Quick Guide for Social Worker’s Handling Children for Adoption (© 2018 nter-CounryAdopten Board, Alright reserved Document controlled unless otherwise ‘marked. Reproduction and cstrbuton ofthe ule Gude without writen permission of the author prohibited.inke-ZourtryMiepion Board (CARY Yssve Date [August 30, 2018 Doc Code aB-CU GAOT oon evaloniias [2 ick Guide fo Social Werker’s Handling hien for Adoption Foreword, Social workers are traned on general principles of social work andl community evelopment. Adoption Is a specialized field of child welfare which require highly ‘specialized knowledge end skils. Social workers in different settings enhance skills by on the Job training. Ironically, most child care facilities have fast turn-over of social workers and lack of proper Endorsement of cases. These factors significantly affect the movement of cases and ‘quality of the cild study report. ‘The cases of children cleared for adoption require proper management and substantial Information on the child and the birth family. The review of the children’s Gossiers, actual experences, exposure and training of social workers on Inter- Country Adoption es well as the multi-aisciplinary expertise of the Inter-Country Placement Committee of ICAB and the Board itself has produced @ multitude of Information. The wealts of information was collated and compiled into @ Quick Guide, 3 convenient tool/ reference to assist social workers directly handling cases of Ehidren for adoption. ~he Quick Guide further aims to address gaps and difficulties fencountered in handling adoption cases. “The Quick Gulde complements the existing guidelines and policies on adoption by the Depsrtment of Social Welfare and Development (DSWD) and is not Intended to Substitute any document required by the DSWD. “This isthe second editon of the Quick Guide. The first edition was printed In August 3017 and wos launched during the Global Consultation on Child Welfare Services In September 2017. A contents of the Quick Guide have been reviewed and approves. Page tofTrier-GteyAdootion Bosra CAB) | sue Date | Aagut 30,2078 (Quick Gude for Social Worker's Pos Gada) [1B Conran Handling Children for Adoption aap “The Quick Gulde Is a result of the ICAB team that worked many months to come up with the tool. 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OF OWN “T poxruuse> AjseQunionuT “Tr Pano STI Deano WOEUDOHT oe) 1 ‘wostNay 3 eS] NCCES aondopy 0} aupnn BaNPHEH ssOHOMAIEH0S.0}9pMB AMM | 4 02 0 sy 02581 (a) se0g wontopy Anus 1261 == a a | ra A ag SoC A-SI SSee==8 | Quick Guide fer Social Worker's Revision No. 2 anatng Chien for Adoption Annes A: Ge questions for Brtmother On the chit’ irtnparents 1. Name and ate of tr of binder 5 tame an a rare unter sch as phys appearance, ody Pu Pon ere ett eyen shape of nse and ably cfr, Fay. 3. aeRO eM rethorsestibe hrs av person (ei Gut, reseed SM, tsuable end ee? 1. Ree et ne ithmother Ince he bese droge Inomaten on ee pe ens whe parsing sve, communiaen ey, and dacine one eatorarn, dsiplnara tegecfal passive, ee) s, RTeOG 8 Smut onan rues se ar of © bing group? I ye sesre nectar vara rankn te sing st a. ReBainaete Goer deurbe er upbanging end chidhod experiences (6, ew dows te ecient supportive party nt Hse ef abu, ere / seesinemechs oft parnt ote thet et)? cing meat ote ere debe er relsordip wither parent and Ne ow doe any tn ttntrs hing nae cea to an why? + HRNeR Urea say abut her pens reatonship wih each ter ‘to ter herent coe seta changes inthe amy hat affect te bitmoters oroeatucewetengrpesonaty? «PUR dRti! Mave sry o sexe! abuse, please refer t Annex B for gue questions, ha eet tumoter eer wile growing w? Ifthe mathe sured eet nese ed hospataaton, nformaton en the nature of he ness ond see edd au be secre ond neue nthe repo eae reete ithmethe stat forma schooing? here dd the bthmother go ott 9. 2 Re Breer sh studying? If nt neste the highest ee oF edvestinal Xe een athe bmater sop hog and wy 10, SERIE en eimai sor ithe otras working, he oc oc et ent sts eras emt es empayer soue ond a nam fe enter for prpees ef clue trven 1a. ee sUS, ae uthbaer have (oa ooking, svi, cami, bushes eh)? 1: What ele ose oreo te brmotrer (a. metching levi, eo re tas yuuh cu neoow yee)? 1a, Besa sc owekobiner ne ote he wes preanan? 14, How did the birthmother feel about her pregnancy? _ Page LolaTntarCounty option Board | sue Date ‘Ragst 30,2058 ‘oe Code THE-N ETATSE Quick Guide fer Social Worker's | Revision No. t andling Cidton for Adoption 16. a. 18. 19. 20, a4, 2, 23. 24, 25. 26. 27. 28, 29. Wien id the birthmether submit herself Yor pre-natal check-up (e.g. ist trimester, ‘Second trimester, ete)? If ne pre-natal check-up, Indleate reasons for not getting pre~ natal care, Bid the birhmather have any lness during her pregnancy? If yes, please specify the iilgess and indicate any medical treatment provided, Did the birthmother consume alcoholic beverage/s, controlled substance/s or smoked ‘dgarettes during her pregnancy? I yes, type/kind, frequency of use, 2s well 2s duration Of use should be Included in the report. It Is crucial to determine which stage in the pregnancy when the birthmother consumed beverages and controlled substance/s fnfornation on the bithmother’s health habits prior to and during pregnancy Is also crucial. What cid the birthmother feel after seeing her chile? What did the birthmather do when she frst sew the chil? Did the birthmotner care for the child prior to admission to the child caring ageney (e.9. breastfeeding, bathing, changing clothes, puting the child to sleep, bringing the child for immunizations or check-ups, etc.)? ‘who gave the name of the child? What Is the significance of the name given to the nila? Is the birthmother anare of any hereditary or genetic linesses in her family (e.9. high blood pressure, diabetes, mental liness, etc)? If yes, please indicate who among the parents have hereditary ilnesses, Has the birthmother received counseling, psychiatric treatment or confined to 3 Dsyehlatric facity? If yes, Indicate the reason for the counseling or psychiatric treatment, name of institution where the services were availed, name of psychologist for psychiatrist. If the birthmother has mental dsabilty, please refer to Annex C for {questions to ask and Information to include in the CSR. Who is the child's birthfatner? Get demographic Information on the chile’s birtfather. ‘Where Is the chila's brthfather? How did the birtamot er meet the child's birthfather? How will the birthmotner describe her relationship with the chila's birtather? Ishe aware about having a cillé with the birthmother? If yes: ‘+ Dig he acknow edge paternity? {Blane hea supports te bithmetner? Peas spec wha fom af suppor any. + Was he consulted regarding his plans for the child? {+ How does he feel about the child being given up for adoption? {+ TF not, please state the reason/s for not informing him about the child. Does the bifthfether have records in the barangay or police (e.g. domestic violence, public scandal, physical injury)? If yes, what actions were taken against the brthfather? F the bithfather is imprisoned, location of his detention place, nature of his detention and status should be Included in the report. Page 2 of 43 Inter County Adoption Board [sue Date ‘rags 30,058 re Cae ies CUS HTD 2 ick Guide fer Social Worker's [Revision No 1 alg Chien for Adoption 30, How many children d@ the bithmother have with the chid’s birthfather? If there & more than one child, please list the names, ages and whereabouts of all the children. 31, When did the birthmother last see or communicate with the chile’s birthfather? ‘Termination of Parental Rights-Ask the following questions: 1, When did the birthmother decide to relinguish the child? 21 What are the circumstances that led to the decision of the birthmother to relinquish the child? How does the birthmather feel about relinquishing and being separated from her child? fre the birthmother’s family members supportive of the decision to relinquish the child? How do they fee! about being separated from the child? ‘What will make the birthmother keep her child? \What services were grovided to the birtmather to help her keep her child? ‘What options were e>plored with the birthmather to help her Keep her child asi¢e from Kinship care (ie. temporary placement to a child caring agency, Foster care)? Does the birthmother and her family understand the implication of relinquishing the chile? Is there any update on the birthmother’s decision after signing the Deed of Voluntary Commitment? 10,_Did the birthmother vst the child at the child caring agency/foster home? 5, & 7 8, 9. Page of 4Titer Country option Board | sue Date age, 2018 Doc: ode TAs -GU Se RITOOT ‘Quick Gude for Social Worker's | FeWsion No, ¥ Handling Ciezenfor Adoption ‘Annex B: Guide Questions for Birthmother with History of Sexual Abuse Instructions: ‘Ask questions 1-25, 28 and 29 from Annex A for information regarding the child's brthparents. ‘On question number 23, there Is no need to Include in the child study report the demographic Information of the perpetrator. Questions regarding the abuse: 1. Age ofthe biethmotrer when the abuse happened. 2. Who is the perpetrator? I the perpetrator is related to the birthmother, pleese speciy the relationship (Ie. cousin, uncle, father, etc). 3, Wes the abuse reperted to the birthmother’s parents? If yes, what actions did the birthmother's parencs take against the abuser? If not, reason for not reporting the abuse. 4, Was the abuse reported to the authorities? If yes: “To whom and when was the abuse reported to the authorities? Please specty (€.0- teacher, doctor, barengay, LGU, police). + Do you have a copy ofthe report/S? If none, secure copy from the authoritles where the abuse was reported. + Has a formal case been filed in court against the perpetrator? If yes, what is the status of the case? Conduct risk assessment to determine if protective custody is necessary. The social Worker should also ensure that the birhmother receives counselling or therapy in ‘der to help her recover from the trauma of the abuse she experienced. If the birthmother is a minor and s willing to file @ case in court but has no support from her family, the social worker shoulé make the formal complaint on behalf of | the minor birthmather, The socal worker should also monitor the progress of the | cease in court. '5, What other form of services does the birthmother receive and from whom (e.9. legal, education, livelihood, skils training, etc.)? 6. Include information on the current situation and whereabouts of the birthmother. ‘Termination of Parental Rights Instructions: Ask questions 1-10 from Annex A Page of 14Inver County Adopion Board [sue Date gst 36,2058 Doe Code TAB =CWUE ROT OOF uick Guide for Social Worker's [Revison No 3 Nandling Chieren for Adoption Annex €: Guide Questions for Birthmother who has mental illness or ‘mentally /intellectually challenged 8 in ‘Note: The questions should be asked from the bithmother’s nearest of kin ifthe birhmother is incapable of understanding/responding tothe questions. The socal worker should also get basic ‘demographic Information about the nearest of Kin Instructions: ‘Ask questions 1-22 from Annex A for information regarding the child's birthparents Additional questions on the birthmother: 10. ‘what are the unusual behaviors manifested by the birthmother? Ask the nearest of kin to describe the birthmather’s behavior. Do net label the birthmother as mentaly Ill or intelectually challenged without any psychiatrie/psychological proof. When did the nearest of kin observe that the birthmother Is pregnant? Was the birthmother submitted for psychological evaluation (for mentally/intellectually challenges birthmother) or psychiatric evaluation (for blrthmother with mental illness (ie, schizophrenia, bipolar disorder, post-traumatie stress disorder, etc)? If yes, secure {2 copy of the report. If there is no psychiatric or psychological report avaliable, request the nearest kin to secure copy of the report. The dlagnesis/indings should be Indicated In the child study report. If the birthmother was committed to a psychiatric fact, where, when and how long? Copy of the report from the psychiatric faclity should be secured. Ifthe birthmotner was treated at a mental hospital, the socal worker should assist the birthmother's nearest kin in securing copy ofthe psychiatric report and other medical records. ‘What are the possible causes of the birthmother’s condition? I the birthmother taking medication, please specify the medication (generic name of ‘the medicine and dosage) and how long the birthmather been on medication. If there are improvenents noted In the birthmother’s behavior/s as a result of the medication/s, please specify in the report. Does the birthmather’s condition exist in the family? Ifthe birthmother has other children, got thelr complote names, ages and whereabouts Is the bithmather capable of interacting with her other child/ren, any? Vlas the birthmother Informed that her child was relinquished for adoption? What was her ceaction? The birthmother has the right to know about any decisions regarding her nla 1f the birthmother gave birth without the knowledge of the nearest kin (e.9. birthmother fs roaming around, went missing) ask how they learned about the child. Secure ‘complete name and contact details of the source of Information for validation. Pages of 1a= ra ga bad ere CAB [Doe Co TASEWES AFOOT PEATE | aucuetrsoca Worar's | RvonN. t Mann hen or Aopton : "Questions to ask Ifthe child's birthfather fs known: . Name and date of bith of the birthfather 1 2: physical description of the birtnfather: body bullé, height, complexion, color of the eyes, nose shape and disablity/deformity, if any '3, What can the nearest kin say about the Dirthfather's personality (e.g. quiet, reserved, shy, sociable, friendly, ete.)? 4, How did the birthmosher meet the child's birthfather? ‘Termination of Parental Rights Instructions: Ask questions 1-10 from Annex A, The questions should be directed towards the birthmother’s nearest of kin. Note: For 2 mentally Ill bithmother to sign the assisted DVC, @ medical/psychiatric report indieating that she has the capacity to make sound judgement must be in place. In case the birthmother is mentally incapacitated, follow procedures under Republic Act 9523 on filing of petition to dectare the child legally avsllable for adootion.. Page 6 of 16TnlerGountey Motion Board‘ sue Date agit 36,21 Doe. Code TBO 2017-00 ick Gide for Social Worker's | Felon No. 1 ann Chien for Adoption ‘Annex D: Guide Questions for Married and Common-Law Partners finstudionss = SSSCSCSCSCS~—~Ss‘“—sSsSsSSSSSSY [Ask questions 1-22 from Annec A for information about the chilé’s birtnparents. Questions about the relationship of the birthparents: 1, How did the birthparents meet? 2, How do the birtnparents describe thelr relationship with each other? 3. If one of the birthparents Is imprisoned, provide information regarding the case (e.9. nature of offense, location of detention, date of detention). What Is the Implication of the imprisonment to -he relationship of the birthparents? 4, How many children ad the birthparents have? If there Is more than one child, please list the names, ages and whereabouts of all the children athe parents are separated, refer to the following additional questions: When was the last tine the birthmother talked to or saw the chile’sbirthfather? What was the reasor for the separation? How did the birthmother feel about the separation? What is/are the impect of the separation on the child? ‘re the relatives of the child's birthfather aware of the birthmother and her child's situation? IF yes, how do they feel about the situation? 6, What are the birthmother's future plans, if any? If the child has older slbings who are not relinquished for adoption, include their reactions/feelings towards ther siblings’ adoption. ‘Termination of Parental Rights Instructions: Ask questions 1-10 from Annex A. Questions are dlrectes towards both set of binthparents Page Tot 14Tre Country Adoption Gaaed | esue Oate gt 35,2008 Doe: Code TAs -CWUS DIT. OOT Quick Guide for Social Worker's | ReisonNo 5 Handling Cilden for Adoption ‘Annex E: Gulde Questions for Abandoned Child Ed: With Known Parent/s (When the child was bom in @ hospital, Iying-in clinic, maternity Clinic delivered by @ midwife, lef to a person not related to the child) on the child ._ Name of the hospital/linic where the child was born. | Whhy was the chil left at the hospital/clinic? When was the child left (should specify date)? \What information was shared or given by the birthparents about the chid (e.g. name, age, date of birth)? ‘What was the chil's physical and health condition when left in the hosplel/linic? ‘Were there any distinguishing marks or maiformation on the child? 6, What was the child's behavior when left (e.g, fearful, anxious, crying)? 3) Mow long aid the child stay in the hosptal/cinic? On the Child’s Family - This tackles the composition and pertinent background Information on the blabgical family. The Information can be abtsined trom the hospital Staf (e.g. medical socal worker, admitting section, nurses or co-patients) of the hospital Where the ehild was fet. The information should be presented chronologically as follows: 1. Demographic infarmation on the birthparents, 2. Physical description of the birthparents: body bulld, height, complexion, color of feyes, shape of the nose and dlsablity/deformity, It any. Bid snyone accompany the birthparent/s during admission at the hospital? ‘Bid anyone visit the child ane the birthperent/s while et the hospital? ‘Wat was the behavior of the birthparent/s prior to leaving the child? What information eld the birthparent/s provide, f any before leaving the hospital? Was there any agreement betveen the birthparent/s and the hospital or neighbor regarding the chid? 8, When was the child last visited by the birthparent/s? ‘9, Were the birthparent/s contacted since thelr last visit? If yes, indicate the date, purpose for contacting the birthparent/e and thelr response. o.Where was the birtiparent/s last known address? ‘on the person who received the child 1. Demographic ieformation and physical description (e.g. name, age, address, ‘occupation, wore address, contact number etc). (Note: The physical description/features on the actual custodian Is necessary to allay suspicion whether the custodian isthe birthparent). Page of 14TnterCounty Adoption Sard [have Date gust 90,2018 Doe. oe ies S TOO (Quick Guide for Sociat Worker's | RevsionNo. 1 onli Cilrn for Adoption 2, How did the custodian establish the filation of the person to the child? Information Is necessary to rule out any suspicion thatthe child might be traficked, 1. Description of the physical appearance of the person who left the child. Specify if the child has any resemblance to the person. |. What isthe relationship of the custodian to the chilé’s birthparent/s? , What resson/s dé the birthparent/s give for leaving the child? When or how long ago was the child handed over to the custodian? What did the custodian immeciately do after the child was handed over to him/her? Did the custodian report the child's circumstances to the authorities ~ barangay, DSW, police? 9. IF tt took sometine to report, what are the reasons for the delayed reporting? 110.What prompted the custodian to accept the child? LL What arrangements were made between the birthparent/s and the custodian? 12.What kind of child care was provided by the custodian to the child? 413.Did the birthparent/s ever return to get back the child? 4£4.When dl the birnparent/s return? How many times did the birthparent/s return? 15.What information were given by the birthparent/s to the custodian when he/she returned? 161s there any other person who can validate the information glven by the custodian (of te chile? Information 1s necessary to rule out any suspicion that the child might be trafficked, Get demographic information and contact detalls ofthe other person who has knowledge about the child. What does the other person know about the Child and the birthparent/s? 17.1F child stayed for several months with the custodian, ask about the developmental ‘achlevernents of milestones i.e. age when the child crawied, sit alone, stand, wal, talk, medical ments ane treatment, Immunizations, hospitalizations (If any). If Schodl age ~ ag2 when the child start attending school, attitude towards school, Felationship with peers ang teachers, academic performance or if developmental or ‘medical red flags have been observed etc. £.2 Without Known Parents (Child Is found In public places) 1. Where was the child found? Include a description ofthe environment or place found. 2, When was the child found (specify date and time)? 43, What wes the child's physical appearance/behavior when found ([.e. clean or unkempt, weak, sick, crying)? Were there things with her/him (Le. clothing, toys ete.) If nenborn, what was the condition ofthe child (with umbilical cord stil intact, cleaned- ‘up, blush, with discoloration, with placental scums, wrapped in baby blanket, towel ete)? 4, Depending on the age of the child, obtain the following: ‘Identifying information (Le. name, date of bitth) Page 9 of 18Inter Coury Adoption Goad [Fue De agus 50,2058 Doe. Cade TEES Revison 6, 1 ule Guide fo Social Worker’ Handling Cidren for Adoption "Wo brought the child fo the place where he/she was Found? What was tre child doing in that place? \Who are the companions ofthe child? \What isthe relationship ofthe child to the companions? How did the child get to that place? ‘What are his/her recollection of birth family/siblings((e. name of parents, siblings, address? 5, What was the appreximate age of the child when found? Ifthe child is not newborn, ‘who made the approximation on the child's age and the basis for approximating the ‘age should be clearly specified. . Wi found the child? Obtain demographic information of the finder. Why was the finder in that place? | How did the finder determine that the child was abendoned? What did the finder do (he, reported to the authorities)? {ethere any other gerson who can validate the information given by the finder of the Cchils? Taformation is necessary to rule out any suspicion that the child might be trafficked. Get demographic Information and contact details of the other person who has knowledge about the finder. 10.What efforts were undertaken to locate the child's rents? Page 10 of 14z a CL — AB stale icowneonron ee ‘Quick Guide tor Social Worker's Revision No. 1 lace caren ‘Annex F: Gulde Questions for Involuntarily Committed Child 1. Who reported the child abuse incident to the authority? 2, What actually happened? How did the abuse happen? Indicate frequency ofthe abuse. 3. where did the abuse take place? 44, Who may have witnessed the abuse? 5, What triggered the report of the abuse? 6. What are the circumstances leading to the referral of the child to the child caring agency? 7. Who isthe perpetrstor? What is his/her relationship to the child? 8, What action/s has/have been done relative to the child's situation 9, Is there any support system next of kin available to help care for the child? If yes, please provide the name and contact information. 110.Were there other erlldren left in the home? Is there Impending danger to any child left in the home? “Ltlas ¢ case been filed against the perpetrator? What Is the status of the case? A. Questions to the family regarding the perpetrator 4. Demographic Information on the perpetrator including educational attainment, ‘employment, ineame, housing. 2, Description of childhood experiences (i.e, upbringing experiences, discipline patterns, parenting practices of the perpetrator's parents). Has there been history of substance Bbuse, alcohol abuse, and criminal history of the perpetrator? 3, What are the strengths and weaknesses of the perpetrator In relation to parenting capability? 14, Vow does the perpetrator describe his/her marita/common-law relationship (i. how they et, confi resolution, decision making, communication styles, domestic violence)? Questions to the Collaterals (Collateral contacts may include, but not limited to: RRaiwiduels. with first-tané_ information regarding the abuse, individuals with prior lknowiedge of the family who have directly observed family functioning, schoo! professionals, physician ‘oF other health professionals, neighbors ané extended family member(s) not in the household) 1. Are there any charges of untoward behaviors observed on the child and the parents? ‘what are these cranges? 2, Describe the functioning of the child's family. 3._How do the parents discipline their child/ren? Page At of 14TnterCounty Adoption Board sue Date agus 30,2018 [Doe Code | Tex -OU-G-0NT. a0: | ick Guide for Social worker's | Fewsion No ¥ anlngCitren for Adoption Describe the parent/child interaction or relationshi E. Te there any support systemy next of kin avaliable to help care for the child? 1f yes, please provide the name and contact Information. . Questions to the child (Nvote: Use Interview, observation and other means to obtain information regarding the abuse) ‘The social worker should ensure that the child Is comfortable end relaxed during the Interview. The environment should be conducive for the interview. ‘Ask the ehild to narrate/describe the events of the abuse. Depending on the child's ability {to express, the soeial wotker may use alds to help the child such as an anatomically correct Goll or drawing. ‘Ask the child's feelings/teactions In case adoption Is not possible Page soft= TRAST — a ey Da gs iene Saccmresasanr VSB | creccutetrsact vous |Pvbe 1 a etree dep ANNEX 6: Questions for the child | Depending on the age of the child, the social worker may ask the followi 1, What are the childs attitudes, feelings and thoughts about adoption? What ts the child's understanding of his/her past and present situation? How does the child feel ‘about having a famly? What is a family forthe child? Let the child describe his/her idea about the members of a family. 2. What does the child look forward to in the future, wishes, aspirations, and dreams for himsel/herseit? What makes the chid happy/sad? How does the child manifest emotions? Please give 2 description of the child's mode of expressions (le. when angry, what does the child 440? How is the child pacified?) 4. What Is. the chilé’s attitude towards discipline and correction? What behavioral modification or method of discipline is currenty applied to the child? What works best for the child In terms of discipiine and correction? 5. Is the child able to spontaneously express his/her feelings or does he/she need coaching oF encouragement to open up? 6, How does the child relate with other children in the child caring agency? Does the child have a best fiend? 7. How does the cilé perform in school? How does the child relate to his teachers anc classmates? 8, If the child has a siting, how is his relationship with him/her? 9. If the child is for iter-country adoption, what Is the child's understanding of life abroad? To minimize frustration or adjustment dificulty, the child should be informed Of the realities of adoption and life aoroad. The child must be made aware that the lkimate purpose of adoption is to have a farmly to care and lave instead of gaining ‘material things Questions to be asked from the child caring agency or foster home: \'s caregiver and other significant persons in the 1. Dons the child respect adult authority? For the child who are the authority? 21 Does the child respect the rights of others? What does the child understand about rights? What rights does the child know and apply? 3, Does the child respect personal boundary? What does the child understand of personal things or ownership? 4, Does the child respect rules? What are the rules the child knows and what does It ‘mean to the child? 5. Does the child have a sense of right and wrong? Ask the child to give examples. 6, How does the child relate with the children In the center or foster home? Who are the child's playmates ~ younger or older than himselffhersel? Page a3 of 14TrterCouneyAdopton Booed [sve Date TET] Doc: Code TAB -GWOS TATOO ‘ick Guide for Social Worker's | Fevson No t Handing Cire for Adoption ee) 7. Ba you See the chid correcting other children? How does the chid correct Ris/her peers or younger ch ren? When does the child correct his/her peers or other children? 8. Does the child understand cause and effect? Or consequence of actions? Please cite ‘an example. 9. Doss the child accept responsibilty for his/her mistakes? What actions made to amend his/her ways or behavior when mistake or wrong doing 's made? 41015 the child kind to others? Ask the child to define or describe what kindness I. {L1-How is the cle’s relationship with his/her siblings (if applicable) and peers? 12. Does the child tisplay eggression towards other children, adults, animals? What ‘aggressive behaviors are seen and what triggers such? What does the child do when in.an aggressive state [.e. hits back, throw things..etc.? 13,Does the child have behavioral concerns that the prospective adoptive parents have to know (lee. ving or making up stories, getting things from other people, sleeping ‘fealty, bedwetting, ete.)? For every behavioral concern noted, describe now the Caregiver or foster parent/s address the issue/s. For bedwetting problems, descrive the instances when the chilé bed wets Ie. had too much activity during the day, did hot urinate before going to bed, afraid to go to the toilet. If the bed wetting happens Often, the child might need to be seen by a medical doctor or a psychologist. Since hen? How often in a week? What interventions to curbed bedwetting? Has the child been referred for medical or psychological evaluation for bedwetting? What is the agnosis or results? 14.What fs the chile’s usual emotional state (Le., frightened, excited, sad, ete.)? What Tncldents would trigger these emotions? What does the child do when such emotions ‘occur? How does the caregiver handle such outburst of emotions? A5How often does the chilé get sick? Record kinds of ailment frequently contracted, ‘diagnosis for recurting ailment, medications given including dosage and frequency of intake and the chiles acceptance of the medications. 16.15 the end able to concentrate or complete a task? Record how long the child can ‘ustein attention to 2 specific task/activity and what the child does when distracted? if the child has difhculty concentrating on a task, note the time the task/activity is Given, the child's Interest, the companion of the child, understanding of the fesk/actvity and what is expected of him/her. 17.Does the chile have any fear? Note what causes the chila’s fear, how he/she express {ear oitd babs of his/her fee. Page of 14Resohaion wo, 17-004 Snes of 2007 UnJEREAS, 190 rcslues cases of chron orn hin val ane subseng marie ‘shose th cortices nceale onthe ate af the dena, WHEREAS, Arle 164 of the Fanily Code of the Pilpnes provides tat Melren onesived ur bor dati the wraps ef rete ar eat wits, arid 174 of he Ty Code provides that egtmats cleren shall have WIMEREAS, Acie 167 ofthe Fara Code provides: “the Nd shal be considered Iegtnate snus the mathe nay have decor lysine lngiimacy or may hae Seen enced a a adore legitimacy ofthe child hall be Brought any by the tater, ar in very specific mstances, Dy ‘ert four ce vole te yor unicpaltyoare the Sth Gk ace ot (ros recorde (two yes hey reside cu the pier tee and 0 hee year ‘hey reste aban the rth ve caneete oF ulna, the perio shal be ewunted ok [Be lscovery or tong bro ato rapraten wesc ere THEREFORE pe IT RESOLVED THAT, fs sthte cil up for ateing, there shold be neds Cerca of» Ci tgaly Arabi for Acgplon (CDCLNH deceng {Mend tee eal vatible for adoption or» Goode vtntary Comment (OVE) Hed by bot father a re I 1S FURTES RESOLVED THAT, the above rentuton shoud be assented to ai Ces cating Sea ee “ses tote O01 for proper eleven ca If folly ra Su y wal psa cas : ‘ ees ‘rreph oA (Ly 4 fa Petia O de SS eon nem Sr enter‘Annex H: DSWD Guldetines on the Issuance of a Certification Declaring a Child Legally ‘Avallable for Adoption ‘Turn-around Period of Case Management 4, For Abandoned or Dependent Child Upon the chil's admission te the DSWD Center/nstitution or Child Caring Agency or referal of ‘same to Provincial/City/Munipal Secial Welfare and Development Cifice, the social worker shall Undertake the folowing to gather information and documents pertinent to the case Within the 1 month to 2"! month shall: (0) Secice colored photo of the cli (atleast two (2) pes. 2x2 and whole body, 3m size); () Secure a cert true copy of rth Certteate from the Local Civil Registrar, if avalabe; (6) Conduct home vista astkrown/aven address of parents; (€) Send-out letter through registered mall with return card to last known address of parents or legal guardian; + In case the parents, legal guardian/s or relatives of the child accepted the letter but felled to appear on the speciied date, the social_ worker should indicate such CGreumstance in tte SCSR and proceed withthe fing ofthe Petion and attach the fle copy of the letter. 4+ Incase ofa reastered mall, which has not retumed after one month, the social worker ‘may proceed withthe fling of the Petition and attach the registry receipt 1+ Pine given address is insuicient, the social werker should stil send a registered mail to such address. The registry receipt should be attached to the Petition. (e) Secure a Police Report or barangay certification trom the locality where the child was found Dr 8 certihed copy of Tracing Report from the Philippine National Red Cress (PNRC), National Headquarters. The report should contain the facts and circumstances of abandonment or neglect, e.g, date timo, place and approximete age ofthe child when found end should states that despite cue aiigence, the ehila's parents could nat be found; (A Faciitate publication in one (1) newspaper of general circulation. Publication should preferably contain the chid's photo, name, sex, current age ofthe child and approximate age ‘Of the child wnen found, F avaliable ac wel as date, place and time when the child was found, including the name, office and contact number of the petitioner. The whole capy of the newspaper containing the announcement should be attached to the Petition or Affidavit of Publication from the publsher thatthe case was published in thelr newspaper and the content ofthe publication; and (a) Faeiitate local or natonal radio or TV announcements on three (3) diferent airing dates (as much es possible, n tree (3) diferent stations within one month); Secure a certitcation tarittan on the station’ letterhead as. prescibed, certied by the TV/Radio Program ‘announcer Trafic Managa/Traffic Clerk. The announcement should mention the child's name, Sex, current approximate age as well as the date, place, and time when the child was found. Incase of TV announcements, the child's photo should preferably be Featuree. (On the 3° month the social worker shall ‘a, Prepare 9 comprehensive Social Case Study Report (SCSR) using the prescribed format vibieh Should Include the following dat, If avaiable: ‘2.1, Factual details about abandonment or neglect by parents or ether primary ‘caregivers/legal quordions;1.2. Assessment ofthe bio-psychosocial development ofthe chilé; 2.3, Quality of pareting/child rearing patterns of the child's biological parents; 12.4, Family composition and historical background of parents, work Nistory and femily ‘elationsh; ‘2.5, Psychosocial intervention and servicas rendered tothe child's biological family; ‘2.6. Current functioning of the chile, physical and emotional response and behavioral manifestations to abardanment or neglect; Efforts ofthe social worker to locate and assess the chiles biological family; and 1.8 Neme and signature of the social worker who prepared the SCSR with hs/her license ‘number and validity date In cases where there lar informatlon/s in the Social Case Study Report needing proof to "substantiate the veracty of such information, submit addtional requirements to support the feport (e.g, Mamiege of Death Certificate of the chid's biologlal parents, Imecical/psychologiealipsychiatrie report, vali Identification with signature ofthe parent 0 ‘Yerify the signature inthe DVC and other related Aidavits or Certification) », File @ Petition for Isuance of Certiieation supported with @ comprehensive SCSR and ‘Complete documentary requirements, 9s enumerated under tams ato 9 ofthe guidelines. Only ‘one Petition shall be Mled fr sibling Group, «, Apply for a Certificate of Founng atthe Local Civil Registry where the child was found with the certited true copy ofthe Certieation declaring the child as legally avaliable fer adoption tnd the childs profile 98 supporting decuments In case of legitimate chid but has been abandoned by one ofthe parents and the other parent would want to give up the chid for adaption, the pettioner, In behalf of the perent who ‘recuted the BVE shal le a Petition for Certeation with the Department, For an legitimate child, only the mother's consent s necessary for processing the Certification, ‘The petitioner shall be responsible for paying the cost of notarzabion of the Petition and publication to locate the parents/relatives, except for Independent placement where the person who has actual/physical custody of child shall shoulder’ the same. 2. For Surrendered child In all proceedings for adoption for voluntarily committed cases, series of counseling shall be provided by trained social workers to the biclolcal parents oF legal guardian to ensure that they {re fly Informed of the consequences oftheir decision to give up the ci. Within the 1% month to 3 month upon admission/referral_ of the child in fn agency/instution, tne social worker shal 2a. Facilitate the signing of Deed of Voluntary Commitment (DVC) In three (3) copes (al ‘tiginal) tnd ts notarzaton, if parents/gustaian, after going through counseling, decide to ‘ive-up the child for adeption; , Secure certified true copy of Birth Certificate of the child from the local cv registrar; ‘Conduct home vist to relatives at his/her/thelr given address/es to assess the capacities in performing thelr roles tothe child;4 Secure most recent coored photo (whole body, 3R in sie) and photo of the child upon mission (whole body, 2R in size), avallable; and «Prepare a comprehens ve Social Case Study Report (SCSR) using the prescribed format Indicating the flowing: 1, Support services extended to biological parents of the child and assessment onthe: apactes of the parents in relation to their roles tothe cil; 2, Series of counseling sessions provided to prevent the parents in giving up the child for ‘adoption; 3, Detision of the porent/legal guardian as 9 result of tems 1 and 2 above f.Fle an Application for issuance of a Certification 3. For Neglected child For cases of substantial and continuous oF repeated neglect, the social worker shall facitate temporary placement. ond arpropriate intervention to the child and his/her family. A Petition for Involuntary commitment ofthe cid shall be file In cour. “within three months after the court granted the involuntary commitment ofthe chil, an Application {or suanee of Certification shall be fled to DSWD Field Office, supported by the court's decision ‘nd certified copy of documents presented in court, Process in Securing a Certification from the DSWD 4, Who shall file the Petition? ‘Te Head oF Executive Director ofa licensed or accredited child caring or child placing agency or Insttution managed by the national or focal government, non-governmental organization of provincia, ety of muntipal social welfare and cevelopment officer of local government units can Flea Pettion In behalf ofan incvidual who fas actual/physical custody of a minor to decare such Chl legally avaiable for adoption 2, Where to File? “The Petition/ Application together with the complete supporting documents shal be filed by the peltionerfappicant with the Field Office ofthe DSWD where the chld was found, surrendered or ‘bandoned, In cases where the child wes physically transferred outside the region where he/she was found, the Head ofthe DSWD Canter/Instittion, Chile Caring/Placing Agency or F/C/MSWOO shal file the Pettion/Apotcation with the DSWD Field Office where the OSWD.Center/Institution,, Child Cnngr Placing agency ar PIC/MEWNO te loratad and where the Individual has transferred. Said Swe raid Grice shel foruard the Notice ef the Petition to the DSWD Field Ofice ofthe region where the child was Feund for posting. 3. When to File? Far abandoned and dependent children, the Petition shall be fled after but not less than three (3) Continuous months from the time of abandonment or dependence of said chi. For voluntarily commited cxldren, the Application shal be filed within three (3) months after the ‘Signing of Deed of Voluntar/ Commitment, For Involuntarly committed children, the Petition shall be filed within three (3) months after the Judgment granting the involintary commitment by the court4. How to File? Filing of Petition for tnvotunts Committed child 4.1 For Abandoned or Dependent Child ‘The following procesures shall be undertaken for abendoned oF dependent child to be able to secure the certiteation efter three (3) continuous months of abandonment oF ‘ependence: {. Filing ofa Petition to the DSWD Field Office using the prescribed format ‘The Adoption Resource and Referral Unit (ARRU) shall review and examine ifthe Patton is suffient in form and In substance, together with other documentary requirements, vithin three (3) working days upon recelpt thereof. The duplicate set (photocopy) of documents shall be maintained at the DSWD Feld Offee, “The Petition shall have a control number, which shall be assigned by the ARRU, Indicating the region and year when the Petition was filed before 2 number, which begins with O01 (e..: FO 1-2009-004), “The Petition shat contain the following information: 1. Petiionersinformation (8 ‘of agency end address) 1 Name, age, cizenship, civil status, position, name 1, Informatior about the subject minor (0.9, name, aga, name and address of chil's present location/custodian and duration of his/her placement with the sme} 1, Informatior about the social worker who prepared the chil study report (e.g, name, licerse number with validity perlod of the license, position and agency) Iv. Facts of neglect, abuse and/or abandonment as reflected in the socal case study report ¥. Activities done to locate the childs family/relatives(e.9., Home vist, media publication retumed registered mall, police blotter or Barangay certificate or ertificate’ of Lacing report fom Philippine National Red” Cross) ‘i Date when the photos wore taken (upon abandonment/admission and recent photo) “The Petition should be sufficient in form and substance, otherwise f shall be returned to the pettoner within three (3) working days upen receipt of the Paitin without prasuien tote re-tling. Tha peitoner should n.fla the Bat Immediately upon correction of inconsistencies/completion of required ‘documents {© The Petition shal be forwarded to the Regional Director who shall order the posting {through the P/C/MSWNDO to post the Notiee ofthe Petition in the locality where the child was frst found. The CCA/CPA may hand-carry the order of posting to the ‘oncerned P/C/MSWDO. 4, The Notice of Petition shell be posted for information of any interested person in ongpievous areas in the cty/muniipaty where te child was found, such as but not limited to the ely/municpel hal, health center, barangay hal, police station and past fice, for five (5} consecutive days upon receipt of the order. ‘The Notice of Petition shall be legible with 22 photograph of the child upon admission/abandonment In a legal size paper. The content of the notice shall havetranslation in loi dialect to ensure that the publle in the locality understands the Content ofthe neice. For sling group, anly one Notice of Petition shall be prepared Ccerticate of Posting shall immediately be Issued by the authority who effected the ‘etual posting, uch certificate of posting shal be submitted tothe local Socal Welfare ‘nd Development Office which wil transmit the same to the Regional Director, after the 5-day perc of pasting has been completed. Fastest meers such as prionty mail, fax or e-mall shall be maximized or the CCA may pick-up and hand-carry the Cartincate of posting t the Regional Director te ensure compliance with the prescribed period forthe Issuance of the cerfiate of posting (within the day after the period of posting). within five (5) working days from the completion of posting, the Regional Director, tupon finding merit in the Petivon, shall render his/her recommendation on the Petition, Within wo (2} working days from the time he/she signs the recommendation, the Regional Decor forward the same with erginal supporting documents to the DSwo-central oes. within four (4) working days from receipt ofthe Regional Directors recommendation, the Adoption Resource and Referral Office (ARRO) shall enter the Petition in the {Satabask and review the contents ofthe Pelion ana the completeness of supporting ocuments, and endorse the same to the Department's designated lanyer/Legal Serves. Within two (2) working days from receipt of the Petition, the Department's designated lawyer/Legel Sevice shall ensure thatthe Petition Is sufficient form and substance ‘nd that a requirements thereot have been compiled with, and return the documents TEARRO, The ARRO shall then prepere the transmittal ofthe documents tothe Office ofthe Secretary thru the Undersecretary for Operations ané Capacty Building Group (OCG) forthe ssuance of Certilication Ir the Petition is insuficlent inform or substance It shal be returned tothe petitioner by the ARRO immediately without prejudice to Its refling, For @ Petition that is thus rele, the Notce therefor must be posted again. However, ifthe incansistendles/lacking documents may be cured without matereliy Srocting the Peitlon, the dossier will not be rtumed to the petitioner. instead, the pettioner shall be required to comply with the requirements without need of having Erectile a Pettion. The reckoning date shall start from the completion of required documents. Within two (2) working days from the receipt of the ARRO'S recommendation, the Secretary or hisIner duly authorizeé reprasertative shal issue two (2) originel copies ‘of Certineation, “The Cereiteation shell have the Secretory’ seal and a cantral number, indicating the Year of Issuance, The contol number shall besia with the current year and with O01 ero. 2009-001) The Certification signed by the Secretary or his/her duly authorized ‘epresentative shall be forwarded to the ARR, IF the chid Is for focal and inter-country adoption matching, the original copy of {Cortifeaton shal be retained vith ARRO. ARRO shall Inform the concerned petitioner ‘once the Cortina is signed and sands a copy of the same thru fax or e-mail for their information. Inthe child Is independently placed to an individual who seoks to legalize the adoptos fone original copy of Certiheation shall be forwarded to the petitioner forthe chla's placement, wile the other original copy shall be maintained withthe ARRO for records purposes.4. If necessary, a certified true copy of the Certification shall be forwarded to the petitioner fo be sttached in fling for the Issuance of a Certifeate of Founding or Certieate of Live ith (delayed registration), whichaver Is applicable with the Local Chil Registrar of the tocalty where the child was found/abandoned. The cost forts fing shall be shouldered by the petitioner. ‘The Certificate t be Issued by the Department shall be the sole basis forthe issuance of a Cartieate of Founding or CertMite of Live Birth (dalayed registration), ‘whichever is applicable by the Local Civil Registrar. The chilo's profile shal be attached tw the Certification for the local civil registrar to determine whether to Issue & Certificate of Foundling or Certificate of Lve Birth (delayed registration) tothe child The decison ofthe Secretary in declring a child legally available for adoption shall be appealable to the Court of Appeals within five (5) workIng days from recelpt ofthe ‘dentsion or Certifeation by the pettloner, otherwise same shall become flral and executor. 4.1.2. For Neglected Child ‘The following procedures shall be undertaken within three (3) months after the judgment by the court granting te involuntary commitment: ‘a. Filing of Petition tothe DSWD eld Office, together withthe original copy of the Court Order re: Terminstion of Parental Authorty and certified true copy of other supporting ‘documents preserted In court may be done within the three (3) months, provided that ho adoption matching shall take place within the said period, b, The ARRU shall review the Petition together with other supporting documents within three (3) working days, upon receipt thereof The Regional Director shall render his/her recommendation on the Petition within wo 2) working days and hall transmit the same te the ARRO vathln two (2) working days from the time the Regional Director signs the recommendation, 4. Upon receipt, the ARRO staff shall enter in the databank snd review the documents Within three (3) working days before forwarding the same to the Secretary or his/her {uly authored representative for approval and signature inthe Certifetion. {6 ARRO shall carry aut the same procedure as stated in letter! under fling of Petition for abandoned or dependent cil 4.2 Filing of Application for Voluntarily Committed /Surrenderad chi ‘The folowing procedures shall be undertaken within three (3) months after the signing of the DVC by the parents of legal guardian tobe able to secure the Certification: a. Fillng of Applicaton to the DSWD Field Office, together with two sets of complete supporting, documents, as enumerated in Appendix C (1 set original and 1 set photocopy). Fling may be done within the three (3) months after the sigring of the Bic, provided thatthe child has not yet Been matched to PAPS, b, The ARRU shall review and examine the Application together with other documentary requirements within three (3) working cays, upon receipt thereef. The duplicate set (photocopy) of documents shall be maintained at the DSWD Field Office (FO). Ir the documents submitted to support the Application for issuance of Certification such ‘as the notarized DVC, Social Case Study Report, birth certificate, photograph upon ‘admission tothe agency and most recent photograph ofthe child slacking inform and Eubstance, same shall be returned Immediately tothe applicant without prejudice to Mts reefingPublication and pesting of Application for issuance of Certification isnot a requlrement for voluntary committed/surrendered chiaren. If the documents submited is sufficient In form and substance the Regional Dirwctor shall render his/her recsmmendation on the Application and the completeness of Supporting document within two (2) working days and shall transmit the same to the [ARKO within twe (2) working days from the time the Regional Director signs the recommendation ‘Upon receipt, the ARRO staff shall enter in the databank and review the sufficiency of Information and completeness of documents within three (3) working days belore forwarding the seme to the Secretary ar his/her duly authorized representative for approval and signature inthe Certiation, [ARRO shall carryout the same procedure 3s stated in letter | under fling of Petition for ‘abandoned or dependent cil.Annex : Suggested Format of a comprehensive Social Case Study Report IDENTIFYING INFORMATION Name- Please Indicate not only the child's first and lest name but also the middle name if he/she has one as stated in the Birth Certificate, For cases of foundling, please Indicate the alias or a.k.a. or given first and last name of the child Sex/age Date of Birth Place of Birth For Foundlin Given Date of Birth Date and Age when Found Place where Found Date of Admission to the Agency Date of Placement to Custodian (for FA/IP) Birth Status (Legitimate/Non-marital Child) Category (Surrenderec/Abandoned/Foundiing) Date Surrendered/Decared Abandoned in Court Present Whereabouts (Name of Custodian/Agency and Address) Il, SOURCES OF INFORMATION AND CIRCUMSTANCES OF REFERRAL. Indicate what are the circumstances surrounding the referral or admission of the Child to the Child Caring Agency e4. reason for referral; where the child was referred; who was responsible for referra; when was the referral made and when was the child finally admitted), TIX. BACKGROUND INFORMATION A. THE CHILD Description of Child and date upon Admission “This should cover the following in specifi, accurate and actual method: + Age, personality, habits and other significant observations about the child upon ‘dmision + Data on anthropometric measurements of the chil Description of the chile’s overall appearance to indicate whether the child was property cared for; + Type of clothing and hygiene (\.e. clean or unkempt). (Graphic details should nat be Included, especialy ff is negative) + If the child fs a foundling, the child's condition/physical appearance (without including graph detals) and behavior when found. + Information on whe nemed the chi and the significance of the name. {Basic information about the finder ([.e. age, occupation, civil status) and rule out if he/she is related to the childDevelopmental History of the Child ‘This should include the following: 1. Salient information on the chile’s development history prior to admission to the Child Caring Agency (i.e. circumstances of child birth that Is type of delivery, place of birth, birth welght/length, head and chest circumference, result of newborn screening, immunizstions received, ete.) Age of gestation in weeks must be on record if the child was born in a hospital, Including Ballard, APGAR score, If the child was with the birth mother or stayed with relatives of institutions for same period prior to the admission, information from the concerned party should be included. Bid the birthmother breastfeed the child? 2. Medical History ~ Previous illness and treatment/medication given to the child. 3. For a child ages 5 years ald and above, Include the highlights of the psychological evaluation (Ice. result of the psychological evaluation and interventions required). Child's progress as a result of catrying our the recommendations of the psychologist should be discussed in this section. 4, The developmental milestones, which the child achieved (i. when did the child started to hold his head up, roll over, crawl, stand, walk, etc.) since his/her ‘admission to the center, Information on the chila's developmental achievement is important as this will help determine ifthe child's development is within normal limits, There should be a baseline assessment of what the child could already do at the time of admisson so that the prospective adoptive parents would know how the child has developed. 5, Information whether the child has begun tolle training must be included. If the child Is being toilet trained, information about the progress must be specified (e.9, Child can tell If he/she is wet; can sit on the potty; can indicate if he/she needs to ‘90 to the comfort room). 6, Activities of the chid (e.g. In the home, center or foster home). Current Functioning of the Child - This should cover how the child isin terms of his evelopment physically, mertally, emotionally, socially atthe time the Child Study Report was prepared 1, The social worker should include how the child relate to other children, caregivers, atrangers, or whether or 70t the child has ceveloped emotional attachment to a speciic person in the child caring agency. For older children, please include how they are being prepared for adoption and his/her atttude towards it. 2. Grade/year level; academic functioning (Strongest and weakest subject); perspective of authority must be dlscussed in this section, 3. Soclo-Emotional Aspect- How Is the child's socio-emotional development? How does he/she interact with children and aduits? What makes him sad? How Is he/she pacified? What kind of discipline works well for him/her? Does he/she had any behavioral concerns that the parents have to know?44, For children who are attending to play, occupational or speech therapy, Information must be included as to the progress of the child after he/she has attended such intervention/s Description of the Child's Present Environment - This includes present environment of the chil. Deseription of foster family/center personnel where the child came from and his/her functioning/ relationship with foster family/center personnel/PAPs (For IP cases) from the time of admission/placement with the family (for 1P cases) to the child's cischarge for placement. “The date when the child was placed/transferred to the present custodian/child caring agency is vital to determine how long have the child been under the care and custody of the PAPs/child caring agency. B, THE FAMILY- This tackles the composition and pertinent background information ‘on Biological family such as: ‘+ Physical descriation of the family, such as physical appearance of birthmother/father, body ult, height, complexion, hair, eyes, nose and disabilty/deformity. + Health history (physical and. mental such as hereditary/non-hereditary ‘illness/es, ‘medication given and pre-natal history) + Education/occupation/ncome and earnings Personality, psychologeeal and emotional make-up of the birth parent such as: 1. Character/trait/how he/she is as @ person 2. Hobbies, Interests, talents 5. Quality ofintra-fariliar relationship, family dynamic (nature of marital relationship cf birth parents, birth parents velstionship with their children and. siblings relationship) 4, Information on the birthparents, such as number of thelr siblings and their relationship with each other; how the parents met, and if they were married or not, tte, IF they have medical illnesses, medication that they took and if such iinesses hinders/affects ther parental capability should be specified in the report. IF parent ig detained In jall, the status of the case filed should be stated, '5, Childhood experiences of birthparents (poskive/negative that may have an impact fon quality of parenting assessment of mental abilty and level of Inteligence/personality) 6. Negative history of substance/alcohol abuse, sexual abuse, domestic violence, Imprisoned parents/criminal record. If the birth mothe" has history of substance abuse while pregnant, indicate the frequeney, duration, and amount of substance consumption. 7. Birth parent’s attitude towards the child during the time that he was still in her IV. (TERMINATION OF PARENTAL RIGHTS) 1, Assistance rendered to the birth parents Poverty cannot be accepted as a sole reason for surrendering the child for adoption. Therefore, case management requires that in Tesponse to circumstances influencing the decision of the parents to relingulsh their tal authority, an appropriate service/s should be provided. The reasons for the failure of these services from assisting the parents to achieve this goal should be clearly stated in the report. 2, For vietims or rape, counseling services must be include goals to help the birth mother in fovercoming the trauma brought by sexual abuse and regaining of security and worthPlease specify what has been the intervention to help the birth mother recover from the ‘sexual abuse, Where Is the birth mother now? 13, Efforts exerted by the social worker to place the child with his relatives should be carefully ‘considered. 44, Date winen the birth parent/s signed the Deed of Voluntary Commitment and date if was notarized. (A valid ID of the parent/s shoul be presented before the notary public). 5, Counseling conducted by the social worker before, during and after the signing of the VC. Include the dates and goals of the counseling. It should not be merely focused on brlentation on the meaning of the DVC. The birth parent should be helped in processing the loss, grief, and trauma associated with celinguishing the child for adoption. 6. Social worker's effort to prevent the child to be given up for adoption. 7) The folowing information must also appear under this section: (4) That the birth parent is aware that the Deed of Voluntary Commitment shall become irrevocable three months after he/she signed the same, thus, he/she has the time to Feconsider his/her decsion; (2) that the content of the OVC was explained to the birth parent In the vernacular that he/she understands. (FACTS OF ABANDONMENT) 1. Cite the circumstances of abandonment, such as WHO found the child, WHERE he/she ‘was found, WHEN he/she was found, how old was the child when found, WHAT was the Condition of the child when found, HOW the finder facilitated placing the child to an Institution/agency. 2, Efforts exerted by the social worker to locate the whereabouts of the birth parent(s)/family (Indicate the date of media certification, newspaper publication, blotter Feports, registered mall tc.) 3. AO 12, series of 2011 requires home visit to the birth mother (or family member's) last known aadress, if possible aside from sending a registered mail, as part ofthe exhaustion ‘of efforts in locating the chila’s birth family V. ASSESSMENT: Summary statement on why the child needs adoption. Facts stated her should not be discriminatory and judgmental + Evaluate the overall accomplishments of the child and indicate it here. No need to summarize events leading to adoption. «+ Incluge what the child become as a result of intervention of the child caring agency. ‘What are the areas in the child's development that the prospective adoptive parents have to follow up once they assume custody over the child? \V. RECOMMENDATION- Summary statement to Indicate the type of ferily that would be Suitable given the parenting needs of the child, ‘The assessment should provide an overview of the child's strength and weaknesses that the prospective adoptive parents should know as thelr guide in relating to the child and provicing the child's needs once they assume the child's custody. Prepared By: (Signature) (Wame of Social Worker) (License Number and Val dty Date)‘The Quek Guid covers the winning entry during the ICAB's 20" Anniversary poster making contest withthe theme"20 Years of uling Fails’. The poser ilustrates the importance of lve, dedeation, team work and uni in fing permanent fails for len andin bul fares through sxlopton ‘The poster was designed and conceptualize by the CAB tft.