International Adoption Clinic

International adoption has become an increasing phenomenon with over 159,000 children from all over the world adopted by U.S. citizens during the past decade. The majority of these children have lived in relatively hostile, crowded, neglectful, pre-adoptive environments that lack adequate hygiene and nutrition. Subsequently, internationally adopted children have significant risks of developmental, behavioral, and health problems. The Stramski International Adoption Program was established to provide support for these children. Our services include:

  • Consultations

  • Counseling to families

  • Post-adoption medical and developmental evaluations

Pre-adoption Consultations

We provide one-on-one sessions with families and our physicians prior to travel overseas. These preliminary adoption consultations provide families with appropriate knowledge and tools to evaluate prospective children as well as information regarding medical, developmental and behavioral risks common to internationally adopted children. Additionally, we provide consultations to families while they are overseas visiting prospective children. Families are responsible for contacting Stramski via phone or e-mail with the information they wish to have reviewed.

Post-adoption Consultations

We provide a detailed evaluation of internationally adopted children in the post-adoptive period. We do not recommend consultations within the first two weeks of arrival in the United States, as it can be a stressful time for both the child and adoptive parents. This visit focuses on several components including:

  • Physical exam

  • Behavioral and developmental assessments

  • Education

  • Ordering lab exams

  • Referrals and follow-up

Role of the Primary Care Physician

Stramski's International Adoption Program is a specialist referral center for internationally adopted children. The primary pediatrician is considered to be a vital part of this process. All immunizations, immediate and ongoing medical problems, and therapies will be addressed by the child’s pediatrician. The pediatrician will utilize medical records to determine if the child has any underlying genetic conditions or other pre-dispositions, which is important information for the parents before choosing to adopt.

Continued Follow-Up Care

All children will be scheduled for a three-month and six-month follow-up care appointment from the time of the initial visit. This is to ensure optimal developmental and behavioral surveillance for this at-risk population. This strategy allows for timely interventions to be made.

International Adoption Team
Dr. Gary Feldman, MD

International Adoption Clinic Director

Behavioral Pediatrician

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