Karmen has led CoMission since 2001, networking, resourcing and equipping Christian leaders, organizations, churches and individuals in Russia and Ukraine to minister more effectively to orphans and children at risk. Since 2007, a major focus has been equipping Russian and Ukrainian Christians for adoption and foster care. As a result, Karmen has been involved in developing the Russia Without Orphans Alliance and supporting Ukraine Without Orphans, movements that are engaging the Church in their own countries for family-based care. He is also on the steering team of World Without Orphans, working globally to mobilize national movements like the ones in Russia and Ukraine. As part of his work, Karmen has coordinated numerous conferences and led the development of online directories of orphan care resources and events, in both English and Russian. Karmen's current focus is on helping to coordinate the Global Forum for a World Without Orphans. Karmen currently lives in Lancaster County, Pennsylvania, USA with his wife, Kristen and children, Luka and Anya.