Transforming Institutional Care

The detrimental effects of institutional care on a child’s well-being are widely documented. Community 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. Institutional care should only be used as a short-term last resort for children over the age of 3, when all other options have been exhausted.

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Philip S Goldman, Marian J Bakermans-Kranenburg, Beth Bradford, Alex Christopoulos, et al - The Lancet Child & Adolescent Health,

In this second part of the Lancet Group Commission on institutionalisation and deinstitutionalisation of children, international experts in reforming care for children identify evidence-based policy recommendations to promote family-based alternatives to institutionalisation.

Anne Longfield - The Lancet Child & Adolescent Health,

In this commentary piece, Anne Longfield, Children’s Commissioner for England, explores the use of children's care homes in England and the need for improved supports to prevent placement in children's home and to provide for the needs of children and young people who are placed in these homes.

Lumos Foundation, King’s College London, and Maestral - The Lancet Child & Adolescent Health and The Lancet Psychiatry,

This Lancet Group Commission, published between The Lancet Child & Adolescent Health and The Lancet Psychiatry, advocates global reform of the care of separated children through the progressive replacement of institutional provision with safe and nurturing family-based care.

Aisha K Yousafzai - The Lancet Child & Adolescent Health,

In this commentary piece, Aisha K Yousafzai - of the Department of Global Health and Population at the Harvard TH Chan School of Public Health and the  and Department of Paediatrics and Child Health at Aga Khan University - notes that "the evidence presented [in the Lancet Group Commission on the institutionalisation and deinstitutionalisation of children] and their call to action to ensure abandoned children can thrive in family-based care environments rather than in institutions matters now more than ever as the global community addresses unprecedented challenges to ensure a generation of children are not left behind with respect to their survival, health, development, learning, and safety."

Niall Boyce, Jane Godsland, Edmund Sonuga-Barke - The Lancet,

This Executive Summary provides an overview of the Lancet Group Commission, which advocates global reform of the care of separated children through the progressive replacement of institutional provision with safe and nurturing family-based care.

Marinus H van IJzendoorn, Marian J Bakermans-Kranenburg, Robbie Duschinsky, Nathan A Fox, Philip S Goldman, Megan R Gunnar, Dana E Johnson, Charles A Nelson, Sophie Reijman, Guy C M Skinner, Charles H Zeanah, Edmund J S Sonuga-Barke -The Lancet Psychiatry,

This paper reviews the literature on child institutionalisation and deinstitutionalisation from a global perspective. This review included a survey of historical and cultural trends and estimates of current numbers of children in institutional care, a systematic review and meta­-analysis of developmental sequelae, and a largely qualitative review of factors found to predict individual variations in such outcomes.

Joan Kaufman - The Lancet,

In this commentary piece for The Lancet Psychiatry, Joan Kaufman highlights some key findings and recommendations from the Lancet Group Commission on the institutionalisation and deinstitutionalisation of children.

European Network on Independent Living - ENIL,

In this webinar, a panel including persons with disabilities and experts in disaster management, human rights and service provision discuss the need for “emergency deinstitutionalisation” of persons with disabilities and how this could be achieved.

Olga Ulybina - Global Social Policy,

This article describes a policy adoption case study about deinstitutionalization of childcare in Georgia since independence. It highlights the evolving and non-homogeneous nature of transnational agency in the area of childcare deinstitutionalization, and offers insights into the complex relationship between transnational agency and national policymaking.

Miracle Foundation,

This guidance from Miracle Foundation outlines case management process and tools aimed at children in Child Care Institutions (CCIs) in India who have been placed with their families during the COVID-19 pandemic. The purpose of these case management processes and tools is to determine feasibility of permanent placement and expedite family-based care in families in which children were placed quickly and without proper preparation during COVID-19 lockdown.