Effects of Institutional Care

Institutionalising children has been shown to cause a wide range of problems for their development, well-being and longer-term outcomes. Institutional care does not adequately provide the level of positive individual attention from consistent caregivers which is essential for the successful emotional, physical, mental, and social development of children. This is profoundly relevant for children under 3 years of age for whom institutional care has been shown to be especially damaging. 

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Darshani Hettiarachchi - Sri Lanka Journal of Child Health,

This article explores mental health related issues in children and adolescents in childcare institutions in Sri Lanka.

Natalie L. Colich, Margaret A. Sheridan, Kathryn L. Humphreys, Mark Wade, Florin Tibu, Charles A. Nelson, Charles H. Zeanah, Nathan A. Fox, Katie A. McLaughlin - The Journal of Child Psychology and Psychiatry,

This study used data from the Bucharest Early Intervention Project – a randomized controlled trial of foster care for children raised in psychosocially depriving institutions – to examine the associations of the caregiving environment with reward processing, executive functioning, and internalizing and externalizing psychopathology at ages 8, 12, and 16 years, and evaluated whether these associations change across development.

Marinus van IJzendoorn,

This presentation - delivered by Marinus van IJzendoorn at a 18 November 2020 meeting of the Evidence for Impact Working Group, a working group of the recently launched Transforming Children's Care Global Collaborative Platform - presents evidence of the harmful impacts of institutionalization on children, demonstrates some of the benefits of deinstitutionalization for getting children back on track, and raises questions about gap-year volunteers working in orphanages.

Patricia Lannen, Clara Bombach, Oskar G. Jenni,

This study shows that, when researching historical compulsory social measures, the inclusion of formerly institutionalised individuals in development and implementation is not only feasible, but is of significant benefit to the quality of the research.

Tahl I. Frenkel, Bonny Donzella, Kristin A. Frenn, Sofie Rousseau, Nathan A. Fox & Megan R. Gunnar - Journal of Abnormal Child Psychology,

The present study examined the protective effect of the error-related-negativity (ERN) in a sample of children who experienced at least 3-years of stable, relatively enriched caregiving after being internationally-adopted as infants/toddlers from institutional-care.

Genevieve Young-Southward, Catherine Eaton, Rory O’Connor, Helen Minnis - Child Abuse & Neglect,

This systematic review critically evaluated the evidence for a causal association between child maltreatment and impaired cognition in children under 12 years.

Marinus H van IJzendoorn, Marian J Bakermans-Kranenburg, Robbie Duschinsky, Nathan A Fox, Philip S Goldman, Megan R Gunnar, Dana E Johnson, Charles A Nelson, Sophie Reijman, Guy C M Skinner, Charles H Zeanah, Edmund J S Sonuga-Barke -The Lancet Psychiatry,

This paper reviews the literature on child institutionalisation and deinstitutionalisation from a global perspective. This review included a survey of historical and cultural trends and estimates of current numbers of children in institutional care, a systematic review and meta­-analysis of developmental sequelae, and a largely qualitative review of factors found to predict individual variations in such outcomes.

Joan Kaufman - The Lancet,

In this commentary piece for The Lancet Psychiatry, Joan Kaufman highlights some key findings and recommendations from the Lancet Group Commission on the institutionalisation and deinstitutionalisation of children.

Philip S Goldman, Marian J Bakermans-Kranenburg, Beth Bradford, Alex Christopoulos, et al - The Lancet Child & Adolescent Health,

In this second part of the Lancet Group Commission on institutionalisation and deinstitutionalisation of children, international experts in reforming care for children identify evidence-based policy recommendations to promote family-based alternatives to institutionalisation.

Anne Longfield - The Lancet Child & Adolescent Health,

In this commentary piece, Anne Longfield, Children’s Commissioner for England, explores the use of children's care homes in England and the need for improved supports to prevent placement in children's home and to provide for the needs of children and young people who are placed in these homes.