This paper examines the negative impact of institutional care in central eastern Europe, the Commonwealth of Independent States and the Baltics region. It promotes community-based care alternatives and provides statistics. It also includes a list of useful resources addressing orphaned and vulnerable children.

A paper describing a study that reviewed the role of institutional care in Albania, Armenia, Latvia, Lithuiania and Romania, where the World Bank worked to develop community based care social services and move away from large residential institutions that according to the paper have deleterious affects on the nations and on the people who live in them. Particularly, the study focuses on the use of residential institutions by children, people with disabilities and the frail and isolated elderly.

Save the Children’s research and analysis of residential care services and the need for alternative non-institutional approaches for children separated from their families. This book examines policy and practices from work in Africa, Asia, Latin America and the Caribbean, and Eastern and Central Europe.