Effects of Institutional Care

Institutionalising children has been shown to cause a wide range of problems for their development, well-being and longer-term outcomes. Institutional care does not adequately provide the level of positive individual attention from consistent caregivers which is essential for the successful emotional, physical, mental, and social development of children. This is profoundly relevant for children under 3 years of age for whom institutional care has been shown to be especially damaging. 

Displaying 1 - 10 of 791

Daphne Weedage, Delfine d’Huart, David Bürgin, et al.,

Juveniles in residential care systems have high rates of suicidal ideation (SI). This study aims to expand knowledge of the prevalence and stability of SI, as well its associated factors among young adult care leavers in Switzerland.

Magdalena Calderón-Orellana, Daniela Díaz-Bórquez, and Nicolas León,

This article examines how child protection workers in Chile interpret and respond to violence from children in residential care, finding that such violence is often normalized and attributed primarily to children’s trauma rather than to systemic or organizational factors. It highlights how this framing obscures the role of structural issues—such as inadequate training and staffing—and calls for more comprehensive prevention strategies that address both individual and institutional conditions.

Nifi Krishna. T, Mohammed Shamil Hussain, Kavita V. Jangam, et al.,

This scoping review examines the prevalence and impact of Adverse Childhood Experiences (ACEs) among children and adolescents living in institutional care, finding that childhood adversities are widespread and strongly linked to mental health challenges, social difficulties, and reduced quality of life. It highlights significant gaps in the research, including inconsistent definitions, limited standardized measurement tools, and the need for more longitudinal and culturally responsive studies to inform effective interventions.

Africa Uncensored,

This investigative documentary by Africa Uncensored uncovers the disturbing reality inside Ebenezer Children's Home in Kajiado, Kenya. Through exclusive whistleblower testimonies and secret audio recordings, it exposes allegations of systemic sexual abuse and exploitation within a facility meant to be a sanctuary for vulnerable children.

Watch Investigating Alleged Sexual Abuse at Kenya's Ebenezer Children's Home: HAVEN OF HELL on YouTube.
Patricia Lannen, Hannah Sand, Aziz Chaouch, et al.,

This study examines the long-term effects of early institutional care in Zurich, finding that infants exposed to severe psychosocial deprivation faced significantly higher mortality risk and lost an estimated 12 years of life compared to peers raised in the community. It highlights that lack of nurturing interaction in early childhood has lasting consequences into adulthood, underscoring the critical importance of responsive care for child health and survival.

Tearfund Ireland,

This report explores the attitudes, motivations, and practices of Irish Christians in supporting children in overseas care, particularly in residential institutions. The report finds that while many are driven by compassion, faith-based values, and a desire to help vulnerable children, there is often limited awareness of the potential harms of institutional care and the benefits of family-based alternatives.

Noemí Pereda and Alba Aguila-Otero,

This study estimated the reported prevalence of child sexual exploitation among adolescents in residential care facilities in a northern region of Spain and identified associated risk factors. Findings underscore the urgent need for targeted prevention and intervention strategies addressing child sexual exploitation among youth in residential care.

Tauqeer Abdullah,

This study of children in residential care in Pakistan finds that perceived institutional neglect is strongly linked to attachment insecurity, emotional dysregulation, and conduct problems, with attachment insecurity acting as a key mediating factor. The study highlights the importance of enhanced caregiver training, emotional support mechanisms, and the establishment of nurturing and stable environments within residential institutions to promote children’s psychological well-being and social adjustment.

Kenny Kor,

This narrative review draws on 17 Australian public inquiry reports to examine systemic factors in residential care that increase risks of harmful sexual behaviour and child sexual exploitation. It identifies key issues—such as poor placement matching, an underprepared workforce, fragmented reporting systems, and disempowering practices—and calls for a shift from individual-focused responses to broader structural reforms.

Mwale Lilungwe, Christine Mushibwe, Moses Changala, et al.,

Using a qualitative approach, this study captures the voices of juveniles in correctional facilities, orphanages and street environments in Zambia. Findings reveal patterns of emotional distress, societal exclusion and systemic failures that contribute to cycles of vulnerability and marginalization.