{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T11:23:34Z","timestamp":1788780214732,"version":"build-2803163510"},"reference-count":56,"publisher":"American Academy of Pediatrics (AAP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,1,1]]},"abstract":"<jats:p>Children who join families through the process of adoption often have multiple health care needs. After placement in an adoptive home, it is essential that these children have a timely comprehensive health evaluation. This evaluation should include a review of all available medical records and a complete physical examination. Evaluation should also include diagnostic testing based on the findings from the history and physical examination as well as the risks presented by the child\u2019s previous living conditions. Age-appropriate screens should be performed, including, for example, newborn screening panels, hearing, vision, dental, and formal behavioral\/developmental screens. The comprehensive assessment can occur at the time of the initial visit to the physician after adoptive placement or can take place over several visits. Adopted children should be referred to other medical specialists as deemed appropriate. The Section on Adoption and Foster Care is a resource within the American Academy of Pediatrics for physicians providing care for children who are being adopted.<\/jats:p>","DOI":"10.1542\/peds.2011-2381","type":"journal-article","created":{"date-parts":[[2011,12,27]],"date-time":"2011-12-27T01:24:47Z","timestamp":1324949087000},"page":"e214-e223","source":"Crossref","is-referenced-by-count":47,"title":["Comprehensive Health Evaluation of the Newly Adopted Child"],"prefix":"10.1542","volume":"129","author":[{"given":"Veronnie F.","family":"Jones","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"COMMITTEE ON EARLY CHILDHOOD, ADOPTION, AND DEPENDENT CARE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela C.","family":"High","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine","family":"Donoghue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill J.","family":"Fussell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Margaret","family":"Gleason","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula K.","family":"Jaudes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David M.","family":"Rubin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine E.","family":"Schulte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2012,1,1]]},"reference":[{"key":"2021120903005553200_B1","unstructured":"Centers for Disease Control and Prevention. International Adoption. Available at: www.cdc.gov\/nceh\/lead\/tips\/adoption.htm. Accessed June 8, 2010"},{"issue":"4","key":"2021120903005553200_B2","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1542\/peds.93.4.594","article-title":"Assessing the health status of children entering foster care","volume":"93","author":"Chernoff","year":"1994","journal-title":"Pediatrics"},{"issue":"4","key":"2021120903005553200_B3","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1542\/peds.106.S3.909","article-title":"Health care needs of children in the foster care system","volume":"106","author":"Simms","year":"2000","journal-title":"Pediatrics"},{"issue":"20","key":"2021120903005553200_B4","doi-asserted-by":"crossref","first-page":"2533","DOI":"10.1001\/jama.293.20.2501","article-title":"Behavior problems and mental health referrals of international adoptees: a meta-analysis","volume":"293","author":"Juffer","year":"2005","journal-title":"JAMA"},{"key":"2021120903005553200_B5","doi-asserted-by":"crossref","first-page":"S54","DOI":"10.1542\/peds.2006-2089I","article-title":"The health and well-being of adopted children","volume":"119","author":"Bramlett","year":"2007","journal-title":"Pediatrics"},{"key":"2021120903005553200_B6","unstructured":"US Department of State, Office of Children\u2019s Issues. Intercountry Adoption. Available at: http:\/\/adoption.state.gov\/. Accessed June 8, 2010"},{"key":"2021120903005553200_B7","unstructured":"Howard CR, John CC. International Travel with Infants and Children: International Adoptions. In: Centers for Disease Control and Prevention. Traveler\u2019s Health (Yellow Book). Atlanta, GA: Centers for Disease Control and Prevention; 2010. Available at: http:\/\/wwwnc.cdc.gov\/travel\/yellowbook\/2010\/chapter-7\/international-adoptions.aspx. Accessed June 8, 2010"},{"issue":"8","key":"2021120903005553200_B8","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1542\/pir.29-8-292","article-title":"International adoption","volume":"29","author":"Dawood","year":"2008","journal-title":"Pediatr Rev"},{"issue":"3","key":"2021120903005553200_B9","first-page":"298","article-title":"Medical problems of foreign-born adopted children","volume":"141","author":"Jenista","year":"1987","journal-title":"Am J Dis Child"},{"issue":"4","key":"2021120903005553200_B10","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1542\/peds.83.4.559","article-title":"Unsuspected infectious diseases and other medical diagnoses in the evaluation of internationally adopted children","volume":"83","author":"Hostetter","year":"1989","journal-title":"Pediatrics"},{"issue":"5","key":"2021120903005553200_B11","doi-asserted-by":"crossref","first-page":"1287","DOI":"10.1016\/j.pcl.2005.06.004","article-title":"Immunizations and infectious disease screening for internationally adopted children","volume":"52","author":"Barnett","year":"2005","journal-title":"Pediatr Clin North Am"},{"issue":"5","key":"2021120903005553200_B12","doi-asserted-by":"crossref","first-page":"1311","DOI":"10.1016\/j.pcl.2005.06.011","article-title":"Immediate behavioral and developmental considerations for internationally adopted children transitioning to families","volume":"52","author":"Miller","year":"2005","journal-title":"Pediatr Clin North Am"},{"key":"2021120903005553200_B13"},{"issue":"6","key":"2021120903005553200_B14","first-page":"345","article-title":"The primary care physician\u2019s role in caring for internationally adopted children","volume":"101","author":"Sperling","year":"2001","journal-title":"J Am Osteopath Assoc"},{"issue":"7","key":"2021120903005553200_B15","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1542\/pir.25-7-242","article-title":"Preparing families for international adoption","volume":"25","author":"Bledsoe","year":"2004","journal-title":"Pediatr Rev"},{"issue":"5","key":"2021120903005553200_B16","doi-asserted-by":"crossref","first-page":"1369","DOI":"10.1016\/j.pcl.2005.06.015","article-title":"Prenatal alcohol and drug exposures in adoption","volume":"52","author":"Davies","year":"2005","journal-title":"Pediatr Clin North Am"},{"key":"2021120903005553200_B17"},{"issue":"2","key":"2021120903005553200_B18","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/S0891-5245(97)90001-8","article-title":"Health care of the internationally adopted child part 1. Before and at arrival into the adoptive home","volume":"11","author":"Mitchell","year":"1997","journal-title":"J Pediatr Health Care"},{"key":"2021120903005553200_B19"},{"issue":"4","key":"2021120903005553200_B20","doi-asserted-by":"crossref","first-page":"212","DOI":"10.3928\/0090-4481-20000401-06","article-title":"Preadoption review of medical records","volume":"29","author":"Jenista","year":"2000","journal-title":"Pediatr Ann"},{"issue":"5","key":"2021120903005553200_B21","doi-asserted-by":"crossref","first-page":"1247","DOI":"10.1016\/j.pcl.2005.06.003","article-title":"Preadoption opportunities for pediatric providers","volume":"52","author":"Chambers","year":"2005","journal-title":"Pediatr Clin North Am"},{"issue":"3","key":"2021120903005553200_B22","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1093\/sw\/48.3.409","article-title":"Open adoption of infants: adoptive parents\u2019 feelings seven years later","volume":"48","author":"Siegel","year":"2003","journal-title":"Soc Work"},{"issue":"4","key":"2021120903005553200_B23","doi-asserted-by":"crossref","first-page":"374","DOI":"10.3122\/jabfm.19.4.374","article-title":"Nursing the adopted infant","volume":"19","author":"Bryant","year":"2006","journal-title":"J Am Board Fam Med"},{"issue":"2","key":"2021120903005553200_B24","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1097\/01.NMC.0000313413.92291.0f","article-title":"Induced lactation: gaining a better understanding","volume":"33","author":"Wittig","year":"2008","journal-title":"MCN Am J Matern Child Nurs"},{"issue":"3","key":"2021120903005553200_B25","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1542\/peds.2008-1885","article-title":"Understanding the behavioral consequences of child abuse","volume":"122","author":"Stirling","year":"2008","journal-title":"Pediatrics"},{"key":"2021120903005553200_B26","volume-title":"District II, New York State Task Force on Health Care for Children in Foster Care. Fostering Health: Health Care for Children and Adolescents in Foster Care","author":"American Academy of Pediatrics","year":"2005","edition":"2nd ed."},{"issue":"2","key":"2021120903005553200_B27","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1542\/pir.19-2-39","article-title":"The pediatrician and the child in foster care","volume":"19","author":"Szilagyi","year":"1998","journal-title":"Pediatr Rev"},{"issue":"4","key":"2021120903005553200_B28","doi-asserted-by":"crossref","first-page":"218","DOI":"10.3928\/0090-4481-20000401-07","article-title":"Medical evaluation and infectious considerations on arrival","volume":"29","author":"Aronson","year":"2000","journal-title":"Pediatr Ann"},{"key":"2021120903005553200_B29","unstructured":"Centers for Disease Control and Prevention. Traveler\u2019s Health Topics. Available at: www.cdc.gov\/travel. Accessed June 8, 2010"},{"issue":"3","key":"2021120903005553200_B30","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1542\/peds.109.3.536","article-title":"Health care of young children in foster care","volume":"109","author":"Committee on Early Childhood, Adoption, and Dependent Care","year":"2002","journal-title":"Pediatrics"},{"issue":"12","key":"2021120903005553200_B31","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1542\/pir.22-12-419","article-title":"The immigrant, refugee, or internationally adopted child","volume":"22","author":"Jenista","year":"2001","journal-title":"Pediatr Rev"},{"issue":"4","key":"2021120903005553200_B32","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1542\/peds.108.4.1050b","article-title":"Immunization status of internationally adopted children","volume":"108","author":"Miller","year":"2001","journal-title":"Pediatrics"},{"issue":"5","key":"2021120903005553200_B33","doi-asserted-by":"publisher","first-page":"1238","DOI":"10.1542\/peds.2005-2070","article-title":"Care coordination in the medical home: integrating health and related systems of care for children with special health care needs","volume":"116","author":"American Academy of Pediatrics Council on Children with Disabilities","year":"2005","journal-title":"Pediatrics"},{"issue":"4","key":"2021120903005553200_B34","doi-asserted-by":"crossref","first-page":"234","DOI":"10.3928\/0090-4481-20000401-09","article-title":"Long-term medical issues in international adoptees","volume":"29","author":"Johnson","year":"2000","journal-title":"Pediatr Ann"},{"issue":"4","key":"2021120903005553200_B35","doi-asserted-by":"crossref","first-page":"1252","DOI":"10.1542\/peds.2009-1997","article-title":"Hearing assessment in infants and children: recommendations beyond neonatal screening","volume":"124","author":"Harlor","year":"2009","journal-title":"Pediatrics"},{"issue":"2","key":"2021120903005553200_B36","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/j.jaapos.2007.08.012","article-title":"Long-term follow-up of visual functions in prematurely born children\u2014a prospective population-based study up to 10 years of age","volume":"12","author":"Holmstr\u00f6m","year":"2008","journal-title":"J AAPOS"},{"issue":"6","key":"2021120903005553200_B37","doi-asserted-by":"crossref","first-page":"1376","DOI":"10.1542\/peds.2007-2901","article-title":"Recommendations for preventive pediatric health care","volume":"120","author":"American Academy of Pediatrics, Committee on Practice and Ambulatory Medicine and Bright Futures Steering Committee","year":"2007","journal-title":"Pediatrics"},{"issue":"4 Pt 1","key":"2021120903005553200_B38","first-page":"902","article-title":"Eye examination in infants, children, and young adults by pediatricians","volume":"111","author":"Committee on Practice and Ambulatory Medicine, Section on Ophthalmology. American Association of Certified Orthoptists","year":"2003","journal-title":"Pediatrics"},{"key":"2021120903005553200_B39"},{"issue":"4","key":"2021120903005553200_B40","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1017\/S0021963098002236","article-title":"Developmental catch-up, and deficit, following adoption after severe global early privation","volume":"39","author":"Rutter","year":"1998","journal-title":"J Child Psychol Psychiatry"},{"issue":"4","key":"2021120903005553200_B41","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1001\/archpedi.1995.02170160040006","article-title":"Health status of children in foster care. The experience of the Center for the Vulnerable Child","volume":"149","author":"Halfon","year":"1995","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"2","key":"2021120903005553200_B42","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1542\/peds.101.2.201","article-title":"Relationship between reason for placement and medical findings among children in foster care","volume":"101","author":"Takayama","year":"1998","journal-title":"Pediatrics"},{"issue":"1","key":"2021120903005553200_B43","doi-asserted-by":"crossref","first-page":"e232","DOI":"10.1542\/peds.2007-3778","article-title":"Special health care needs among children in the child welfare system","volume":"122","author":"Ringeisen","year":"2008","journal-title":"Pediatrics"},{"issue":"1","key":"2021120903005553200_B44","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1001\/archpedi.1995.02170130042009","article-title":"Developmental and nutritional status of internationally adopted children","volume":"149","author":"Miller","year":"1995","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"11","key":"2021120903005553200_B45","doi-asserted-by":"crossref","first-page":"922","DOI":"10.1001\/jama.1997.03550110060037","article-title":"Health of children adopted from the former Soviet Union and Eastern Europe. Comparison with preadoptive medical records","volume":"278","author":"Albers","year":"1997","journal-title":"JAMA"},{"issue":"5","key":"2021120903005553200_B46","doi-asserted-by":"crossref","first-page":"1395","DOI":"10.1016\/j.pcl.2005.06.009","article-title":"Long-term developmental, behavioral, and attachment outcomes after international adoption","volume":"52","author":"Weitzman","year":"2005","journal-title":"Pediatr Clin North Am"},{"issue":"4","key":"2021120903005553200_B47","doi-asserted-by":"crossref","first-page":"224","DOI":"10.3928\/0090-4481-20000401-08","article-title":"Initial assessment of growth, development, and the effects of institutionalization in internationally adopted children","volume":"29","author":"Miller","year":"2000","journal-title":"Pediatr Ann"},{"issue":"2","key":"2021120903005553200_B48","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1016\/S0022-3476(86)80408-5","article-title":"Brief psychosocial screening in outpatient pediatric practice","volume":"109","author":"Jellinek","year":"1986","journal-title":"J Pediatr"},{"issue":"5","key":"2021120903005553200_B49","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1542\/peds.2007-1948","article-title":"Social-emotional screening status in early childhood predicts elementary school outcomes","volume":"121","author":"Briggs-Gowan","year":"2008","journal-title":"Pediatrics"},{"key":"2021120903005553200_B50","unstructured":"Squires J, Bricker D, Twombly E. Ages and Stages Questionnaire: Social-Emotional. Baltimore, MD: Brookes Publishing Inc; 2004. Available at: www.brookespublishing.com\/store\/books\/squires-asqse\/index.htm. Accessed June 8, 2010"},{"issue":"5","key":"2021120903005553200_B51","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.1016\/j.pcl.2005.06.012","article-title":"Health care in the first year after international adoption","volume":"52","author":"Schulte","year":"2005","journal-title":"Pediatr Clin North Am"},{"issue":"6 Pt 1","key":"2021120903005553200_B52","doi-asserted-by":"crossref","first-page":"1437","DOI":"10.1542\/peds.112.6.1437","article-title":"Families and adoption: the pediatrician\u2019s role in supporting communication","volume":"112","author":"Borchers","year":"2003","journal-title":"Pediatrics"},{"issue":"5","key":"2021120903005553200_B53","first-page":"603","article-title":"The physical health of children in kinship care","volume":"146","author":"Dubowitz","year":"1992","journal-title":"Am J Dis Child"},{"issue":"6","key":"2021120903005553200_B54","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1097\/00004703-199312010-00005","article-title":"Behavior problems of children in kinship care","volume":"14","author":"Dubowitz","year":"1993","journal-title":"J Dev Behav Pediatr"},{"issue":"8","key":"2021120903005553200_B55","doi-asserted-by":"crossref","first-page":"882","DOI":"10.1001\/archpedi.1995.02170210056010","article-title":"Sources of health care and health needs among children in kinship care","volume":"149","author":"Feigelman","year":"1995","journal-title":"Arch Pediatr Adolesc Med"},{"key":"2021120903005553200_B56","unstructured":"Springer S. Reporting adoption and foster care initial evaluation and management services (online exclusive). AAP Pediatric Coding Newsletter Online. Elk Grove Village, IL: American Academy of Pediatrics; May 2011. Available at: http:\/\/coding.aap.org\/content.aspx?aid=11510. Accessed May 5, 2011"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/129\/1\/e214\/1056982\/peds_2011-2381.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/129\/1\/e214\/1056982\/peds_2011-2381.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,22]],"date-time":"2021-12-22T15:01:22Z","timestamp":1640185282000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/129\/1\/e214\/31666\/Comprehensive-Health-Evaluation-of-the-Newly"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,1,1]]},"references-count":56,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2012,1,1]]},"published-print":{"date-parts":[[2012,1,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.2011-2381","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"value":"0031-4005","type":"print"},{"value":"1098-4275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,1,1]]}}}