This briefing note, produced by an Interagency Working Group on children without parental care, is designed to highlight the vulnerability of children to violence in the family and alternative care settings, and to encourage members of the CAT Committee to consider the potential added value of reference to the Guidelines for the Alternative Care of Children.

In this TED video, Georgette Mulheir, CEO of Lumos, an NGO dedicated to ending worldwide systematic institutionalization, describes how orphanages can cause irreparable damage to children both mentally and physically and urges to end reliance on them by finding alternate ways of supporting children in need.

In this TED Talk, poet and playwright Lemn Sissay tells his story of growing up in foster care in the UK. 

This article reviews the available evidence regarding the efficacy, effectiveness, ethics, and sustainability of approaches to strengthen systems to care for and protect children living outside of family care in low- and middle-income countries.

This article reviews the U.S. Government Evidence Summit on Protecting Children Outside of Family Care held in December 2011 in Washington D.C. The Summit brought together more than 150 of the world’s leading advocates for children to examine the strength of the research evidence on existing programs and interventions, and most importantly to identify critical knowledge gaps and areas where more research is needed so that systems and programs designed to improve the overall health and well-being of these vulnerable children may be strengthened.

The purpose of this review was to identify evidence-based early response strategies and interventions for improving the outcomes of children outside of family care, including children of and on the street, institutionalized children, trafficked children, and children affected by conflict and disaster, and who are exploited for their labor. A conclusion was drawn that there is a strong need for strengthening the evidence base regarding the effectiveness or early assessments and responses to children living outside family care and for using evidence to guide operational policy and practice.

This paper reviews the various methodologies applied to identify and enumerate these often hidden and/or mobile populations. Methodologies that identify and enumerate children outside of family strive to meet two objectives: (1) to estimate the number and characteristics of a specific vulnerability category and (2) to determine eligibility to receive services. Conclusions from these reviews advocate for tailoring a methodology to the specific circumstances under which it is meant to identify or enumerate children outside of family care.

The objective of this review was to strengthen the evidence-base for policy and practice for support of children outside of family care through effective, efficient and sustainable mechanisms for monitoring and evaluation. Findings show that fostering a stronger evidence-base to improve protection for vulnerable children requires evaluations that are integrated into program development, use context-appropriate methodologies able to assess intervention scalability and employ more longitudinal designs to explore children’s trajectories.

Recognizing the need for evidence to inform policies, strategies, and programs to care for vulnerable children, the U.S. Government convened an Evidence Summit on Protecting Children Outside of Family Care on December 12–13, 2011, in Washington, D.C., USA. This paper summarizes the background and methods for the acquisition and evaluation of the evidence used to achieve the goals of the Summit.

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.