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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Reconsidering Recent Developments in Japanese Residential Care and the Road to FICE Japan

Shigeyuki Mori, Satoru Nishizawa, Arimi Kimura - International Journal of Child, Youth & Family Studies, 2018

This paper offers an overview of residential care for children in Japan and its ongoing development.

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The orphanage industry: Flourishing when it should be dying

Nigel Cantwell and Emmanuelle Werner Gillioz - Scottish Journal of Residential Child Care, 2018

This article looks at how the orphanage industry serves to tear families apart in order to ‘create orphans’, and argues that convincing foreign contributors to withdraw their support will be key to stopping the ‘orphanage industry’ from flourishing.

Therapeutic residential care: An update on current issues in Australia

Sara McLean - Child Family Community Australia | information exchange, 2018

This paper provides an update on developments in therapeutic residential care, discusses the implications of these developments, and touches on further issues and dilemmas that should form the focus of research and practitioner partnerships in the future.

Residential Child and Youth Care in a Developing World: European Perspectives

Tuhinul Islam & Leon Fulcher - The CYC-Net Press, 31 Dec 2017

Building on Volume 1 of the Residential Child and Youth Care in a Developing World Series that used the FIFA Football Confederation Regions to step outside contemporary discourses about residential child and youth care, further contributions from 23 UEFA countries are offered in this second volume which follows.

Malnutrition and psychosocial dysfunction among the orphan and vulnerable children in Kaski district, Nepal

Dipendra Malla, Bishwas Acharya, Lil Bahadur Nepali, Anup KC, Pratik Gurung, Nanda Lal Gupta, Hoshiar Singh Chauhan - Progress in Medical Sciences, 23 Dec 2017

The objective of this study was to assess malnutrition and psychosocial dysfunction among vulnerable children as well as to determine the association between malnutrition and psychosocial dysfunction among orphan and vulnerable children in Kaski district, Nepal.

Ending the criminalisation of children in residential care. Briefing two: best practice in policing

The Howard League for Penal Reform, 18 Dec 2017

This is the second briefing paper published as part of the Howard League’s two-year programme to end the criminalisation of children in residential care. It explores how good practice in the policing of children’s homes can significantly reduce the unnecessary criminalisation of vulnerable children and demand on police resources.

Emotional health and coping mechanisms among adolescents in Malaysian residential foster care homes: A comparative study with adolescents living with families

Marjan Mohammadzadeh, Esra Tajik, Hamidin Awang, Latiffah Abdul Latiff - Asian Journal of Psychiatry, 18 Dec 2017

This article presents the findings of a study that examined the emotional health status and coping mechanisms of adolescents living in residential care facilities in Malaysia, in comparison with that of adolescents living in families.

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Changing the Way We Care Final Presentation

MacArthur Foundation, 11 Dec 2017

In this video, Catholic Relief Services, Lumos, and Maestral International presented their project: Changing the Way We Care, a project aimed at ending the institutionalization of children.

The Problem of Orphanages

World Travel Market London, 11 Dec 2017

This session of the World Travel Market in London focused on orphanage tourism and featured speakers from the Better Volunteering Better Care Initiative and other partners, including Save the Children, Friends International, Lumos, and People and Places.

Deinstitutionalisation of Europe’s Children: Questions and Answers

Opening Doors for Europe's Children, 11 Dec 2017

This resource provides quick answers to some of the frequently asked questions about the transition from institutional to family- and community-based care for children, also known as deinstitutionalisation (DI).