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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KCD-Hart Fellows Program Collaboration ,

This qualitative research study seeks to better understand some of the reasons for residential care expansion in the province of Battambang, Cambodia. The study aims to identify why children are sent to orphanages and understand the attitudes of those stakeholders who are influencing the rise in institutions in the province.

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. 

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. 

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.

Patrice L. Engle, Victor K. Groza, Christina J. Groark, Aaron Greenberg, Kelley McCreery Bunkers, Rifkat J. Muhamedrahimov - Monographs of the Society for Research in Child Development Volume 76, Issue 4,

This paper from Monographs of the Society for Research in Child Development Volume 76, Issue 4 proposes a number of key components for translating research into policy and programs: analyzing the situation, using evidence to build the case for action, developing policies, building program capacity in child welfare and early childhood development, creating a family‐based child welfare system, and developing a system of monitoring and accountability.

Dana E. Johnson & Megan R. Gunnar - Monographs of the Society for Research in Child Development Volume 76, Issue 4,

Children within institutional care settings experience significant global growth suppression, which is more profound in children with a higher baseline risk of growth impairment (e.g., low birth weight [LBW] infants and children exposed to alcohol in utero), according to this chapter from Monographs of the Society for Research in Child Development Volume 76, Issue 4.