Category Archives: Foster Care

Look who is turning 2!!!

I can hardly wrap my head around this little cutie pie turning 2!!! Does time seem to be going faster and faster or it is just me?

It doesn’t seem that long ago that we brought Rafael home from the hospital.

So how has this boy been doing??

Overall he’s been doing great though there has been some disappointing and upsetting developmental backtracking . Remember that video of him being so excited to learn to stand? He was standing all the time, and looking like walking was on the near horizon.

And then – the holidays ended and he was back to daycare. He was continually sick and always seemed tired and weak. He completely stopped standing, let alone move forward with anything else. His physical therapist told me a couple of days ago that it’s like he’s gone backwards several months developmentally, which is exactly what I see.

That’s the hardest part about fostering, that sometimes I have to do something I don’t believe to be in his best interests because that’s what the system demands. I can see it’s daycare isn’t good for him, and yet I still have to do it because they think a child does better in an outside educational framework. I pushed hard for an extra year for him to be at home with me and got it, and have to remind myself to feel grateful we were able to delay daycare as long as we were.

An issue that’s been challenging for us is that Rafael has shown very little inclination to eat from the time we started offering him solids at 10 months. From that time, he never ate more than two teaspoons a day total and only of few very foods. Nothing sweet. Nothing mushy. Nothing too chunky. Cucumbers and rice cakes were the only constants he would agree to.

Though he was medically approved for a specialty formula from the time he was a small infant, we didn’t often give it to him because we used donated mother’s milk. Only when we ran out would we use the formula, and it was very apparent that he never got sick except when he had formula for more than two or three days.

Recently he went through a month long period of one cold after another, nothing serious in and of itself;  the daycare staff told me it’s typical for a child in his first year of daycare. But he wasn’t eating much and he was even throwing up small amounts of formula – and my husband finally said, that’s it, we’re getting him off this formula.

I worried, how can we do that when he’s hardly eating anything? I mean, this child doesn’t eat. The formula was my security blanket, to know he was getting nourishment.  My husband said, the formula is making him sick, we’ve got to give him something else.

I had thought of replacing his formula with chicken broth several months before, but his speech therapist said she didn’t want me to do that. That night, we went cold turkey on the formula.

He was a very unhappy child for about a day and a half, during which time he very reluctantly would drink some small amounts of chicken soup from his bottle. But within two days, he was feeling much, much better. He suddenly was healthy again.

Not only that, suddenly he wanted to eat.  A lot. It was crazy and striking and amazing.

He began to intently watch everyone eating and literally overnight started to motion to have that food. And then he’d finish it, and have more. And then more of something else. After 14 months of trying and trying so many different foods and so many different ways to get him to eat, it was miraculous. I was afraid to believe it, afraid it was just a fluke.

But it wasn’t. And a couple of days after that, he stood up for the first time in six weeks.

So that’s all been very recent and very exciting!

The next thing that I’m working on is getting his sleep adjusted. Before he went to daycare, he would take a morning and afternoon nap, and sleep through the night. He was generally an extremely happy and good natured baby.

Then that all changed. He stopped sleeping through the night and the much shorter nap he had at daycare was much less than he was getting at home. He has been really grumpy and miserable when I pick him up, purely as a result of exhaustion. I estimated he was losing about 3 hours of sleep daily. That’s a LOT.

But by the time he gets home it’s mid afternoon and too late in the day for another nap.  So that’s the challenge right now which I feel very optimistic about resolving.

I don’t have a camera but my oldest daughter came by for dinner tonight and I asked her to snap some shots to share with you in honor of his birthday.

Me and Rafael, 2 years old.
Me and Rafael, 2 years old.
Me and Rafael, 2 years old.
Me and Rafael, 2 years old.

Rafael has a way of showing very clearly his feelings for someone. When he sees someone he loves, his face lights up and he reaches both hands out to him- my boys love being the one to pick him up from daycare because they are then the recipient of his beaming smile and outreached hands.

Just like this!

 

Oh, my gosh, how we love this boy!

Avivah

Why we chose foster care rather than adoption

Can you believe it’s only been six weeks since R joined our family?!?  He so quickly became an integral part of the family that my younger boys told me they can hardly remember him not being part of our lives!

R - 10 weeks old (photography by Chani Ceitlin)
R – 10 weeks old (photography by Chani Ceitlin)

During this period, we’ve constantly been asked (literally in almost every conversation): “Why did you choose foster care rather than adoption?”   

The answer is simple, not based on idealism or preferences but need.  Here in Israel, babies with Trisomy 21 who are given up aren’t usually available for adoption – they go into the long term foster care system. And so we went where the babies who needed families were.

I have been very pained seeing babies with T21 being given up because of their diagnosis.  According to the placement social worker, they are the only children voluntarily given up as newborns – not those with much more complicated medical diagnoses or those with a more limited long term prognosis.

R - 10 weeks old
R – 10 weeks old

It was a combination of our strong family values and the desire to be part of the solution rather than complaining about the situation that prompted us to begin the qualification process to be foster parents specifically for an infant with T21.

“Practically speaking, what does it mean to foster?”

Our intention is to raise R as a member of our family in every way and unless his foster care status changes, he will be with us until he is an adult (age 21).  While in many ways this is very similar to an open adoption-  regardless of how we feel or what our intentions are, R is not legally our child.

031702049
That means that we will have social workers coming into our home at least monthly to check on him for the next two decades.  It means he has a different last name than my other children.  It means visits from the birth parents.  It means significant decisions for him have to made in conjunction with his birth parents and social workers, and my personal preferences regarding his care can be overridden. (It also means that I needed signed permission before posting any of these pictures!)

Most significantly, if his birth parents were to change their minds they could at any time take him back.  Though it’s unusual for children who were given up because of their special needs to later be taken back, it does happen.

031702033

I can’t lightly skip over this possibility because it has created a pervasive sense of unease within me that I didn’t anticipate.   I’ve shared this feeling with our social worker, and her answer is to sympathize but say, “This is the reality of foster care,” and to remind me that it’s the birth parents’ right to take him back whenever they want.

“Will R be able to be adopted at some point?”

When we were shown R’s file, we were asked if we were willing adopt him if his status changed.  We immediately said ‘yes’.  However, based on what was explained to us about why and when children are transferred to the adoption track, it seems to me the likelihood of him being placed for adoption is extremely low.

We didn’t go into fostering without a great deal of thought and discussion as a family.  We knew there would be challenges and we decided that letting fear of the unknown keep us from offering our home to a child in need wasn’t the right choice.

And though it would be understandable to hold back a tiny piece of one’s heart for self-protection, we’re not letting fear keep us from unreservedly loving our newest addition.

031702032

Though the external circumstances aren’t perfectly smooth,  we’re so happy and grateful he’s part of our family!

Avivah

**Thank you to the wonderfully talented, patient and sensitive Chani Ceitlin for her photography!**

Meeting the baby’s birth parents

Before I met the birth parents of the baby whose file we had been recommended for, I had a clear idea of what we were looking for.

I have a high value for win-win relationships and it was important to me that the parents are people whom we liked and respected, and who would like and respect us.  It’s also important to me that the child we bring into our family can be raised like all of our other kids, to have a true sense of belonging – not to be pulled between two families.  This was my biggest concern about fostering.

If I made a wish list of what I wanted the birth parents to be like, it would look like this couple.  Really.  I couldn’t have custom ordered a better set of parents to be in this relationship with.

By the time they met us, they had already met with two other families and interviewed a third on the phone.   (We were the only family recommended by our agency; the other families were through other agencies.) The wife told me they aren’t going to just take whoever is available, that they’ll wait two or three weeks longer if necessary to find a really good home for him. Since this is a placement for the next 21 years, they want him to be in a home where he will be truly loved and nurtured.

(This placement is in some ways more similar to an open adoption than what is typically referred to as ‘foster care’.  Foster care is intended as a temporary situation with the intent to rehabilitate the family so the child can return.  We certified to do foster care for children with special needs, and in these cases, the child is given up because of a disability that the parents aren’t able to deal with and there is no expectation that the child will return to live with his biological parents.  However, the biological parents are expected to maintain some kind of connection with the child – this can be as infrequent as two hours once a year – the child keeps their last name and they have the legal rights to make decisions for the child.)

We were the last option – the couple was told some inaccurate information about what kind of community RBS is and that’s why we weren’t initially contacted for a meeting. That was later corrected and then they were in touch with me.

They are kind, intelligent, caring, open minded, and very very much appreciate the kind of home environment we can provide.  Our expectations of one another and how we see the fostering relationship being handled is very compatible.  We genuinely like and respect them, and it seems the feeling is mutual.

We agreed that we’d all like to move forward with this placement and if it were up to us, we’d have all driven to the hospital together and taken care of it right then!  But it’s not up to us.

Though there are two motivated sets of parents and a six week old infant waiting in the hospital who is medically ready to be released, we have to wait for the social workers to be in touch with one another to set an official time for us all to meet in their presence.  Then there are technical details to sort out and then we have to meet with the doctors at the hospital and meet the baby himself.

None of that sounds to me like it should take that long and I expected that the parents having already met would have expedited this process significantly.  But there seems to be a protocol that needs to be followed regardless.

Almost two weeks ago I was told the placement could be done within two days, and then told it could even be pushed into one long day if necessary.  Today I asked for some kind of timeline so I can make plans for my week – I can’t leave every day completely open just in case they decide to call me in at the last minute.  She said that she really can’t tell me how long it could be, that all these factors aren’t in her control and it could take another week.  Or maybe more?  It’s very undefined, which leaves me wondering how long this could drag out for?

I called a friend who is an experienced foster parent and outlined the entire situation.  Is it likely, I asked, that in this situation – with both sets of parents in agreement along with us already being certified – that something can happen so that it won’t work out?  She didn’t think it was likely.  Possible, but not likely.

An Israeli friend who is a lawyer told me to be careful not to get emotionally involved, that until everything has been tied up, there’s no assurances of anything.

She’s right.  Anything can happen and there’s no guarantee that this will work out, as positive as it all seems right now.

So that’s where I am now.  Once more, waiting and wondering.

Avivah

Our fostering deadline passed and nothing has moved forward

Some of you who have seen me in person since my last post have asked me what’s happening with the fostering situation.  And the answer is, nothing.

Our deadline was Tuesday.  On Monday afternoon I contacted the placement social worker to ask if she had set up an appointment for us to meet with the baby’s biological parents.   By then we had been waiting a week for this appointment.   She told me she called the social worker representing the parents that morning and since the office was closed due to a strike, the appointment couldn’t be made for the next day.

So I said, “So that’s it, right?  We can take this possibility off the table.”  And she said, “Well, that depends on you and your husband.”  I asked her what she  meant, and she said if we would be willing come in when an appointment could be made it might still be an option.

I was pretty annoyed at this response, as if the responsibility for the outcome depended on us when we were the only ones who had been timely during this period. We made ourselves completely available and from the very beginning were super clear with them that beyond Jan. 31 we couldn’t continue with the process.  I told her that we did everything we could have done and it wasn’t up to us, it was up to them at the placement agency to be flexible about meeting us during non-work hours if it was going to happen. And since they already said they wouldn’t do that, then was nothing more we could do.

After that conversation it was actually a relief to know that it was over.  It was a disappointment, but it was a relief.  Every day I was waiting, waiting, wondering…and now I don’t have to wait and wonder anymore.

By the way, I heard back from the contact person about the other request for a foster family for a baby with T21 that I mentioned in my last post.  The baby that needs a home is Baby M, who we spent so much time with a few months ago when she was left as a newborn at the rest home for new mothers.  Believe me, I wasn’t expecting that at all when I responded to that email!

Contrary to what the plan had been, she was placed with a relative for a few months and now they’re looking for a long term placement (she’s 5.5 months).  I was very upset to learn she hadn’t been placed with a long term family.  Of course I don’t know the specifics and I trust that everyone involved in making the decision had her best interests at heart, but I’m concerned about such a small infant having to undergo so many significant transitions. I had to repeatedly remind myself that G-d is running the world and has the perfect plan for each person.

Just in case you’re wondering, I emailed the person back and asked her not to forward my email on to Baby M’s family.  It’s clear to me that our part was to help her when and how we did, and that this baby is meant to be part of someone else’s family.  Hopefully a wonderful family and very, very soon.

Avivah

A baby boy with Trisomy 21 is available – will we be his new family?

Last week I shared that our application for special needs foster care was approved but that we’d have to wait a few months until we attended a two day training in the late spring before we’d be allowed to bring a baby home.  So I let you know that our fostering will likely be on hold for a number of months.

At the end of the same day I wrote my post, I got a call from the placement social worker.  She told me there is a baby who matches our profile and she asked us to come in right away the next morning to discuss it!  I asked for some details but she refused to tell me anything – she said she can only tell me in the office as part of an official meeting.

Dh and I got there, read through the file and agreed we would theoretically be willing to bring the baby into our family.  The next step is to arrange for us to meet the biological parents and see if we are all compatible.  (This case is almost identical to the situation with Baby M except that this time everything is going through legal channels; my concern is the same now as it was then – that our family won’t be seen as a match by the biological parents since we aren’t chassidic.)  Since the baby is almost 5 weeks old, is still in the hospital but has been medically approved to be released, we were told his placement is a priority.

After five days, we’re still waiting to hear about if there will be a meeting set up with the baby’s parents.  (The parents were given our names by their social worker so they can ‘look into us’.)  Dh will be starting a new job in the beginning of February and at the meeting I told the social worker that once he begins, it will be a while until we will have the flexibility to come in for meetings and appointments.

(Each time there is a baby available that you might be a match for, you have to go in for a meeting to read the file.  And then another meeting on another day to meet the parents.  Then another meeting or two on yet another day to meet the baby and doctors.  This is in addition to all the meetings we had with the social worker during the application process.)

There are two days left until the end of the month!  Will they be in touch with us before then?  Is it possible for things to move that fast?  I really can’t even begin to guess what direction this will go in.  I know how I would like this to work out, but I also know that G-d is better than I am at working things out perfectly.  ðŸ™‚

gds timing

The day after we were called in I was feeling quite edgy because of the uncertainty, waiting to hear that a meeting was scheduled.  I just wanted some definite detail to hold onto instead of all this misty nothingness.  I hardly slept that night and when I woke up it was with a terrible headache that stayed with me for hours.

Somehow I was able to recenter myself and just say, okay, it will be what it will be.  Maybe it will happen, maybe it won’t.  Maybe it will happen at the very last moment and maybe it will be a few months from now with a different baby.  Maybe it will never happen.  It’s a good thing that I was able to do that because that was a few days ago and my anxiety level would have been sky high by now if I hadn’t!

On yet another related note, this evening I received a forward from a blog reader about a baby with DS whose family is seeking a foster family for him.  Even though we’re supposed to be on the brink of meeting with these other parents, I responded to the email because I believe if something comes your way, then G-d sent it to you for some reason.  It might not be the reason that I think or hope it comes to me, but there’s always some reason!

So here I am, living in the moment but at the same time wanting to keep you in the loop. 🙂

Avivah

Our foster care paperwork – we’re approved but …

A couple of weeks ago I got a call from the social worker who is responsible for our foster care file.  She apologized for delay in processing our paperwork, and said that the supervisor was requesting more information about us after learning that Yirmi (age 4) is being homeschooled.

Homeschooling isn’t a common choice in Israel and hearing Yirmi isn’t in a school framework triggered the supervisor to look extra closely at our case.  She wanted to know: have we ever homeschooled another child, if so, who, why, and how long.  They made additional inquiries beyond the standard application – they wanted to know if he is being taken to the well baby clinic for checkups and to the child development center for therapies, and requested additional medical references to speak to (in addition to those references who are usually requested whom they had already spoken with).

After a long conversation in which I provided all the additional information that was requested as well as a conversation with our pediatrician (who when pressed for a response if there’s something suspicious since we don’t take Yirmi to the child development center for therapies said, ‘What don’t you understand?  She’s the best mother ever and I would want to be a child in her home!’) , our file has now been approved.

So what happens now?  Is it imminent in the near future that we’ll be welcoming a new child into our family?  It doesn’t seem like that, since we were told we’ll need to attend a two day foster care workshop before they will let us bring a child home – and the next workshop we can attend won’t be earlier than the end of April.  So unless the agency decides there’s a baby who needs a home and is willing to let us defer attendance of this workshop until after we foster a baby, we’ll be waiting for a while.

waiting

(Not all foster care agencies have this requirement – a friend who does foster care in a different part of the country was surprised by this requirement, since neither she nor her friends who do foster care had to do this for their agency. )

I feel very at peace with this situation as it is.  We’ve done our part and if and when there’s a need for our help, it will happen at that time and only at that time.  I’m not trying to second guess G-d’s plans and timing!  When something changes, I’ll be sure to keep you posted!

Avivah

Our foster care application for an infant with special needs

Today I received a voice text from a friend who commented on how it seems that something is leading us in the direction of helping newborn infants with Trisomy 21 whose families don’t want to keep them.

She was referring to my involvement with Baby M in addition to my posting several days ago on Facebook about another baby girl with T21 who was waiting in the hospital for a foster family.  In that case, I was contacted by four different people within a short period and was in contact with a social worker who verified that baby happily has found a home.

I’ve heard it said that you don’t choose your mission but that your mission chooses you.  I can’t say that this is my mission.  I certainly haven’t sought it out.  But it’s interesting that these situations came to me without me soliciting them in any way.  For whatever reason, different people thought that we could be of help, though I never indicated any specific interest or desire to do this.

My lack of expressed interest about it wasn’t due to a concern or willingness.  In fact, it was two days before someone called us about Baby M, after weeks of discussion with my husband and children, that I spoke with a foster care agency representative and told them we wanted to apply as a foster family for an infant with T21.  No one who contacted me knew anything about that, though!

I don’t like to talk about things until there’s something to talk about and hence haven’t shared about this.  However, the application process has have been humming along in the background, and I decided today to share this with you.

The application process to become a foster parent takes about 3 – 4 months.  At the end of last week we completed our foster care application for children with special needs.   (This is a different track than fostering children who don’t have special needs.)  In Israel, fostering a child with special needs is a long term commitment – until the age of 21.

The application process included medical checks, bloodwork, extensive paperwork, criminal checks on everyone in our family over the age of 18, and several visits by a social worker to our home (including meeting with our youngest six children and discussing fostering with them) and a tour of our home.

The meetings with the social worker were pleasant and she told us at the end of our final visit that it had been very inspiring for her to  meet us.  Which was of course nice to hear but trying to impress her wasn’t something we set out to do.  I think she got an accurate idea of who we are and how we parent, and I’m glad of that.  (She also told me she can’t understand how I don’t have a clothes dryer and every time she does laundry for her two children she now thinks of me! :))

She asked each child their thoughts on fostering.  Ds7 told her it would be nice to have another person in our family.  “But you have so many people in your family already,” she protested.  Ds7: “It’s not so many – it feels like we’re a pretty small family!” 🙂  It really does feel like that to us sometimes!

At this point we’re waiting for the final approval of our application, which we were told to expect will take 2 – 4 weeks.  My younger kids have asked several times, “When are we getting a baby???” and I’ve explained to them it’s not like a store that has babies stocked and you pick one off the shelf!  If a baby is born who matches our profile, we’ll be contacted.  This could take a very short or very long time.

I don’t feel any urgency about this.  We’ve done what we can to be positioned to help if there’s an opportunity to help, in a way that is aligned with our values.  If our help in this way is called upon or not  isn’t up to us!  My preference is that every child with T21 will be born to a family who will love and cherish him – that would clearly be the best scenario.  I’d really rather not be needed!

If it does happen that there’s a situation in which there’s an infant who needs a home and we’re able to offer that, then of course you’ll hear about it.  But don’t wait with bated breath – as I said, it could be a long time!

Avivah