The International Adoption Clinic
of Kennedy Krieger Institute and Johns Hopkins Children's Center

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How Can a Video Tape Review Help Me Make a Decision?

A videotape review can help provide information about the child that you are considering for adoption. The videotape review consists of descriptive information about the skills observed in the following areas of development: gross motor, fine motor, social/adaptive, cognitive, receptive language, and expressive language. In addition, an assessment will be made of the quality and normalcy of the child's performance of skills, as well as the child's physical characteristics. There will be comments made on any medical information that may have a developmental impact.

The videotape review is usually not representative of a full assessment of the child's abilities or potential. It is limited by the spectrum of skills demonstrated by the child on the videotape clip, the quality of the videotape, and the length of the videotape. Since the videotape provides only a brief snapshot of the child's skills, it will probably not capture all the child's abilities. The physician is only able to assess the skills that are seen on the videotape, which means that the review might underestimate the child's developmental level. It is common for children who have lived in orphanages to have some developmental delay.

There is no substitute for a formal developmental assessment on a child, which cannot be done unless the physician observes and interacts with the child in person. Nonetheless, the videotape review does offer you information that most parents find valuable, and often addresses concerns that a prospective parent may have.

Who Performs the Video Tape Review ?

A developmental pediatrician performs the videotape review. This is a board-certified pediatrician who has gone through an additional three years of subspecialty training in child development, diagnosis/management of developmental disabilities, neurology, and genetics.

How Can I Submit a Video Tape for Review?

The videotape can be mailed or brought to the Kennedy Krieger Institute for review. Tapes are not returned, so please make a copy of the tape for yourself before submitting it to us. You will be asked to sign a consent form Requires Adobe Acrobat Reader, which allows us to perform the videotape review, and a client information formRequires Adobe Acrobat Reader, which gives us some basic information about how to contact you. It is mandatory that you provide us with a birth date for the child, as well as the date(s) of the videotape clip. Please also provide us with any available medical information on the child, including birth and growth data.

You will be asked to provide a fax number to which the handwritten report can be faxed before your telephone conference with the physician. If you do not have a fax machine at home or work, you can usually access one at a local business center, library, post office, neighbor's home/work, or Kinko's. Please let us know if you would like a phone call before the fax is sent. We are not able to send you the written report by e-mail due to issues of confidentiality and logistics.

How Long Will It Take to Hear From the Physician?

The turn-around time for videotape reviews is within 72 hours, except when the videotape arrives in our office immediately before the holiday. Every effort is made to provide the review within 24-48 hours. There are rare delays due to the physician's heavy work schedule or vacation, or lack of availability of the back-up physician. You will receive a final typewritten report of the videotape review within one to two weeks. Copies of the report will not be sent to other parties, unless you provide a written request to do so.

How is the Telephone Conference Arranged?

You will receive the faxed written report before the telephone conference with the physician. This will give you time to review/discuss the information that you receive and write down your questions. The physician will contact you to set up a time that is mutually convenient, within the constraints of the physician's other responsibilities. The telephone conference may occur on the same day that you receive the fax. Options are usually available for both daytime and evening telephone conferences. Ideally, in families where two parents are involved, both parents will be on the telephone with the physician, either on separate extensions or via conference call. This ensures that all parties are able to ask questions and discuss the information simultaneously. Please write down all of your questions and concerns before the telephone conference to ensure that you don't forget to ask something that is important to you.

What is the Charge for a Video Tape Review?

We have one standard charge for each child reviewed, regardless of the length of the videotape. Please refer to the Fee Schedule for the specific cost of the videotape review. Payment must be received at the time that the videotape is submitted for review. Payment can be done via check, credit card, cash, or money order.

If you request evaluation of several children on a single videotape or multiple videotapes, there is a separate standard charge for each child evaluated. If there are multiple video clips of the same child on a single videotape, the standard charge is applied once. If you submit a follow-up videotape at a later date for a child for whom we did a previous videotape review, there is a second standard charge applied, which is the same as the charge for the first review.

If you wish to arrange a Videotape Review through the International Adoption Clinic of the Kennedy Krieger Institute and Johns Hopkins Children's Center, please call (443) 923-9402 or toll free (888) 554-2080. Please call us BEFORE sending any videotape for review, to ensure that the physician is available and that the paperwork is complete.

We also offer post-adoption services, including Comprehensive Medical Assessment and Developmental Assessment. These services are meant to provide consultative care, in conjunction with the care provided by your child's primary health care provider. These services can be scheduled by calling the International Adoption Clinic at the above numbers.

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