Ending Child Institutionalization

The detrimental effects of institutionalization on a child’s well-being are widely documented. Family based care alternatives such as kinship or foster care, are much more effective in providing care and protection for a child, and are sustainable options until family reunification can take place. The use of residential care should be strictly limited to specific cases where it may be necessary to provide temporary, specialized, quality care in a small group setting organized around the rights and needs of the child in a setting as close as possible to a family, and for the shortest possible period of time. The objective of such placement should be to contribute actively to the child’s reintegration with his/her family or, where this is not possible or in the best interests of the child, to secure his/her safe, stable, and nurturing care in an alternative family setting or supported independent living as young people transition to adulthood. 

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Philip S Goldman, Marian J Bakermans-Kranenburg, Beth Bradford, Alex Christopoulos, et al - The Lancet Child & Adolescent Health,

In this second part of the Lancet Group Commission on institutionalisation and deinstitutionalisation of children, international experts in reforming care for children identify evidence-based policy recommendations to promote family-based alternatives to institutionalisation.

Anne Longfield - The Lancet Child & Adolescent Health,

In this commentary piece, Anne Longfield, Children’s Commissioner for England, explores the use of children's care homes in England and the need for improved supports to prevent placement in children's home and to provide for the needs of children and young people who are placed in these homes.

Lumos Foundation, King’s College London, and Maestral - The Lancet Child & Adolescent Health and The Lancet Psychiatry,

This Lancet Group Commission, published between The Lancet Child & Adolescent Health and The Lancet Psychiatry, advocates global reform of the care of separated children through the progressive replacement of institutional provision with safe and nurturing family-based care.

Aisha K Yousafzai - The Lancet Child & Adolescent Health,

In this commentary piece, Aisha K Yousafzai - of the Department of Global Health and Population at the Harvard TH Chan School of Public Health and the  and Department of Paediatrics and Child Health at Aga Khan University - notes that "the evidence presented [in the Lancet Group Commission on the institutionalisation and deinstitutionalisation of children] and their call to action to ensure abandoned children can thrive in family-based care environments rather than in institutions matters now more than ever as the global community addresses unprecedented challenges to ensure a generation of children are not left behind with respect to their survival, health, development, learning, and safety."

Niall Boyce, Jane Godsland, Edmund Sonuga-Barke - The Lancet,

This Executive Summary provides an overview of the Lancet Group Commission, which advocates global reform of the care of separated children through the progressive replacement of institutional provision with safe and nurturing family-based care.

European Network on Independent Living - ENIL,

In this webinar, a panel including persons with disabilities and experts in disaster management, human rights and service provision discuss the need for “emergency deinstitutionalisation” of persons with disabilities and how this could be achieved.

Olga Ulybina - Global Social Policy,

This article describes a policy adoption case study about deinstitutionalization of childcare in Georgia since independence. It highlights the evolving and non-homogeneous nature of transnational agency in the area of childcare deinstitutionalization, and offers insights into the complex relationship between transnational agency and national policymaking.

Miracle Foundation,

This guidance from Miracle Foundation outlines case management process and tools aimed at children in Child Care Institutions (CCIs) in India who have been placed with their families during the COVID-19 pandemic. The purpose of these case management processes and tools is to determine feasibility of permanent placement and expedite family-based care in families in which children were placed quickly and without proper preparation during COVID-19 lockdown.

Sofia An & Meri Kulmala - Global Social Policy,

This article compares how the global policy of deinstitutionalisation (DI) of child welfare travelled, was translated and institutionalised in two post-Soviet countries – Russia and Kazakhstan.

Better Care Network,

The Organizational Governance and Accountability Checklist is designed to help determine whether an organisation providing residential care services, and the principal donor (where the principal donor represents an entity), have sufficient governance and accountability structures in place to mitigate, manage and address risks or issues that may arise in the course of transitioning the model of care.