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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Evaluarea Îngrijirii Alternative a Copilului în Moldova 2

Molly Cannon, Camelia Gheorghe, Moldova country core team - MEASURE Evaluation, USAID, 01 Jun 2018

This report, in the Moldovan langauge, presents the findings of an assessment workshop aimed at informing action planning to address priority needs identified in alternative care for children in Moldova.

Association of sleep with emotional and behavioral problems among abused children and adolescents admitted to residential care facilities in Japan

Masakazu Okada, Masaaki Otaga, Takako Tsutsui, Hisateru Tachimori, Shingo Kitamura, Shigekazu Higuchi, Kazuo Mishima - Plos One, 01 Jun 2018

In this study, the authors sought to identify sleep habits and suspected sleep disorders among abused children and adolescents admitted to residential care facilities in Japan and to investigate their association with emotional and behavioral problems.

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Assessing Alternative Care for Children in Moldova (Volume 1)

Molly Cannon, Camelia Gheorghe, Moldova country core team - MEASURE Evaluation, USAID, 01 Jun 2018

This report presents the findings of an assessment workshop aimed at informing action planning to address priority needs identified in alternative care for children in Moldova.

Assessing Alternative Care for Children in Armenia

Zulfiya Charyeva, Hasmik Ghukasyan, Armenia country core team - MEASURE Evaluation, USAID, 01 Jun 2018

This report presents the findings of an assessment workshop aimed at bringing together key stakeholders—decision makers, policy developers, service providers, civil society representatives, and donors—to assess and identify the main care reform areas in Armenia in which action is needed.

Detached and Afraid: U.S. Immigration Policy and the Practice of Forcibly Separating Parents and Young Children at the Border

Benjamin J. Roth, Thomas M. Crea, Jayshree Jani, Dawnya Underwood, Robert G. Hasson III, Kerri Evans, Michael T. Zuch, Emily E. Hornung, 01 Jun 2018

This paper explores what happens to children separated from their families at the U.S. border with Mexico by examining the nature of the services and programs provided while they are in temporary foster care.

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Assessing Alternative Care for Children in Uganda

Ismael Ddumba-Nyanzi, Michelle Li, Uganda country core team - MEASURE Evaluation, USAID, 01 Jun 2018

This report presents the findings from an assessment workshop aimed at informing action planning to address high-priority needs identified in alternative care for children in Uganda.

Assessing Alternative Care for Children in Moldova (Volume 2)

Molly Cannon, Camelia Gheorghe, Moldova country core team - MEASURE Evaluation, USAID, 01 Jun 2018

This report presents the findings of an assessment workshop aimed at informing action planning to address priority needs identified in alternative care for children.

ՀԱՅԱՍՏԱՆՈՒՄ ԵՐԵԽԱՆԵՐԻ ԽՆԱՄՔԻ ԵՎ ՊԱՇՏՊԱՆՈՒԹՅԱՆ ՀԱՄԱԿԱՐԳԻ ԲԱՐԵՓՈԽՈՒՄՆԵՐԻ ՄՇՏԱԴԻՏԱՐԿՈՒՄ, ԳՆԱՀԱՏՈՒՄ ԵՎ ՎԵՐՀԱՆՎԱԾ ԽՆԴԻՐՆԵՐԻՆ ԱՐՁԱԳԱՆՔՈՒՄ.

Zulfiya Charyeva, Hasmik Ghukasyan, Armenia country core team - MEASURE Evaluation, USAID, 01 Jun 2018

This report, in Armenian, presents the findings of an assessment workshop aimed at bringing together key stakeholders—decision makers, policy developers, service providers, civil society representatives, and donors—to assess and identify the main care reform areas in which action is needed.

Violence Against Children with Disabilities Committed by Staff in Residential Care

Friederike Lorenz & Meike Wittfeld - Proceedings of the Conference Child Maltreatment & Well-Being: Contemporary issues, research and practice, 29 May 2018

This paper aims to discuss professional’s struggle to find words to talk about perceptions of violence by their colleagues in residential care.

They Stay Until They Die. A Lifetime of Isolation and Neglect in Institutions For people with Disabilities in Brazil

Human Rights Watch, 23 May 2018

This report documents a range of abuses against children and adults with disabilities in residential institutions in Brazil.