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 774

Sameer Ahmad Wani and Dr. Dharmendra Kumar Sarraf,

This study reviews existing research on the challenges faced by orphans in Jammu and Kashmir, India, highlighting that while some children remain with extended family, others are placed in orphanages when relatives cannot provide care. The review finds that orphans in the region face multiple social, economic, psychological, and health challenges throughout their lives.

Rebecca Nhep,

In Myanmar, concerns have been raised that clientelism may be facilitating the recruitment of children into unregistered facilities, putting children at risk. This study uses clientelism theory and examines relationships between stakeholders involved in forty-five residential care facilities in Myanmar. It finds clientelism as a distinct driver of child institutionalization in Myanmar and as a mechanism that facilitates the recruitment and admission of children into unregulated residential care facilities, undermining their rights and safety.

Justin Rogers, Susie Wilson, Jen Dixon,

This scoping review synthesises evidence from 77 studies (2014–2024) on violence against children in foster, residential, and kinship care, finding neglect to be the most common form of maltreatment, alongside physical, emotional, sexual, and peer violence across settings. While evidence on effective interventions is limited, the review highlights key risk factors and consequences, underscores the protective role of supportive relationships and trauma-informed care, and calls for stronger family-based care, oversight, and child-centred practices to reduce harm and promote well-being.

Cristia´n Pinto-Cortez, Bele´n Ortega-Senet, Cristo´bal Guerra, et al.,

This qualitative study analyzes institutional narratives between 2002 and 2024 to understand how violence and child abuse have persisted in residential care centers in Chile, drawing on interviews and public statements from child protection authorities. The findings identify systemic deficiencies, structural problems, negligent practices, concealment, and sexual exploitation networks as key factors perpetuating abuse, underscoring the urgent need for comprehensive reforms, stronger oversight, and enhanced ethical and professional standards to safeguard the rights and well-being of children under state care.

Hafzah Shah, Michelle O’Reilly, Diane Levine, et. al,

This paper explores the mental health and wellbeing of care-experienced girls in Pakistan, highlighting how structural and systemic factors shape their experiences. Using focus group data, it identifies limited mental health awareness, gender discrimination and harassment, and restricted opportunities as key challenges, and offers recommendations framed within children’s and women’s rights to better support their futures.

Benjaporn Srinithiwat, Patcharapun Sarisuta, and Tachakorn Angsanu,

This study identifies high rates of gross and fine motor delays among young children living in residential care facilities in Thailand and examines factors contributing to these developmental challenges. These findings highlight the developmental vulnerabilities of young children in residential care and point to key predictors that can inform early interventions.

Abdul Rasheed K.M and Dr. Noor Mubashir,

This study examines the educational barriers faced by children in institutional care in India, identifying how structural rigidity, limited resources, stigma, and emotional neglect undermine equitable access to meaningful learning. Drawing on qualitative insights from care and education professionals, it highlights the critical role of social work in advancing child-centred, rights-based approaches to transform institutional care into an environment that supports inclusion, wellbeing, and educational equity.

Livhuwani Precious Matshepete, Lufuno Makhado & Ntsieni Stella Mashau ,

This study explores the lived experiences of orphans and vulnerable children in South Africa’s rural Vhembe District and finds that they face significant challenges, including maltreatment, deprivation, neglect, abuse, and social alienation. The findings highlight an urgent need for strengthened psychosocial support through coordinated stakeholder action, reinforced drop-in centres, and enhanced prioritization by social workers.

Carina Pohl,

This study examines how children in Swiss residential care perceive safety, revealing that while institutions aim to protect them, many still experience both safety and unsafety shaped by physical spaces, institutional rules, and relationships with staff. By centering children’s voices, the article highlights gaps between residential care’s protective mandate and children’s lived experiences, calling for a more nuanced, justice-oriented understanding of safety in child welfare.

Sipho Sibanda,

This study examines challenges that hinder social workers in South Africa from providing effective family reunification services, resulting in children staying in alternative care longer than necessary. Findings from a mixed-methods study suggest that providing resources, reducing caseloads, supervising and training social workers, and adhering to reunification principles are key measures to ensure holistic and timely family reunification.