then that child will be placed with adoptive parents ready for special needs. This includes significant prenatal drug or alcohol use, or extreme prematurity.

Where will I finalize the adoption? It is case-by-case. Some cases need to finalize in NY or NJ, others can be finalized in your home state. If you are called about a child, it would be an important question to ask about a specific situation.

Where is the child living? Infants may be living with our volunteer interim care families, receiving treatment in the NICU, or pediatric hospital, or living with biological family. When writing about a child’ situation on our website we try to indicate where the child is currently living.

SC Recognizes Douglas & Christen Driscoll for Receiving an "Angels in Adoption Award"

SC_FavIcon-2015SPENCE-CHAPIN SERVICES TO FAMILIES & CHILDREN RECOGNIZES DOUGLAS AND CHRISTEN DRISCOLL FOR RECEIVING AN ‘ANGELS IN ADOPTION AWARD’ Douglas and Christen Driscoll, were recently honored with the Congressional Coalition on Adoption Institute's 2015 Angels in Adoption award in Washington, D.C. The Driscoll’s were nominated for the award by Spence-Chapin and selected for the award by Sen. Charles Schumer.

Sen. Charles Schumer selected Spence-Chapin adoptive parents Douglas and Christen Driscoll for their outstanding advocacy in adoption. The Congressional Coalition on Adoption Institute (CCAI), which orchestrates the Angels in Adoptionprogram, honored the Driscoll family at an awards ceremony on October 6th and gala on October 7th in Washington, DC. Angels in Adoption™ program highlights ordinary

Spence-Chapin adoptive parents, Douglas and Christen Driscoll, are a remarkable couple and devoted parents to their children. After having five biological children, Douglas and Christen started working with Spence-Chapin by opening their home to provide interim care for children with special needs. Through this work, their desire to expand their family through adoption blossomed. They have since adopted five beautiful sons. The two youngest Driscoll children were adopted through Spence-Chapin’s - special needs program. Linda Alexandre, Spence-Chapin’s Associate Director of Special Needs, remarked “Christen and Doug are dedicated advocates and loving parents for their children. We are thrilled that they have been honored as Angels in Adoption.” Doug and Christen love being parents and feel blessed to have had the opportunity to be chosen as their children’s parents.

On Tuesday, October 6th, the Driscoll family met with Sen. Charles Schumer and received their Angels in Adoption award. Sen. Charles Schumer acknowledged their dedication to adoption and advocacy for children with special needs.

The Angels in Adoptionprogram is CCAI’s signature public awareness campaign and provides an opportunity for all members of the U.S. Congress to honor the good work of their constituents who have enriched the lives of foster children and orphans in the United States and abroad. Each year, more than 140 Angels are honored through the Angels in Adoptionprogram. “The Angels in Adoptionprogram is unlike any other program in the Nation’s Capital. Because of it, almost 2,000 ‘Angels’ have come to share with Washington their adoption experience and left with a renewed excitement of all that adoption makes possible,” said Kathleen Strottman.

The Angels in Adoptionprogram was established in 1999 as a Congressional press conference to honor outstanding individuals. Since then, the program has developed into a yearlong public awareness campaign culminating in an extraordinary awards gala and celebration in Washington, DC.


 

About Spence-Chapin Services to Families & Children Spence-Chapin is an adoption and family service agency bringing over 100 years of experience in finding families for children. Spence-Chapin’s fundamental belief is that Every Child Deserves A Family. To underscore this commitment, Spence-Chapin has eliminated many financial barriers for families who consider embarking on the adoption journey. Through their Modern Family Center, Spence-Chapin has broadened their impact and provides support, workshops, and counseling services for: birth parents, adoptive parents, families formed through adoption, teens, children with special needs, and adoptees at every life stage.

 

For further information, please contact: Molly Supinski, 212-360-0245, msupinski@spence-chapin.org

 

Global Family Day - Fun had by all!

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IMG_5285 THANK YOU!!

Thank you for joining us on Saturday for the Global Family Day Picnic!  Nearly 200 members of the Spence-Chapin family came together in Central Park (despite the 90 degree heat) for fun, food, and time together with friends.  Thanks for making this picnic a success!

Please let us know what you thought about the event by filling out a short survey here.

Visit our website for great upcoming Spence-Chapin events and programs.

Please donate to support Spence-Chapin’s Mission!

 

 

No fees for Personal Adoption Histories

older adopteesThe Modern Family Center at Spence-Chapin is excited to announce that we will no longer charge fees for personal adoption histories or support for first/birth and adoptive families in open adoptions wanting to re-connect. This recent change aligns with our belief that all members of the adoption community should have the right to obtain their information and history with as few barriers as possible.

Of course, this is one small piece in a larger issue of providing access to birth records and identifying birth family information for adoptees who would like to search.  Spence-Chapin continues to advocate for a change in adoption laws to allow adoptees to have access to identifying information including their original birth certificates and identities of their birthparents.

I just want to thank you, actually I don't think a million thank you's would be enough. I will never forget your kindness, your compassion and your willingness and patience during the times we have spoken and for what I am and have been going through as an adoptee.  The wonderful people at Spence-Chapin will change me forever and again I can't thank you enough for that. Thank you.    - Adoptee

Last January we joined the New York Statewide Adoption Reform's Unsealed Initiative in the hearing on on Bill of Adoptee Rights. You can read about that experience on our blog post: Spence-Chapin supports the Bill of Adoptee Rights  and watch our testimony on our Youtube page.

You can learn more about how you can get involved and help advocate on behalf of NYS adoptees by visiting the  New York Statewide Adoption Reform's site

The Modern Family Center at Spence-Chapin provides personal adoption histories (non-identifying information) for agencies whose records we hold: Spence-Chapin, Louise Wise, and Talbot Perkins. We also provide search and reunion guidance, support, and counseling for all members of the adoption community. Give us a call to learn more - 646-539-2167.

Check out our upcoming events for the adoption community and register today.

The Questions You’re Too Afraid to Ask about Older Child Adoption

older child adoption Spence-Chapin's mission is to find families for the most vulnerable children, including older children, sibling groups, and children with special medical needs.

As you begin to think about growing your family through adoption, one of the first steps is deciding the age of the child you will be parenting. Spence-Chapin can help you explore the reasons an older child could be a great fit for your family. We know there are some questions about older child adoption that people are often too afraid to ask, so we've started a list here.

Questions:

  • What is the age range of a child who is considered “older”?
  • What are some of the differences between adopting an older child from foster care and adopting an older child internationally?
  • Can we adopt an older child if we have younger children we are currently parenting?
  • Can a single parent/older parent adopt an older child?
  • As a single parent, can I adopt an older child who is not the same gender as me?
  • Do older children have behavioral and emotional issues?
  • Would we be able to have a bar or bat mitzvah for our child if we adopt an older child?
  • How much will I know about my older child’s history?
  • Have all older children been living in an institutional setting since birth?
  • How much input does an older child have into his adoption plan?
  • How can I be fully prepared to adopt an older child?
  • What language will my child speak? Will my child speak or understand English?

Are these the questions that you were thinking of too? Our team can provide the answers to all these and more. Give Kara, Heather and Jamie a call - 212-400-8150.

Spence-Chapin is able to share the profiles of international children who are considered to be the most in need of a loving family, and who are ready to be matched immediately.  The Waiting Child profiles often consist of children who are older or part of a sibling group. In order to respect the privacy of these children, the Waiting Child page has been password protected.

If you would like to hear more about our adoption programs or request the password to the Waiting Child page, contact us at 212-400-8150 or info@spence-chapin.org.

 

Reasons Roma Children Need Loving Families

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Roma people represent around 12 million of Europe’s overall population and Bulgaria is home to the third largest population of Roma in the world. We see this reflected in the large population of Roma children in need of families in Spence-Chapin’s Bulgaria adoption program. Though the Roma are an estimated 5% to 10% of the general population in Bulgaria, around 60% of the children in need of permanent families are of Roma descent. Why are such a large number of Roma children in need of adoptive families?

_49096443__49044278_europe_roma_popnTo begin scratching the surface of why many Roma children are waiting for families in Bulgaria, exploring the larger scope of Romani history is an important first step. The Roma make up the largest and most vulnerable ethnic group in Europe. After migrating from India over a thousand years ago, the Roma people have endured oppression and discrimination. Yet quite remarkably, they have been able to preserve Romani language and culture.  You may be more familiar with a commonly used term for Roma – “gypsy”. This term is an outdated and historically inaccurate word stemming from a time when Roma people were thought to have come from Egypt. As the term has negative and derogatory connotations, the most widely accepted term today is Roma.

article-2486333-1922058400000578-107_964x635Centuries of structural discrimination and social exclusion have led to the difficulties that Roma people are faced with today, leaving Roma children vulnerable and, at times, in need of loving homes outside of their birth families. The most prevalent issues faced by Roma families include discrimination, poverty, and limited access to education and medical care. While it can be difficult to picture the realities of what social exclusion may look like for a Roma child in Bulgaria, poverty is the most common reason Roma children are over-represented in child care facilities. The World Bank estimates that the poverty rate for families of Roma descent is 6.7 times greater than non-Roma in Bulgaria. Housing conditions illustrate a powerful snapshot of what living in poverty can look like for a Roma family. While sewage and water supply are available to 93% of the Bulgarian population, 50% of Roma families have no sewage and over 30% of families do not have access to a water supply system.

romanogrenci[1]Regular school attendance can be difficult for Roma children due to circumstances caused by poverty. Issues include a lack of transportation, caring for younger siblings and experiencing discrimination in the school system. Teenagers who experience unplanned pregnancy are also faced with difficulties not only in school attendance but also with their health due to a lack of medical care access. This culminates in only 13% of Roma people with high school diplomas compared to 87% of employed non-Roma Bulgarians.

gypsiesLower levels of education lead to higher levels of unemployment and combined with the discrimination faced when seeking work, the Roma experienced an unemployment rate of 59% in 2010 while the national average for unemployment in Bulgaria was 11.6%. Since joining the European Union in 2007, many Roma who have not been able to find employment in Bulgaria have migrated to other European countries for job opportunities. This can create a difficult decision for parents who may not be able to parent their children as they leave the country and then choose to make an adoption plan.

Another factor in the over-representation of Roma children who are adopted internationally highlights the discrimination the Roma people receive within Bulgaria. If a child cannot be raised with their birth family, it is the best choice for a child to be placed with an adoptive family in their home country. Due to a long history of falsely held beliefs and discrimination against the Roma population, Bulgarian families may choose to adopt ethnic Bulgarian children, leaving Roma children waiting longer to be placed with an adoptive family in their home country.

Hundreds of years of oppression have created an environment where Roma children are more vulnerable to factors that leave children in need of a family. While the reasons any Roma child in Bulgaria are in need of a family are complex, Spence-Chapin’s mission is simple - to find families for the most vulnerable children. We are committed to the idea that all children deserve a forever family, regardless of their age or medical condition.  There are thousands of school-age children, sibling groups, and children with special needs languishing in orphanages and foster care in Bulgaria.  These children blossom when given the opportunity, support, and resources to live within the stability and safety of a permanent loving family.

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To learn more about adoption through our Bulgaria program or to view profiles of Waiting Children in Bulgaria ready to be immediately matched with an adoptive family today, contact us at 212-400-8150 or at info@spence-chapin.org..

 

Series on Special-Needs: Hepatitis B

Among the children with special needs waiting to be adopted, children with Hepatitis B face many challenges.  Hepatitis B is a blood-borne infection that can be spread to a child from his or her birthmother. handsandfeet_EmilyChastainCopyright

This disease can cause damage to the liver and can affect the body’s immune response.  Although a serious infection, Hepatitis B is “vaccine-preventable” and treatable. Currently in the U.S. the two approved treatment options for children with chronic hepatitis B are: (1) Intron A (interferon alpha) and (2) Epivir-HBV (lamivudine).

Understandably, prospective adoptive parents often have reservations about adopting a child who is infected with Hepatitis B and may have questions about how this infection will affect their lives as well as the life of their child.   Symptoms for chronic Hepatitis B which include jaundice, fever, liver enlargement, and abdominal pain but the good news with this infection is that due to developing immune systems, many babies and children do not ever experience these symptoms.

The first step an adoptive parent can take is to make sure that everyone in the family is already vaccinated for the virus and screened.  An adopted child who is infected should be regularly seen by a doctor and treatment options should be thoroughly explained.  Hepatitis B is common in areas of certain countries but it is treatable. Adoptive parents should always contact a family physician with any concerns or medical questions—follow-up is key.

The Modern Family Center at Spence-Chapin also provides informational and support services for parents who adopt children with Hepatitis B.  We are honored to work with parents who adoptchildren with special needs and recognize that, although it is a big undertaking, these children are receiving the love and care they deserve.

 

Informational links:

Hepatitis B 

Treatment Options

What You Need to Know about Hepatitis B

Spence-Chapin Modern Family Center

 

Colombia's Changing Adoption Landscape

Associate Director of International Adoption Ben Sommers shares his perspective on the changing landscape of adoption in Colombia.

What is an Adoption Subsidy?

The New York State Adoption Subsidy is designed to help adoptive families parent and finalize the adoption of children with special needs.

The Mongillos Home Makeover

Spence-Chapin parents Bob and Barbara Mongillo are surprised with a home makeover on an episode of "George to the Rescue".

Family Story: Scott and Tari

Scott and Tari grew their family through the Spence-Chapin special needs adoption program.

Father Of Ten Adopted Children With Special Needs: 'We've Had An Unbelievable Amount Of Support'

Father Of Ten Adopted Children With Special Needs: 'We've Had An Unbelievable Amount Of Support

A Day in the Life: Interim Care Provider

From the moment she gets a call from Spence-Chapin about a newborn coming into care, Carmela Grabowski goes into mommy mode. "I put fresh linens on the bassinet, clean the car seat, make formula, sterilize the pacifiers, change out all the diapers from size 2 to 1, and sort the clothes depending on the season and the gender of the baby."

Carmela has been an interim care provider with Spence-Chapin since 2009, and has cared for 32 infants. This wife and mother of a 21-year-old son and a 19-year-old daughter, both adopted, gives us a sneak peak of life as an interim child care provider. "I start my day around 6:00am with a feeding, changing the baby's diaper. Baby is back down for a nap, and I then clean up the house, do laundry and shower. Around 9:00am, I give her/him the second bottle. I keep the baby up for about an hour-- swinging, playing, cuddling when it's down for a nap number 2. I take this time to work in my private office ‘til noon, and then I start making lunch for my husband and daughter. If it's a day when the baby has a doctor's appointment or a visit with her birth parents, we get on the road around 9:15am.

“In the afternoon, when I prepare dinner, the baby is in the swing keeping me company in the kitchen. By 6:00pm, the family sits down together for dinner and everyone takes turns interacting with the baby while we eat. At 8:00pm, it's 'Bath-Bottle-Bed. I usually stay awake until midnight, waiting for the baby's next feeding, and of course, some more cuddling. Then, I'm up every 3-4 hours for late night feedings and diaper changes.”

"I'd tell anyone who wants to do this [interim care], that you have to understand that it takes up a lot of time and a lot of work. But, it's most rewarding. You just get so much out of it. Adoptive parents often keep in touch. I keep a photo album with all the pictures they send me of the babies I've cared for. It's the best thing I've ever done.

 

Spence-Chapin's Interim Child Care Program is one of the last of its kind.  It began over 70 years ago as a valuable service for birth parents by giving them time after delivery - free from pressure - to make a decision about their child's future.

Experienced care providers, supervised by our child care department, look after the babies in their home for several days or weeks after hospital discharge. Birth parents retain their legal rights and can visit their babies during this period.  Spence-Chapin's board-certified pediatricians examine all infants in our care after hospital discharge; give them regular exams during their stay; and perform a discharge exam on the day they leave to go home.

You can learn more by visiting our website.