Cited by 140Child Welfare and AdoptionPoverty, Education, and Child WelfareChild and Adolescent Health

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Institutionalisation and deinstitutionalisation of children 2: policy and practice recommendations for global, national, and local actors

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Goldman, Philip S, Bakermans-Kranenburg, Marian J, Bradford, Beth, Christopoulos, Alex, Ken, Patricia Lim Ah, Cuthbert, Christopher, Duchinsky, Robbie, Fox, Nathan A, Grigoras, Stela, Gunnar, Megan R, Ibrahim, Rawan W, Johnson, Dana, Kusumaningrum, Santi, Agastya, Ni Luh Putu Maitra, Mwangangi, Frederick M, Nelson, Charles A, Ott, Ellie M, Reijman, Sophie, van IJzendoorn, Marinus H, Zeanah, Charles H, Zhang, Yuning, Sonuga-Barke, Edmund J S·2020·The Lancet Child & Adolescent Health

DOI 10.1016/s2352-4642(20)30060-2PMC PMC7311356

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Abstract

Worldwide, millions of children live in institutions, which runs counter to both the UN-recognised right of children to be raised in a family environment, and the findings of our accompanying systematic review of the physical, neurobiological, psychological, and mental health costs of institutionalisation and the benefits of deinstitutionalisation of child welfare systems. In this part of the Commission, international experts in reforming care for children identified evidence-based policy recommendations to promote family-based alternatives to institutionalisation. Family-based care refers to caregiving by extended family or foster, kafalah (the practice of guardianship of orphaned children in Islam), or adoptive family, preferably in close physical proximity to the biological family to facilitate the continued contact of children with important individuals in their life when this is in their best interest. 14 key recommendations are addressed to multinational agencies, national governments, local authorities, and institutions. These recommendations prioritise the role of families in the lives of children to prevent child separation and to strengthen families, to protect children without parental care by providing high-quality family-based alternatives, and to strengthen systems for the protection and care of separated children. Momentum for a shift from institutional to family-based care is growing internationally—our recommendations provide a template for further action and criteria against which progress can be assessed.

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Authors: Goldman, P. S., Bakermans-Kranenburg, M. J., Bradford, B., Christopoulos, A., Ken, P. L. A., Cuthbert, C., Duchinsky, R., Fox, N. A., Grigoras, S., Gunnar, M. R., Ibrahim, R. W., Johnson, D., Kusumaningrum, S., Agastya, N. L. P. M., Mwangangi, F. M., Nelson, C. A., Ott, E. M., Reijman, S., van IJzendoorn, M. H., Zeanah, C. H., Zhang, Y., & Sonuga-Barke, E. J. S.
Affiliations: United Nations Children's Fund (US)
University of Cambridge (GB)
University of Maryland, College Park (US)
University of Minnesota (US)
German Jordanian University (JO)
University of Indonesia (ID)
Catholic Relief Services (US)
Boston Children's Hospital (US)
University of Oxford (GB)
Tulane University (US)
University of Southampton (GB)
King's College London (GB)
Corresponding author: Sonuga-Barke, Edmund J S
ORCID: Goldman, Philip S
Fox, Nathan A
Gunnar, Megan R
Ibrahim, Rawan W
Kusumaningrum, Santi
Agastya, Ni Luh Putu Maitra
Nelson, Charles A
Reijman, Sophie
van IJzendoorn, Marinus H
Zeanah, Charles H
Zhang, Yuning
Sonuga-Barke, Edmund J S
Venue: The Lancet Child & Adolescent Health
Publisher: Elsevier BV
Published: 2020-08
Volume: 4
Issue: 8
Pages: 606-633
ISSN: 2352-4642 (ISSN-L)
DOI: 10.1016/s2352-4642(20)30060-2
PMC: PMC7311356
OpenAlex: W3036972655
Cited by: 140
References: 76
Citations by year: 2026: 29 · 2025: 23 · 2024: 20 · 2023: 19 · 2022: 22 · 2021: 16 · 2020: 11
FWCI: 3.30
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: The Lancet Child & Adolescent Health (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Research Portal (King's College London) (publishedVersion, other-oa)
ePrints Soton (University of Southampton) (acceptedVersion)
VU Research Portal (submittedVersion, other-oa)
Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
Topics: Social Sciences › Sociology and Political Science › Child Welfare and Adoption
Social Sciences › Development › Poverty, Education, and Child Welfare
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child and Adolescent Health
Keywords: deinstitutionalization, family-based care, child welfare system, foster care, adoption, kafalah, child separation from family, child protection, best interests of the child, policy recommendations, child mental health, orphans
MeSH terms: Child, Child Advocacy, Child Health Services, Deinstitutionalization, Health Policy, Humans, Institutionalization, Global Health, Practice Guidelines as Topic

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Institutionalisation and deinstitutionalisation of children 2: policy and practice recommendations for global, national, and local actors

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