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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Evaluation of a DBT group within Adolescent Residential Care

Katie McIntyre - Scottish Journal of Residential Child Care, 2020

The following evaluation looks at a dialectical behavioural therapy (DBT) skills group implemented with young females in a Scottish residential service.

Youth-Centered Transition Planning for Students With Disabilities Who Experience Foster Care

Robin Harwick - Special Education Design and Development Tools for School Rehabilitation Professionals, 2020

This chapter describes a youth-centered approach to transition planning for this vulnerable population and highlights essential elements to consider during the process such as disability, mental health, trauma, resilience, self-determination, culture, and how trauma impacts mental health.

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The Experience of Power Relationships for Young People in Care. Developing an Ethical, Shortitudinal and Cross-National Approach to Researching Everyday Life

Hélène Join-Lambert, Janet Boddy & Rachel Thomson - Forum: Qualitative Social Research, 2020

In this article the authors look for a suitable method which takes account of power relations while investigating young people's perspectives on their everyday lives.

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Evaluation of institutionally reared children and adolescents in terms of mental health in Ankara

Ahmet Ozaslan and Nuran Demir - The Archives of the International Association for Child and Adolescent Psychiatry and Allied Professions, 2020

This study examines the mental health symptoms of children in institutional care in Ankara, Turkey and possible factors that may cause these symptoms.

The Statistical Analysis of the Academic Achievement of Young People Living in the Child Protection System

Ildikó Erdei, Karolina Eszter Kovács - Central European Journal of Educational Research, 2020

This research aims to explore the connections between the future orientation of disadvantaged young people living in residential care homes and foster families, by a comparative analysis of their study results.

Explorando el sistema de protección de la niñez en Honduras

Martha Lorena Suazo, Kevin Alberto Cruz, Henry Parada - Revista Latinoamericana de Ciencias Sociales, Niñez y Juventud, 2020

Este artículo explora las prácticas institucionales que facilitan u obstaculizan la protección de derechos de niños, niñas y adolescentes en el sistema de protección de la niñez en Honduras a través de sus diferentes etapas.

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Tools for Working with Children in Institutional Care

Kshipra Marathe - Counsel to Secure Justice, 2020

This knowledge resource discusses and provides examples of practice tools and calming techniques (in English and Hindi) which counsellors and adults can use while working with children who are in institutional care. The paper reviews evidence on the impact of institutionalisation on children as well as evidence-based interventions that can help mitigate this impact.

Maltreatment in residential child protection care: A review of the literature

Fotine Konstantopoulou & Ioanna Mantziou - Dialogues in Clinical Neuroscience & Mental Health, 2020

The current literature review provides a conceptual and empirical framework for understanding child institutional maltreatment.

Adaptation and Socialization of Social Orphans in Kyrgyzstan

R.B. Salmorbekova & K. Karimova - Society and Security Insights, 2020

This article presents analyses of the main causes of the increase in the number of social orphans in Kyrgyzstan.

Behind the Mask of Care: A Report Based on the Results of the Situation Analysis of Baby Homes in Ukraine

USAID, UK aid, Hope and Homes for Children, 2020

This report presents the findings of the 2019-2020 assessment conducted within the Pilot assessment of residential healthcare facilities for children and development of recommendations for reform in five baby homes of Dnipropetrovsk, Poltava and Kherson regions of Ukraine. In addition to the findings from the assessment of baby homes, the report presents results from the region assessments regarding needs in the medical rehabilitation, paediatric palliative care, and social services for children aged 0-6 years and their families.