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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L. Embleton, J. Nyandat, D. Ayuku, E. Sang, A. Kamanda, S. Ayaya, W. Nyandiko, P. Gisore, R. Vreeman, L. Atwoli, O. Galarraga, M. A. Ott, P. Braitstein — Journal of Adolescent Health,

The attached study compared the care environments of family-based care and institutional care to determine if care environment contributed to differences in sexual behavior and/or sexual exploitation of orphaned and separated adolescents.

Abhishek Saraswat & Sayeed Unisa - IUSSP 2017,

This study examined the psychological wellbeing of children in institutions and their various coping mechanisms.

Victoria Schmidt - Ending Violence in Childhood Global Report 2017, Know Violence in Childhood,

This paper, produced for the Know Violence global learning initiative, looks at the violence children experience in closed institutions in the Central Asian countries, specifically the former Soviet republics: Kazakhstan, Kyrgyzstan, Tajikistan and Uzbekistan.

Asha Bajpai - Journal of the National Human Rights Commission,

Using national and international law, court observations, and field experiences, this paper argues a case for deinstitutionalization of children in India, by empowering the families, thereby protecting children's right to a family and preventing abuse and exploitation.

Opening Doors,

This infographic provides quick status reports on deinstitionalisation in the following countries: Estonia, Latvia, Lithuania, Ukraine, Moldova, Bulgaria, Greece, Serbia, Bosnia & Herzegovina, Hungary, Poland and Romania.

Udayan Care,

The case studies outlined in this publication draw upon earlier work, which suggested that young people leaving care may broadly fall into one of three groups: those successfully ‘moving on’ from care; those who are ‘survivors’; and those who are ‘strugglers’.

Opening Doors,

This report from Opening Doors discusses the Opening Doors II pan-European campaign launched in Chisinau.  

Manuela Sofia Stănculescu (main author), Vlad Grigoraș, Monica Marin, Cătălina Iamandi-Cioinaru, Emil Teșliuc, Georgiana Blaj (Neculau), Bogdan Corad, VoichiŃa Pop, Andreea Trocea - The World Bank and UNICEF,

This book presents the results of this research on more than 52,000 children placed in public care in Romania (in special protection) who receive family or residential-type protection services as well as on the children at risk of separation from their families from the source communities.

Opening Doors For Europe's Children,

The Bulgaria Country Fact Sheet provides short details on the state of institutional care in Bulgaria.

Samantha Chaitkin, Nigel Cantwell, Dr. Chrissie Gale, Dr. Ian Milligan, Catherine Flogothier, Claire O’Kane, Dr. Graham Connelly - European Union, CELCIS, SOS Children's Villages,

This synthesis report contains findings of a study that conducted research in six South and Central American, Asian and African countries for the purpose of gaining understanding of the nature, extent, and scope of institutionalization and the feasibility of deinstitutionlisation.