Millions of persons with disabilities, children and older persons live in congregate settings. Whilst the motivation for providing such care may be well-intentioned, that is not always the case. Many of those settings are ‘institutional’, with residents denied autonomy and choice, provided with poor quality health and social care, and experiencing social isolation, neglect or abuse. This report summarises the evidence and experiences of persons living in congregate settings in general, and in terms of the impact of COVID-19, to understand the barriers to deinstitutionalisation, and to highlight the approaches that have sought to overcome those barriers.

The Care Reform Roadmap (2024-2028) lays out the strategic actions for caring for vulnerable children in Ghana, led by the Ministry of Gender, Children, and Social Protection.

This advocacy brief and video are underpinned by research confirming the high costs of violence against children to society, and the significant returns that could accrue from investments made in interventions to prevent and respond to violence against children. The research highlights the need for a paradigm shift, from viewing expenditure on the protection of children from violence as a cost to viewing it as an investment.

This toolkit, building on prior research, presents the economic rationale for investing in the prevention and response to violence against children, emphasizing that such spending should be seen as an investment rather than a cost. Part A outlines the societal and economic benefits of preventing violence, while Part B provides a step-by-step guide for practitioners to develop evidence-based investment cases to persuade governments to adopt integrated, cross-sectoral strategies.

This project explored the experiences of young people in Australia living in ‘therapeutic residential care’ to understand what helps or hinders them in building trust and feeling safe. Drawing on interviews and surveys, it shares insights directly from the young people about what works well and what could be improved.

This report presents the main findings, conclusions, and recommendations of a formative and summative evaluation of the childcare and deinstitutionalisation reforms in North Macedonia for the period of 2009 2022. The evaluation was commissioned by the United Nations Children’s Fund (UNICEF) Europe and Central Asia Region Office (ECARO), as part of its multi-country evaluation of the impact of national child care reforms across eight1 countries in Europe and Central Asia and was conducted by Coram International.

This study examines the role of transition plans (TPs) in supporting young people leaving youth care in Flanders, identifying ownership, integrated working, and social support as key elements for effectiveness. While TPs have strong potential to guide meaningful transitions, their success depends on flexible, person-centred design and reflective professional practice that aligns with young people’s aspirations and values.

Neglect is the most common form of child maltreatment and has serious consequences for the development of children. Assessing child neglect is challenging because it involves recognizing acts of omission rather than commissions. This study examines the influence of the assessment tool SAT-BL on the documentation of neglect.

Positioned as ethical travel, orphanage tourism commodifies vulnerable children, akin to slum and wildlife voluntourism. Rather than alleviating harm, it sustains institutionalisation and exploits children for profit. This article examines orphanage tourism through hospitality ethics, sustainable tourism and corporate social responsibility (CSR), revealing gaps in hospitality curricula that overlook the industry’s complicity.

This study explores the experiences and challenges of caregivers providing trauma-informed care to foster children in a South African care facility. Findings highlight the emotional and practical difficulties faced by caregivers and emphasize the need for targeted training and support to strengthen their capacity and well-being.