This presentation to the 2012 Sofia Conference by Jean-Claude Legrand, Senior Regional Advisor Child Protection, UNICEF CEE/CIS, highlights the situation of children in formal care, with particular concern for children with disabilities, and recommends reform and policy initiatives to improve the childcare systems in Eastern Europe and Central Asia.

This presentation to the 2012 Sofia Conference by Danica Kramarić, Head of Sector for the Promotion and Protection of Health, Croatian Ministry of Health, introduces how positive communication and engaged parenting are key deterrants of the placement of children with disabilities in institutions.

Document d’orientation sur la mise en œuvre et le soutien d’une transition durable des soins en institution vers les soins de proximité et familiaux pour les enfants, les personnes handicapées, les personnes atteintes de problèmes de santé mentale et les personnes âgées en Europe.

The Common European Guidelines on the Transition from Institutional to Community-based Care (‘the Guidelines’) provide practical advice about how to make a sustained transition from institutional care to family-based and community-based alternatives for individuals (including children) currently living in institutions and those living in the community, often without adequate support. 

Although the relationship between child sexual abuse and mental disorders life has been well established, the health consequences of other forms of child maltreatment, including physical abuse, emotional abuse, and neglect have not been systematically examined. This study summarizes the evidence relating to the possible relationship between child physical abuse, emotional abuse, and neglect, and subsequent mental and physical health outcomes.

This paper aims to raise awareness on the perverse effects of institutionalisation on children and it calls for comprehensive system reforms, starting with a transition towards family and community-based care. It highlights country level lessons learnt in the European context that demonstrate how deinstitutionalisation can be achieved in practice.

This briefing paper seeks to address key misunderstandings about de-institutionalisation. It explains what it is and what it is not and addresses key questions often asked about the need for such institutions, the role they play and the impact of this transformation and what it entails.

El meollo de este proyecto de investigación de dos años está en los testimonios de más de 300 jóvenes con experiencia en acogimiento en Albania, República Checa, Finlandia y Polonia. Su conciencia colectiva del proceso de finalización de la acogida nutrió directamente a los hallazgos y a las recomendaciones sobre políticas presentadas en este volumen.

Les enfants placés ont souvent des frères et sœurs. Malgré l’importance du lien fraternel et des décisions le concernant, les recherches européennes sur les relations fraternelles sont rares et plus encore celles sur les fratries placées. Dans la plupart des pays, les données officielles disponibles renseignent sur le nombre, le sexe et l’âge des frères et sœurs dans les familles et leur statut social, mais elles ne disent rien sur les autres caractéristiques des relations fraternelles et de la situation familiale.