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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Brandi N. Hawk, Robert B. Mccall, Christina J. Groark, Rifkat J. Muhamedrahimov, Oleg I. Palmov, Natalia V. Nikiforova - nfant Mental Health Journal,

The current study from the Infant Mental Health Journal addressed whether two institution‐wide interventions in St. Petersburg, Russian Federation, that increased caregiver sensitivity (Training Only: TO) or both caregiver sensitivity and consistency (Training plus Structural Changes: T+SC) promoted better socioemotional and cognitive development than did a No Intervention (NoI) institution during the first year of life for children who were placed soon after birth.

Stella Kemuma Nyagwencha, Alice Munene, Naomi James, Ricarda Mewes, Antonia Barke - American Journal of Applied Psychology,

The purpose of this study was to establish the prevalence of symptoms of anxiety disorder, depression and post-traumatic stress disorder (PTSD) among adolescents with a history of abuse and neglect living in charitable children’s institutions (CCIs) in Nairobi County, Kenya.

Margaret Grant & Alan Rushton - Children and Youth Services Review,

This paper seeks to contribute to debates about how people's adult lives unfold after experiencing childhood adversity. It presents analysis from the British Chinese Adoption Study: a mixed methods follow-up study of women, now aged in their 40s and early 50s, who spent their infant lives in Hong Kong orphanages and were then adopted by families in the UK in the 1960s.

Benjamin J. Roth, Thomas M. Crea, Jayshree Jani, Dawnya Underwood, Robert G. Hasson III, Kerri Evans, Michael T. Zuch, Emily E. Hornung,

This paper explores what happens to children separated from their families at the U.S. border with Mexico by examining the nature of the services and programs provided while they are in temporary foster care.

Human Rights Watch,

This report documents a range of abuses against children and adults with disabilities in residential institutions in Brazil.

Alan Carr, Hollie Duff, and Fiona Craddock - Trauma, Violence & Abuse,

The aim of the systematic review described in this article was to determine the outcomes for individuals exposed to severe neglect in congregate care institutions such as orphanages.

Ranjan Debnath, Alva Tang, George A. Buzzell, Nathan A. Fox, Charles H. Zeanah, Charles A. Nelson - Biological Psychiatry,

This study from the Bucharest Early Intervention Project (BEIP) examines the brain electrical activity of children and young people who have been institutionalized.

Archana Vinnakota, Ravneet Kaur - International Journal of Applied & Basic Medical Research,

The objectives of the study were to describe and study the extent of depression in adolescent boys and girls living in institutional homes and to study the association between depression and externalizing and Internalizing behaviors among adolescents in institutional homes.

Harmke Leloux-Opmeer, Chris H. Z. Kuiper, Hanna T. Swaab, Evert M. Scholte - Children and Youth Services Review,

The study consisted of a comparative follow-up study with a pretest-posttest design which explored the association between baseline child, family, and care characteristics and the psychosocial development of 121 schoolaged Dutch children during their first year of placement in foster care (FC), family-style group care (FGC), and residential care (RC).

Charles Nelson - Biological Psychiatry,

This talk, given by Dr Charles Nelson, focuses on two strands of work that reflect very different types of adversity: (1) the effects of early, profound psychosocial deprivation (including a review of the most recent findings from the Bucharest Early Intervention Project, a randomized controlled trial of foster care as an intervention for early institutionalization in Romania) and (2) the effects of growing up in a low resource urban center where children are exposed to a large number of both biological (e.g., malnutrition) and psychosocial (maltreatment) stressors (including a review of recent findings from a large study taking place in Dhaka, Bangladesh).