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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Hope and Homes for Children,

This report provides a framework for governments to develop their own roadmap for child protection and care system reform and deinstitutionalisation. The authors hope that it will inspire a conversation, guide inter-ministerial and cross society dialogue, support multidisciplinary groups at all levels to frame their own assessment, and plan their own roadmap for change.

Amira Hossam Abdel Aziz,

There are several studies that provide evidence for the negative effects of residential care for children. This chapter applies system analysis and child-centric approaches to assess the Children Alternative Care System (CACS) deinstitutionalization in Egypt.

Emily Delap of Child Frontiers, UNICEF Malawi country office, UNICEF ESARO, Changing the Way We Care, Government of Malawi,

This virtual study tour aims to provide you with an overview of care reform in Malawi from the comfort of your own home. Care reform relates to the care of children. It refers to efforts to improve the legal and policy frameworks, structures, services, supports and resources that determine and deliver alternative care, prevent family separation and support families to care for children well.

Put Children First: End Orphanage Care Campaign,

Research has shown the harm of orphanage care on children’s health, development and wellbeing and how orphanage volunteering is working to perpetuate these institutional systems which separate children from their families and communities. There is now a global movement to end both practices. These key policy recommendations were published as part of the "Put Children First: End Orphanage Care" campaign.

Nicole Gilbertson Wilke, Amanda Hiles Howard, David King, Brian Carroll,

The current article investigated the financial impact of transitioning to a family-based model of care, donor engagement practices used in this process, and changes in donor support resulting from the transition.

Better Care Network and Helping Children WorldWide,

The Child Rescue Centre was the first orphanage in Sierra Leone to successfully complete a transition from residential to family-based care. This case study highlights some of the key dynamics that arose throughout the transition of the orphanage and examines how those dynamics both influenced the transition and determined the type of support provided as well as the most appropriate transition strategy.

Nicole Gilbertson Wilke & Amanda Hiles Howard - Children & Society,

Research suggests that children develop best in families, but millions currently reside in residential care centers. Using a mixed methods design, the current study examined (1) antecedents to transition, (2) key elements in the process and (3) outcomes of transitioning models of care.

Changing the Way We Care (CTWWC),

A fost efectuată o evaluare cuprinzătoare a copiilor și adolescenților care trăiesc în îngrijire rezidențială identificând că există un mecanism complex de evaluare, axat pe oferirea unei vederi de 360° asupra nevoilor și interesului superior al copilului.

Save the Children International,

Families First Project is a program initiated by Save the Children in Indonesia in collaboration with the Indonesian Government to promote a safe family environment for raising and caring for children, either in their own families or in family and community-based care alternatives.

Miracle Foundation India,

This is the summary report for a pilot project spearheaded by Miracle Foundation India with its two partner organizations which were two Children's Care Institutions (CCIs) in the Indore District in central India. The goal of the pilot was to ‘create a replicable modal for other CCIs to effectively implement family based and alternative care through systemic change by engaging multiple stakeholders’.