Student CH 15 - CONSIDERATIONS IN SERVICE DELIVERY TO SPECIAL POPULATIONS Flashcards
The majority of IAC are 2 years old or younger. What countries do they come from?
Top sending countries:
- China
- Ethiopia
- Russia (no more)
- South Korea
- Ukraine
How much has IAC dropped in the U.S.?
adopted has dropped by almost 2/3
T/F Hwa-Froelich 2012 found that U.S. families adopt CH from abroad 4-16x more than families from other countries
True
Most adopted before 2 yrs
Most studies: South Korean and Romanian
Hwa-Froelich 2012 focuses on S Korea and Romania. What were the outcomes for these countries?
South Korean: positive outcomes
Romanian: negative outcomes
How do IAC become orphans?
Some have parents who are dead
In many cases, however, parents put their children into orphanages cannot afford to feed them
Also, in some cases, parents are not married; great disgrace in some countries, so the child is placed in an orphanage
Who is Kathleen Morris and what did she (Practical strategies for therapists working with SI/SPD Disorders) do?
Volunteered: Russian, Romanian, Bulgarian orphanages
She has also worked for 17 years as the founder and director of two SI clinics
I went to her workshop
What did Kathleen Morris find about how Russian kids become orphans?
Russian cities—mothers abandon CH on streets
Walking along holding hands; mother says “look there!” drops CH’s hand, runs away
Orphanage workers go out PMs to look inside manholes—CH hiding from cold
What did Morris say about the orphanages?
Smell in orphanages is so bad that some visitors throw up when they enter
In some Bulgarian orphanages, schedule:
1. Breakfast
2. Sit on bench
3. Lunch
4. Sit on bench
5. Dinner
6. Go to bed—stay thereFormer student Marilyn Stansfield, (worked in Romanian orphanage) found what about workers and the o?
Orphanage workers stole supplies—diapers, wheelchair parts, bottles, soap, combs, toilet paper
Sometimes Marilyn told not to change a wet diaper or use shampoo during a bath
Workers took orphans’ food
Marilyn also volunteered at a Romanian hospital for abandoned babies…What was it like?
8 beds-room
Only human contact = diaper change
Not held or cuddled
All meals: blanket/pillow propped next to heads, bottle placed on blanket
Marilyn tried to feed a newbie from a bottle and what happened?
Wouldn’t eat—stared at Marilyn
Nurse: baby unfamiliar with being held while fed
Too much sensory input—held and easy simoltaneously
What are some ACCULTURATION ISSUES?
Frequently, IAC are abruptly taken out of their familiar surroundings and placed into totally new environments
This is especially hard on older IAC
They may miss the familiarity of surroundings they have known all their lives
Used to interacting with other children, not adults
What are some general conditions of IAC?
Possible post-traumatic stress syndrome
Consequent need for psychological services, emotional support
Adoptive parents may need these services also–feel overwhelmed
Other potential areas of concern include
Malnourishment—decreased brain development and general health
Decrease dental care
Decrease gross, fine motor skills
Behavioral Issues
Physical abuse, neglect
Decrease emotional bonding opportunities
Potential alcoholism in birth mothers (esp. Eastern European)
Hwa-Froelich 2012—found major parent concerns were…
HIV infection
Latent TB
Immunization status
Short stature
