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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Mary Dozier, Charles H. Zeanah, Allison R. Wallin, and Carole Shauffer - The Society for the Psychological Study of Social Issues,

In this article, the authors briefly review the history of institutional care and surrogate care. They then discuss why institutional care is at odds with children’s needs, and review the empirical evidence regarding the effects of institutional care on young children’s development.

Zahara Legesse Kauffman & Kelley McCreery Bunkers,

The study was carried out in Addis Ababa, Ethiopia. The purpose of this research is to utilise information collated from literature review as well as informant interviews and focus group discussions to identify good practices or help inform the development of such practices aimed at assisting street children currently residing in institutional care to return to a family-based environment. 

Georgette Mulheir - The Equal Rights Review,

This article sets out some of the evidence of the impact of institutionalisation on children in Europe.

Catherine Hamilton-Giachritsis, Kevin Browne ,

This article provides an update on a series of projects that have highlighted the issue of institutionalization of children in Europe, arguing that babies and small children aged less than 3 years old, with or without disability, should not be placed in residential care without a parent or primary caregiver.

McCall, van IJzendoorn, Juffer, Vorria, Groark, & Groza - Leiden Conference,

This article briefly summarizes the literature on elements of research, practice, and policy pertaining to the development and care of children raised in institutions. It covers such children’s development while they reside in institutions and after their transition to adoptive or foster families.

National Council on Disability,

The Deinstitutionalization Toolkit is designed to provide all those interested in institutional closures and expanded community living opportunities for people with intellectual disabilities and developmental disabilities (ID/DD) with information, strategies, state data, and case studies that can facilitate closure and build community capacity to serve more people with ID/DD in the community. It covers topics such as building a broad-based coalition, understanding and working within the political environment, creating a community system of care, and relevant laws, policies, and court decisions.

World Vision,

This report summarises findings from a recent online survey conducted with over 300 international travellers to Cambodia, Lao PDR, Thailand and Vietnam. 

Charles H. Zeanah Megan R. Gunnar Robert B. McCall Jana M. Kreppner Nathan A. Fox - Monographs of the Society for Research in Child Development Volume 76, Issue 4,

This chapter from Monographs of the Society for Research in Child Development Volume 76, Issue 4 reviews sensitive periods in human brain development based on the literature on children raised in institutions.

Marian J. Bakermans‐Kranenburg Howard Steele Charles H. Zeanah Rifkat J. Muhamedrahimov Panayiota Vorria Natasha A. Dobrova‐Krol Miriam Steele Marinus H. van IJzendoorn Femmie Juffer Megan R. Gunnar,

Attachment has been assessed in the extreme environment of orphanages, but an important issue to be addressed in this chapter of Monographs of the Society for Research in Child Development Volume 76, Issue 4  is whether in addition to standard assessment procedures, such as the Strange Situation, the lack of a specific attachment in some institutionalized children should be taken into account given the limits to the development of stable relationships in institutionalized care.

Robert B. Mccall, Marinus H. Van Ijzendoorn, Femmie Juffer, Christina J. Groark, and Victor K. Groza - Monographs of the Society for Research in Child Development,

This monograph reviews literature pertaining to children without permanent parents.