25 Factors to Consider When Adopting From China

adopting from China

Click on each factor to learn more. Current as of July, 2017. This information is subject to change; therefore, check with an agency that places from this country for the most current information.

+ Parental Age
Parents must be at least 30 years old. The younger parent must be less than 50 years older than the child.

+ Length of Marriage
2 years if neither parent has been divorced more than once, 5 years if either parent has been divorced twice.

+ Divorce
2 divorces per spouse

+ Children in Family
Up to 5 children (for couples) or 2 children (for single women).  The youngest child must be at least three years old.

+ Medical Restrictions
Parents must not have a medical condition that affects their life expectancy or ability to parent. Parents are ineligible to adopt if any of the following conditions apply to either parent:

  • Mental or intellectual disabilities;
  • HIV/ AIDS;
  • Any infectious disease that is actively contagious;
  • Blindness;
  • Schizophrenia;
  • Severe facial deformation;
  • Skin, thyroid, breast or testicular cancer within the past 3 years; other kinds of cancer or malignant tumor within the past 5 years;
  • Non-function or dysfunctional limbs;
  • Body Mass Index (BMI) of 40 or more.

Parents with the following mental disorders are eligible to adopt as long as the disorder is minor and well controlled by medication:

  • Mania;
  • Anxiety;
  • Phobia;
  • Depression;
  • Obsession.

Families with the following conditions are eligible to adopt as long as one parent is completely healthy and the condition is well controlled with treatment:

  • Malignant tumors;
  • Lupus;
  • Nephrosis;
  • Epilepsy;
  • Multiple sclerosis;
  • Any serious disease requiring long-term treatment;
  • Organ transplant within the last ten years;
  • Severe hearing loss/deafness or loss of language function.

If both parents have the following conditions, they are eligible to adopt a child with the same condition:

  • Severe hearing loss/deafness or loss of language function;
  • Dwarfism.

China has recently relaxed restrictions on parental medical eligibility and exceptions are made. Families with any of the conditions listed here should contact an adoption agency with a China program to discuss their specific situation.

+ Single Applicant
Single women are allowed to adopt a special focus child listed on the Special Needs System of CCCWA (China Centre for Children’s Welfare and Adoption) or non-special focus child. Applicants must be at least 30 years old and less than 50 years older than the child.  The applicant can have no more than 2 children at home, and the youngest must be at least 3 years old.

+ Sexual Orientation
Does not knowingly place with homosexuals

+ Children Available
Children with minor/correctable special needs (referred to as non-special focus) 18 months to 13 years old, children with moderate to major special needs (referred to as special focus) 18 months to 13 years old. Some children with correctable special needs have already received treatment, but are still considered special focus. Sibling groups are rare.

+ Gender
Boys and girls; parents may request a gender.

+ Referral Method
Agencies with access to CCCWA’s list of children with special needs propose the match between the parents and a child. A shared list exists of children with special needs that all agencies that place children from China have access to. However, the CCCWA continues to assign specific special needs referrals (children with a “special focus” designation) to some agencies individually, so not all referrals are shared. Some agencies have orphanage partnerships sanctioned by the CCCWA. These orphanages refer special focus and non-special focus (minor special needs) children directly to the agency. Once a family received a referral, they have 72 hours to decide whether to accept it and submit the paperwork to complete the dossier. The time limit is to ensure that a child is not taken off the special needs list until a family is committed to adopt that child. If the paperwork is not submitted within 72 hours, the child’s name goes back on the list and other parents can review the file.

+ Travel in Country
1 trip, approximately 2 weeks long. Only one parents is required to travel, but it is strongly recommended that both parents make the trip. Parents often travel in groups accompanied by a bilingual guide, although not necessarily, especially with special needs adoptions. Once Travel Approval has been issued by the CCCWA, parents have 3 months to travel. Parents travel to the capital of their child’s province to take custody of their child and complete the adoption. Before returning to the US, they must visit the U.S. Consulate in Guangzhou to apply for their child’s visa.  

+ Wait For Referral (After Dossier Submitted)
1 to 12 months for special needs children. The timing varies based on parents’ openness to different special needs, gender and age. The more open the parents are, the shorter the wait. 68% of families are matched 6 months. 86% are matched within 12 months. It is possible to complete a special needs adoption in 1 year.

+ Approximate Cost
$26,000 – $31,000 + travel

+ Orphanage/Foster Care
Usually orphanage, but foster care and group homes becoming more common in some provinces, particularly for care of special needs children.

+ How Children Enter Government Care
Abandonment. The assumption is that babies are abandoned due to legal restrictions on family size, unwed mothers, birth families unable to care for a child’s special need(s) and a societal preference for boys.

+ Prevalence of FASD
Historically there has been little alcohol use among pregnant women in China although social conditions are changing. The assumption is that most were wanted pregnancies, which may indicate better prenatal habits. IA doctors generally report seeing very few children with a concern for FAS.

+ Adequacy of Medical Reports
Good; medical reports from China have improved dramatically in recent years. Children have a full medical screening (that includes complete blood counts, and tests for liver enzymes or TTT (Thymol Turbidity Test), Hepatitis B, syphilis and HIV), and lab reports are fairly accurate. Growth and developmental measurements are taken when the child enters the orphanage. It is becoming increasingly common for updated measurements to be taken. The medical report usually includes a detailed account of how the child was found, with a discussion of the child’s daily eating and sleeping pattern. Some files are more complete than others but it is possible to request additional information. There is rarely birth family or prenatal history.

+ Program Stability
Stable. The China program is a special needs adoption program now due to the unreasonable wait for a child without special needs. The special needs China program is fairly predictable and transparent, despite the occasional change in requirements.

+ Post Adoption Reports
Required at 6 and 12 months, and then annually for four years. The first three reports must be prepared by a social worker or adoption agency. The last three reports may be prepared by the family.

+ Additional Information

  • IA doctors note that although developmental delays are common when children first arrive home, most children are otherwise in good health.
  • Some Waiting Children are marked as “special focus,” which means that the child has significant or multiple special needs and has been on the shared list for more than 60 days.
  • Home studies must be performed by a Hague or COA accredited agency.
  • If you are applying for a non-special needs child, parts of your dossier paperwork will expire during your wait and will have to be renewed at least once.
  • The CCCWA sometimes requires a “psychological report” supplemental to the home study for applicants who have received or are receiving therapy.
  • Applicants are ineligible to adopt if they have a criminal history of domestic violence; child abuse; drug use including opium, morphine, marijuana, cocaine, heroin, methamphetamine; or alcohol abuse less than ten years old. If the parents have less than 3 minor criminal records more than ten years old or less than 5 traffic violations with no severe outcomes, they may be eligible to adopt from China. Check with an adoption agency with a China program to discuss your specific situation.
  • Income requirement guidelines: Couples must have an annual income of $10,000 per family member, including the child being adopted, and a minimum net worth of $80,000. Single women must have an annual income of $10,000 per family member, including the child being adopted, plus an additional $10,000 and a net worth of $100,000.
  • Parents are required to make a “donation” to the child welfare institution that cared for the child. Most agencies include this cost in their program fee and this money was included in the cost estimate in this chart. Parents must carry approximately $5,400 in US dollars with them when they travel (exact amount fluctuates with currency exchange rate). Some agencies will wire the money in advance.
  • Children are required to have a TB test before a visa will be issued.
  • Families must wait 1 year after completing an adoption to begin another one.

+ Useful Links
US Department of State | Intercountry Adoptions
US Embassy in Guangzhou
Families with Children from China (FCC)
China Adopt Talk
Evaluating Special Needs to See Which One is a Good Fit (Creating A Family radio show)

© Creating a Family
Available from www.CreatingaFamily.org, the national adoption and infertility education and support non-profit. Please do not reprint without giving credit to Creating a Family and a link to the website.

Image credit: Meng Zhang

Comments are closed.

Back to Top ↑

Content created by Creating a Family. And remember, there are no guarantees in adoption or infertility treatment. The information provided or referenced on this website should be used only as part of an overall plan to help educate you about the joys and challenges of adopting a child or dealing with infertility. Although the following seems obvious, our attorney insists that we tell you specifically that the information provided on this site may not be appropriate or applicable to you, and despite our best efforts, it may contain errors or important omissions. You should rely only upon the professionals you employ to assist you directly with your individual circumstances. CREATING A FAMILY DOES NOT WARRANT THE INFORMATION OR MATERIALS contained or referenced on this website. CREATING A FAMILY EXPRESSLY DISCLAIMS LIABILITY FOR ERRORS or omissions in this information and materials and PROVIDES NO WARRANTY OF ANY KIND, implied, express or statutory. IN NO EVENT WILL CREATING A FAMILY BE LIABLE FOR ANY DAMAGES, including without limitation direct or indirect, special, incidental, or consequential damages, losses or expenses arising out of or in connection with the use of the information or materials, EVEN IF CREATING A FAMILY OR ITS AGENTS ARE NEGLIGENT AND/OR ARE ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.