Residential Care

Residential care refers to any group living arrangement where children are looked after by paid staff in a specially designated facility. It covers a wide variety of settings ranging from emergency shelters and small group homes, to larger-scale institutions such as orphanages or children’s homes. As a general rule, residential care should only be provided on a temporary basis, for example while efforts are made to promote family reintegration or to identify family based care options for children. In some cases however, certain forms of residential care can operate as a longer-term care solution for children.

Residential care can be a positive alternative for some girls and boys when it is used appropriately and meets certain standards. For example, small group home living arrangements or supported independent living can work well in cases where children (often older teenagers) don’t feel comfortable in a family setting, or where large groups of siblings want to stay together. Similarly in cases where children have suffered trauma, severe abuse or neglect, have a severe disability or require specialised support, small group settings where trained staff can provide therapeutic care may be an appropriate care option. As much as possible, residential facilities should be small, community-based, organised to resemble a family-type or small-group situation and allow for sufficient staff to provide individualised attention to children.

It is important to distinguish between residential care and institutional care, which should only be used as a last and temporary resort for children. Institutional care refers to large-scale group care within big institutional facilities and has been associated with a wide range of problems for children including physical, social and emotional under-development - with babies and infants under the age of three especially vulnerable to lasting harm. Long periods in an institution can deprive children of positive individual attention from consistent caregivers, make it difficult for them to assimilate back into a family and community, and are often linked to increased risk of sexual and physical abuse, a lack of stimulation, and harsh discipline.

In recent years, deinstitutionalisation has been at the heart of national care reform efforts, which seek to reduce reliance on institutional care and to promote family and community based care options for children instead. This includes efforts to promote ethical volunteerism within residential care centres, educate donors and to avoid proliferation of orphanages and children’s homes after humanitarian emergencies.

The documents in this section outline residential care options for children, examine the damaging impact of institutions, explore family and community-based care alternatives and describe care reform efforts including initiatives around ethical volunteerism.

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Without Dreams: Children in Alternative Care in Japan

Human Rights Watch, 08 May 2014

This report by Human Rights Watch examines Japan’s alternative care system for children. It describes its organization and processes, presents current data on the use of different forms of alternative care and highlights the problems found in the institutionalization of most children (including infants), as well as abuses that take place in the system.

Understanding Vulnerability: a Study on Situations that Affect Family Separation and the Lives of Children in and out of Family Care

Irwanto & Santi Kusumaningrum, Center on Child Protection University of Indonesia PUSKAPA UI , 01 May 2014

This report presents analysis and key findings from a study aimed at fully understanding the situations of children in Indonesia that may lead to family separation.

National Multisectoral Child Protection Strategy, Plan of Action (Lesotho)

Kingdom of Lesotho, 01 May 2014

This document presents the Kingdom of Lesotho's National Multisectoral Child Protection Strategy 2014–2018 and a Costed Plan of Action for 2014-2016. The document is a more detailed operational document, setting out a road map for actions from July 2014 through to March 2017.

Consensus Statement on Group Care for Children and Adolescents: A Statement of Policy of the American Orthopsychiatric Association

Mary Dozier, Roger Kobak, Abraham Sagi-Schwartz, Carole Shauffer, Marinus H. van IJzendoorn, Joan Kaufman, Thomas G. O’Connor, Stephen Scott, Judith Smetana, Charles H. Zeanah, 01 May 2014

This statement of policy of by American Orthopsychiatric Association reviews the evidence on the use of congregate or group care for children and adolescents and concludes that institutional care is nonoptimal for children of all ages, including teenagers, and that even smaller group care settings can be detrimental to the growth and well-being of youth.

Out of home care in Norway and Sweden - similar and different

Elisabeth Backe-Hansen, Ingrid Højer, Yvonne Sjöblom, Jan Storø, 15 Apr 2014

This article provides an overview of the current situation in the out-of-home care in Norway and Sweden. Development in later years is described and discussed, including the trends towards privatization of the welfare system in both countries and the role of private, commercial actors within the care sector including out-of-home care for children and young people.

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Inspection of Children’s Homes: Framework for Inspection from 1 April 2014

Ofsted, UK, 01 Apr 2014

This document sets out the framework and guidance for the inspection of children’s homes in the UK. It should be read alongside the evaluation schedule for the inspection of children’s homes.

Inspections of Children’s Homes: Evaluation Schedule and Grade Descriptors from 1 April 2014

Ofsted, UK, 01 Apr 2014

This evaluation schedule set out the areas that inspectors will make judgements on when they inspect children’s homes in the UK. It should be read alongside the framework for the inspection of children’s homes.

Buddhism and Children

Vanessa R. Sasson - Child Abuse and Neglect Journal, Volume 38, Issue 4, 01 Apr 2014

This article explores some of the ways that Buddhism expresses care for its children.

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Orphanage Tourism Video

LearningService.info , 25 Mar 2014

This video from Learningservice.info discusses issues around orphanage volunteering and tourism. The video is accompanied by a number of prompts for further discussion.

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Understanding Care Leavers in Russia: Young People's Experiences of Institutionalisation

Evgenia Stepanova & Simon Hackett , 13 Mar 2014

This paper presents the findings of a survey of Russian care leavers. The emphasis is on care leavers' experiences of the Russian institutional care system, and the issues that impacted on their postcare transition to adulthood.

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