Ending Child Institutionalization

The detrimental effects of institutionalization on a child’s well-being are widely documented. Family based care alternatives such as kinship or foster care, are much more effective in providing care and protection for a child, and are sustainable options until family reunification can take place. The use of residential care should be strictly limited to specific cases where it may be necessary to provide temporary, specialized, quality care in a small group setting organized around the rights and needs of the child in a setting as close as possible to a family, and for the shortest possible period of time. The objective of such placement should be to contribute actively to the child’s reintegration with his/her family or, where this is not possible or in the best interests of the child, to secure his/her safe, stable, and nurturing care in an alternative family setting or supported independent living as young people transition to adulthood. 

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Changing the Way We Care,

This case study highlights the transition of the Sisters of Our Lady of Charity of the Good Shepherd in Ciudad Juarez. It is an honest look at the emotional, logistical, and practical elements involved in transitioning from a residential care model which existed for more than 100 years to a provider of community-based and family-centered services.

Changing the Way We Care,

Este estudio de caso destaca la transición de servicios de cuidado residencial a los basados en la familia y comunidad las realizado por las Hermanas de Nuestra Señora de la Caridad del Buen Pastor, en Ciudad Juárez, México. 

Child's i Foundation, Better Care Network,

Based in Uganda, Child’s i Foundation successfully transitioned their residential programs before deciding to expand their vision and seek to bring about care reform to the entire district of Tororo. Partnering with the district level government and several CCIs, Child’s i Foundation carried out an extensive analysis and assessment of the Tororo region which provided information to guide the ensuing transitions of CCIs throughout the region.

Better Care Network, Alliance for Children Everywhere,

Alliance for Children Everywhere (ACE) Zambia is a US-funded organization that transitioned from providing residential care in Zambia to pioneering family-based care, including foster care, and supporting other residential care service providers to transition. With important links to the Zambian government, ACE Zambia has been a key actor in supporting the development of policies, programs and guidelines that are now utilized across the country.

Changing the Way We Care,

Este documento está diseñado para orientar a las personas u organizaciones que están apoyando un proceso de transición para pasar de proporcionar atención residencial a un modelo que promueva la atención familiar y comunitaria. El documento está diseñado en torno a las Fases de la Transición de Better Care Network. Se basa en el trabajo que Changing the Way We Care ha realizado en los últimos años para apoyar a diferentes proveedores de atención residencial, tanto religiosos como laicos, en su propio proceso de transición. Hay ejemplos y enlaces a herramientas relevantes, mensajes y actividades sugeridas que pueden utilizarse para apoyar las diferentes fases del proceso.

Changing the Way We Care, Story International,

This case story is meant to illustrate transition, the actors involved, the challenges and the success factors; recognizing that each transition is an individual process with different starting points, different dynamics and different evolutions. Story International’s transition example demonstrates the ups and downs of divesting from the orphanage model.

Changing the Way We Care,

The Journey of Change and Safe Closure case story demonstrates the process of early engagement and awareness to supporting the long-term reintegration of children in families.

Emily Delap - Regional Learning Platform on Care Reform, UNICEF, Changing the Way We Care ,

Although care reform is well established in some parts of the Eastern and Southern Africa, many countries in the region are just beginning their care reform journey. This short paper is aimed at these contexts. It explains what care reform is, the different components of care reform, why care reform is important and how to start a care reform process. 

Hope and Homes for Children,

This Hope and Homes for Children publication provides critical lessons learned, practical evidence and recommendations to support global, regional and national decision makers to build political will, strategies, policies, and target funding to transform care systems.