A:  Parents hoping to adopt need to be prepared for a long and bumpy ride. Again, the length of time varies based on the type of adoption. Adopting a newborn from the United States can sometimes be extremely quick and/or could take years. The length of time to adopt internationally also varies based on the country and the referral process. Adopting a child internationally who has special medical needs can happen within 2 to 3 years. Adopting a child from foster care may not take quite as long, but it can be more complicated.
Every birth parent should meet with an objective counselor who can discuss parenting and adoption options. If they decide on an adoption, they should be able to work with a counselor who will oversee their medical care, be the liaison with the adoptive parent’s counselor or attorney regarding the birth parent’s needs and provide ongoing emotional support to the birth parent.
You should choose an adoption agency where you feel completely comfortable with their services and staff. With American Adoptions, you will work with an Adoption Specialist who is on-call 24 hours a day, 7 days a week. The Adoption Specialist will be your advocate and will provide support and guidance as you create an adoption plan that is right for you.
There are several ways a hopeful adoptive family can be proactive in keeping the cost of adoption within their budget, and the most important may be finding the right adoption agency to work with. Adoption agencies structure fees and handle refunds in different ways. Finding an agency that is transparent and trustworthy with finances is important. 
If you want to help change the system, join others who are already working in that area. Contact the parent groups in your area (find a database of groups at this link) to find out what they are doing or if they know of other advocacy groups you can get involved with. To report a specific problem, contact your adoption manager or the NACAC representative in your state. You may also want to contact one of AdoptUsKids’ Training and Technical Assistance consultants (a directory of staff and consultants is available at AdoptUsKids: Permanency - Tools and Resources).

When using a sliding scale, an agency sets a fee for its services based on the family's income or ability to pay. If you are exploring working with a private agency, ask if this is an option, even if it is not mentioned in the agency's literature. A sliding scale can make the cost of a homestudy, parent preparation classes, or post placement supervision much more affordable for low or middle income families, allowing them to focus their financial plans on raising their children rather than only on adopting them.

Adoption is expensive because the process to legally adopt a baby requires the involvement of attorneys, social workers, physicians, government administrators, adoption specialists, counselors and more. While the adoption journey is an emotional one for prospective birth mothers and adoptive families, the adoption process is a legal function. Adoptions completed by fully licensed agencies are held to high ethical standards, which can mean more paperwork and higher costs.
Every birth parent should meet with an objective counselor who can discuss parenting and adoption options. If they decide on an adoption, they should be able to work with a counselor who will oversee their medical care, be the liaison with the adoptive parent’s counselor or attorney regarding the birth parent’s needs and provide ongoing emotional support to the birth parent.
Usually, a shelter has already attended to the spay/neuter, the initial shots, and a veterinary clearance exam. If the cat's original situation left it with any medical challenges due to poor nutrition or neglect, these have usually already begun to be addressed by the shelter. You may get to play a final role in nursing your rescue back to full health, creating an initial bond between you both.
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