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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Life After Residential Care: A narrative lifecourse case study

Amanda Keller, 01 Apr 2021

This exploratory narrative case study delves into the life trajectories of two English-speaking adults age 50+ who spent over three years in youth protection-based congregate care and aged out of these services in Quebec, Canada.

Restorative Parenting: Delivering Trauma-Informed Residential Care for Children in Care

S. L. Parry, T. Williams & C. Burbidge - Child & Youth Care Forum, 24 Mar 2021

Using a novel multisystemic trauma-informed model of care with an embedded developmental monitoring index, the Restorative Parenting Recovery Programme, pilot data was collected from young people and care staff from four residential homes over a two-year period.

Prevalences of and correlations between childhood trauma and depressive symptoms, anxiety symptoms, and suicidal behavior among institutionalized adolescents in Vietnam

Tien Sy Pham, Haiying Qi, Dingxuan Chen, Huilin Chen, Fang Fan - Child Abuse & Neglect, 04 Mar 2021

The authors of this study investigated the prevalence rates of childhood trauma, depressive symptoms, anxiety symptoms and suicidal behaviors among Vietnamese adolescents and compared the differences between institutionalized adolescents (IAs) and noninstitutionalized adolescents (NIAs). In addition, they examined the multidimensional associations between childhood trauma and psychopathology among IAs.

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Mental Health Outcomes of Youth In-Care: Investigating the Effect of General Strain and Self-control Theories

Greggory J. Cullen, Carolyn Yule, David Walters & William O’Grady - Child and Adolescent Social Work Journal, 04 Mar 2021

This article exploresthe extent to which general strain theory (GST) and self-control theory can explain the mental health outcomes of youth in-care.

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Depression and behavior problems among children residing at welfare hostels and orphanages

Sai Kiran Pasupula, Madhavi Kodali, Therissa Benerji, Krishna Mohan Parvathaneni - Archives of Mental Health, 03 Mar 2021

The aim of this article was to study and compare the depression and behavioral problems among children residing at welfare hostels and orphanages.

Theorizing Pathways to Resilience among Orphaned Adolescents in Institutional Care in India

Rachna Mishra and Vanita Sondhi - Children and Youth Services Review, 02 Mar 2021

This grounded theory study aimed to theorize pathways through which orphaned adolescents within institutional care navigate to achieve positive adaptation.

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Summary Report: Base Model Child Care Institutions (CCIs) Pilot Project 2nd Year Report

Miracle Foundation India, 01 Mar 2021

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’.

Nutritional Status of Under-five Children living in Orphanages compared with their Counterparts living with their Families in Host Communities in Lagos State

Izuka MO, Olatona FA, Adeniyi OF, Onajole AT - Journal of Community Medicine and Primary Health Care, 01 Mar 2021

This study was conducted to determine and compare the nutritional status of children living in orphanages and children living in the host communities in Nigeria.

Young Teenagers’ Views Regarding Residential Care in Portugal and Spain: A Qualitative Study

Carme Montserrat, Paulo Delgado, Marta Garcia-Molsosa, João M. S. Carvalho and Joan Llosada-Gistau - Social Sciences, 10 Feb 2021

A qualitative study was designed highlighting the voices of children, analysing their fostering experience, interpersonal relationships, their participation in daily decisions, and future aspirations.

Postmarital Life Challenges After Foster Care Discharge: A Qualitative Study

Fardin Alipour, Negin Khoramdel, Maliheh Arshi, Mohammad Sabzi Khoshnami - Families in Society: The Journal of Contemporary Social Services, 03 Feb 2021

This research explored the experiences of the postmarital life of women with a history of residence in foster care centers. It was conducted using a qualitative content analysis.

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