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.

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.

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.

This study analyzed data from residential care settings in Victoria, Australia, to examine how missing episodes intersect with worker-identified concerns about sexual and criminal exploitation among children and young people. Findings suggest that going missing may signal ongoing, overlapping patterns of exploitation-related harm—rather than isolated vulnerability—highlighting the need to view these incidents as part of sustained exploitation trajectories.

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.

This scoping review of 29 studies finds that individuals with care experience face significantly higher rates of mental and physical health challenges across the life course, though research has largely focused on younger populations. It highlights key gaps, particularly in understanding the long-term physical health outcomes of care leavers and the need for clearer distinctions and broader definitions of wellbeing in future research.

This study explores how children and youth in residential care in Australia understand the concept of “home,” finding it is often defined by the absence of harm but marked by gaps in security, control, relationships, and belonging. It concludes that institutional structures and staff instability limit meaningful experiences of home, highlighting the need for more consistent, relational, and youth-centered care environments.

This study assessed the physical health status of children residing in orphanage homes in Lucknow district, India. It found while most had normal nutritional status, many faced challenges, including high school dropout rates, signs of micronutrient deficiencies, and poor oral hygiene.

This paper reflects on an author’s return to former orphanage sites in Australia—now repurposed as commercial properties—where personal memories of abuse and neglect resurface. It explores how survivor testimony and memory activism can challenge the erasure of these histories, highlighting tensions between commercial interests and efforts to memorialize sites of past harm.

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.