B÷rn me­ skilgreindar ■arfir

9. Adoption of Special Needs Children. -

(1) Special care must be taken while processing the cases for adoption of special needs children, so that the prospective adoptive family is aware and ready to provide extra care and attention that the child needs.

(2) It is important to understand that child with special needs requires, more than any other child, the care and love of a family at an early stage.

(3) The adoption process for children with special need shall be completed as expeditiously as possible by the concerned authorities and time lines laid down for special needs children in these Guidelines shall be strictly adhered to.

(4) The PAPs wishing to adopt special needs children shall be given top priority in the waiting list.

(5) In spite of best efforts, some special needs children do not get adopted and have to remain in institutions and such children should be shifted by the Specialised Adoption Agency to specialized institutions in case such institutions are available in the State.á

43. Adoption of Special Needs Children. -á

All authorities and agencies involved in adoption of special needs children shall expeditiously process their cases so that such children can join their families at the earliest.
44. Category of Special Needs children. -á

(1) For the purpose of adoption, Ĺspecial needsĺ children may be categorized as under:-

(a) Children having visible and or serious medical conditions-mental or physical ;

(b) Older children;

(c) Siblings and

(d) Extremely low birth-weight children(to be certified by a Government Medical Officer) áá

(2) The following ailments or disabilities may also be considered as visible or serious medical conditions in children.

(i) Spina Bifida ;

(ii) Ichthyosis (Collodian baby);

(iii) Limbs Missing;

(iv) Fingers-toes missing;

(v) Severe diabetes;

(vi) Cleft Lip-Cleft Palate or Cleft Lip;

(vii) Blind orá Partially Blind;

(viii) Severe Seizure disorders;

(ix) Chronic Asthma;

(x) Heart conditions of a severe nature;

(xi) Hepatitis B+;

(xii) Blood disorders;

(xiii) Acute Ricketts;

(xiv) Severe Orthopedic conditions;

(xv) Deaf orá Partially Deaf;

(xvi) Polio;

(xvii) Severe disfiguring birth marks;

(xviii) Indeterminate sex;

(xix) Hare lip ;

(xx) Colostomy;

(xxi) Dwarfism ;

(xxii) Hemophilia;

(xxiii) Paralysis;

(xxiv) Brain Lesion;

(xxv) Burns;

(xxvi) Thalasemia Major;

(xxvii) Fetal Alcohol Syndrome;

(xxviii) Ectodermal displacia (no sweat glands);

(xxix) Microcephaly;

(xxx) Epilepsy (does not include fever induced convulsions);

(xxxi) Pier Robin Syndrome (no tongue);

(xxxii) Neurological disorders;

(xxxiii) Speech dysfunction-dysphasia;

(xxxiv) Chronic Eczema;

(xxxv) Child requiring psychiatric treatment;

(xxxvi) Any other child with disabilities as defined in the Persons with Disabilities (Equal Opportunities, Protection of Rights and Full Participation) Act, 1995(1 of 1996)

(1) The list given in sub-para

(2) is illustrative only and it is not exhaustive.

(3) A child suffering from a disease or deformity which does not have serious long-term residual effects and which can be corrected, shall not be categorised as a ôspecial needs childö.

(4) Children above five years of age shall be treated as special needs children as placement of such children in adoption is difficult.á

(5) Siblings of different ages, shall as far as possible, be placed in adoption in the same family and such children shall also be categorized as special needs children.

(6) If a child has severely delayed milestones, as certified by a Government medical officer, the child will be categorized as a ôspecial needs childö .

(7) A child who is marginally delayed in gaining normal weight will not be treated as a special needs child.

45. Preparing Special Needs Children for Adoption. -á

(1) It is the role of the Specialised Adoption Agency to prepare the special needs child for adoption.

(2) In case of special needs children, their ability to handle the change in care giver, environment, quality of life and the like factors may not be equal to that of other children.

Note.-ááSpecial needs children are older children in many cases and they mayá be fixed in their ideas and attitudes making them inflexible and they may face serious adjustments problems.

(3) It is essential that the Specialised Adoption Agency make special efforts to prepare the child for adoption.

(4) Older children should be shown photographs of the adoptive family and carefully counselled to prepare them mentally and emotionally.

(5) The child should be sent to educational institute in the interim period and regular habits of toilet and hygiene should be inculcated in the child.

(7) In order to start the bonding process, the Specialised Adoption Agency should encourage the PAP(s) to share their family albums, photographs and small gifts and letters with the child.

(8) If the child is going to a foreign country, the child should be taught the language of the adoptive parents, as far as possible.

46. PAP(s) for Special Needs children.á

(1) PAP(s) who are willing to adopt a child with special needs will get priority in adoption and the Specialised Adoption Agencyáshall maintain a list of all such PAP(s) facilitating the placement of special needs children in adoption.

(2) While maintaining the list of PAPs, the following should be kept in mind, namely:-

(i) Older and experienced parents tend to be more committed to parent a child with special needs and thus are more likely to have the skills, patience, financial means and parenting experience;
(ii) Parents who have had experience, either though the field they work in, or because they have had some exposure to the specific medical condition, may be better equipped to parent children with special need;á
(iii) The HSR shall reflectľ

(a) The motivation and ability of the PAP(s) to adopt such a child;

(b) whether the PAP(s) have the financial means to handle the special needs of the child;

(iv)Special needs children should be shown for acceptance to only those PAPs, who have expressly given preference or willingness to adopt such children.

(3) The Specialised Adoption Agency shall organise orientation sessions for the PAP(s) to enable them to understand issues relating to special needs children and help them take an informed decision.

(4) The PAP(s) and the foreign adoption agencies in case of inter-country adoption) should be given detailed child study reports, medical data and counselling reports by the Recognised Indian Placement Agencyá without concealing any facts.á

(5) The Recognised Indian Placement Agency (RIPA) also called Special Adoption Agency should give information on the childĺs developmental milestone, additional medical tests if required and answers to queries that the prospective parents may raise concerning these children.

(6) The child study report should portray the child in a positive manner and at the same time be realistic in the medical condition.

47. Procedure for Adoption of Special Needs children. -á

(1) In case of inter-country adoption, PAPs desiring to adopt special needs children are required to follow procedure as per norms laid down in paragraphs 27 to 38á and their adoption cases shall be processed only by the Recognised Indian Placement Agency.

(2) All concerned authorities shall ensure that time lines set for processing cases of special needs children are strictly adhered to.