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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Beyond Detention: A Global Strategy to support governments to end the detention of asylum-seekers and refugees

United Nations High Commissioner for Refugees, 2014

This report, authored by the United Nations High Commissioner for Refugees, calls for a global strategy to prevent the detention of asylum-seekers and refugees in countries around the world, with an initial focus 10+ "focus countries." Among the Strategy's three main goals is the call to end detention of children, which requires a new legal and policy framework, the implementation of the "best interests" principle, alternative and appropriate reception and care arrangements for children (including foster care), and the provision of age-appropriate information to the child.

Models of care for orphaned and separated children and upholding children’s rights: cross-sectional evidence from western Kenya

Lonnie Embleton, David Ayuku, Allan Kamanda, Lukoye Atwoli, Samuel Ayaya, Rachel Vreeman, Winstone Nyandiko, Peter Gisore, Julius Koech and Paula Braitstein, 2014

The authors of this article applied a human rights framework using the United Nations Convention on the Rights of the Child to understand what extent children’s basic human rights were being upheld in institutional vs. community- or family-based care settings in Uasin Gishu County, Kenya.

The Revised Integrated Child Protection Scheme (ICPS): A Centrally Sponsored Scheme of Government – Civil Society Partnership - India

Ministry of Women & Child Development, Government of India, 2014

The Integrated Child Protection Scheme (ICPS) of India outlines, and contributes to the implementation of, the Government’s responsibility to establish an effective and efficient child protection system.

Assessment Report of the Alternative Care System for Children in Zimbabwe

SOS Children’s Villages International, 2014

This report from SOS Children’s Villages presents a critical analysis of the Zimbabwe’s compliance with the UN Guidelines for the Alternative Care of Children which found “yawning gaps” between the laws and policies in place and the actual experiences of children on the ground.

UNHCR Child Protection Issue Brief: Alternative Brief

UNHCR, 2014

This issue brief from the UNHCR highlights key messages from UNHCR in regards to alternative care, including the importance of making alternative care arrangements based on the best interests of the child and using residential or institutional care only as a very last resort.

Abandoned by the State: Violence, Neglect, and Isolation for Children with Disabilities in Russian Orphanages

Human Rights Watch , 2014

This Human Rights Watch report gives a detailed overview of the situation faced by children with disabilities in orphanages in Russia.

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Statutory guidance on children who run away or go missing from home or care

Department for Education, 2014

This guidance from the UK Department for Education sets out the steps local authorities and their partners should take to prevent children from going missing and to protect them when they do go missing.

Nepal 2014 Human Rights Report

Embassy of the United States in Nepal, United States Department of State • Bureau of Democracy, Human Rights and Labor, 2014

This report, published by the US Embassy in Nepal, includes a segment on human rights issues related to orphanage voluntourism and donors, child abuse in child care homes, and a lack of Government regulation of institutions.

Drumming Together for Change: A Child’s Right to Quality Care in Sub-Saharan Africa

SOS Children’s Villages, Centre for Excellence for Looked After Children in Scotland, University of Malawi, 2014

This report is based on a synthesis of eight assessments of the implementation of the Guidelines for the Alternative Care of Children (“the Guidelines”) in Benin, Gambia, Kenya, Malawi, Tanzania, Togo, Zambia and Zimbabwe.

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Collected Viewpoints on International Volunteering in Residential Care Centres - Country Focus: Ghana

Better Volunteering, Better Care , 2014

This overview is intended to contribute to discussions on international volunteering in residential care centres as an anecdotal research piece on the situation in Ghana.