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. 

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Know-How Center Bulgaria, Children and Family Initiative, and Changing the Way We Care,

These presentations from Know-How Center Bulgaria, Children and Family Initiative, and Changing the Way We Care, were delivered during the September 30, 2021, workshop of the Care Measurement Task Force of the Transforming Children's Care Global Collaborative Platform. The focus of the workshop was translating research evidence into action. 

Dagmar Kutsar, Leena Kurvet-Käosaar,

This articles reflects the impacts of the COVID-19 pandemic on the everyday lives of children and their families in Estonia during lockdown in spring 2020 and 2021. The data corpus is based on diaries compiled by children during the first lockdown in 2020 for a collection at the Estonian Literary Museum, and on a series of semi-structured interviews with children documenting their experiences during lockdown in spring 2021. The study draws on literature from the “new sociology of childhood” and applies Bronfenbrenner’s social ecological model to an analysis of young people’s experiences when their mobility outside the home was restricted, and they were forced to reorganise their time use.

Sarah Fathallah & Sarah Sullivan,

This study provides a deep, nuanced understanding of the lived experience and mental models of young people who have recently lived in institutional placements while in foster care. It offers an understanding of institutional placements from youths’ perspectives.

Deborah W. Parkes,

This article identifies risks and vulnerabilities that child monks can face, including sexual abuse. It reflects on how aspects of entrusting young children to live as child monks do not necessarily fit with principles articulated in the Convention on the Rights of the Child (UNGA, 1989) and the United Nations Guidelines for the Alternative Care of Children (UNGA, 2009).

Martin Knapp, Eva Cyhlarova, Adelina Comas-Herrera, Klara Lorenz-Dant ,

Millions of persons with disabilities, children and older persons live in congregate settings. Whilst the motivation for providing such care may be well-intentioned, that is not always the case. Many of those settings are ‘institutional’, with residents denied autonomy and choice, provided with poor quality health and social care, and experiencing social isolation, neglect or abuse. This report summarises the evidence and experiences of persons living in congregate settings in general, and in terms of the impact of COVID-19, to understand the barriers to deinstitutionalisation, and to highlight the approaches that have sought to overcome those barriers.

Voices of Children and Young People Team within Oranga Tamariki,

This report presents findings from Te Tohu o te Ora, the first national survey of tamariki and rangatahi in care.

Tien Sy Pham, Haiying Qi, Dingxuan Chen, Huilin Chen, Fang Fan - Child Abuse & Neglect,

The authors of this study investigated the prevalence rates of childhood trauma, depressive symptoms, anxiety symptoms and suicidal behaviors among Vietnamese adolescents and compared the differences between institutionalized adolescents (IAs) and noninstitutionalized adolescents (NIAs). In addition, they examined the multidimensional associations between childhood trauma and psychopathology among IAs.

Sai Kiran Pasupula, Madhavi Kodali, Therissa Benerji, Krishna Mohan Parvathaneni - Archives of Mental Health,

The aim of this article was to study and compare the depression and behavioral problems among children residing at welfare hostels and orphanages.

Mark Wade, Devon Carroll, Nathan A. Fox, Charles H. Zeanah & Charles A. Nelson - Journal of Clinical Child & Adolescent Psychology,

This article from the Journal of Clinical Child & Adolescent Psychology examines the extent to which psychosocial deprivation increases the risk of later cognitive and psychiatric difficulties and the downstream consequences of this for risk-taking behavior in adolescence. The current study included 165 children, 113 with a history of institutionalization and 52 with no such history.

Lory Zephyr, Chantal Cyr, Sébastien Monette, Maude Archambault, Stine Lehmann & Helen Minnis - Research on Child and Adolescent Psychopathology,

This meta-analysis aims to clarify the size of the associations between disinhibited social engagement behavior (DSEB) and attachment insecurity or disorganization.