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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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.

Current trends, figures and challenges in out of home child care: An international comparative analysis

Jorge F. del Valle and Amaia Bravo, 31 Dec 2013

This article closes a special edition focused on the state of child protection in 16 countries chosen to represent very different cultural contexts, historical backgrounds, and social welfare systems with special attention to out-of-home care placements, principally family foster care and residential care, though several aspects related to adoption were included as well.

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Different sizes, similar challenges: Out of home care for youth in Germany and the Netherlands

Annemiek T. Harder, Maren Zeller, Mónica López, Stefan Köngeter, Erik J. Knorth, 31 Dec 2013

This article reviews the history and development of out-of-home care services in Germany and the Netherlands comparing trends and numbers.

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Overview of out of home care in the USA and Canada

Mark Courtney, Robert J. Flynn, Joël Beaupré, 30 Dec 2013

This paper provides overview of the US and Canada in-care system, noting certain differences and similarities between the two systems. Estimates of the number of children in care in Canada and data on children in the US foster care systems is also provided.

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Kenya Careleavers Conference Report: “How I Left Care”

Kenya Society of Careleavers and Koinonia Old Beneficiaries Welfare Association , 07 Dec 2013

Koinonia Old Beneficiaries Welfare Association and Kenya Society of Careleavers report on their annual Careleavers Conference that took place on December 7th, 2013 at the Shalom House, Dagoretti Corner.