Harm Caused by Institutionalisation- Short Version

When I was helping to put the written material together for the Immersive Simulation Lab: Family-Based Care Conference last month, writing parts for the conference pack, for press releases and so on, I was asked to give a very short version of how institutional care is harmful to children. This was followed with the reassurance that I could just copy something from my website or blogs. It sounded like good advice, except that when I started to look for a few paragraphs to borrow, I discovered that I have not written a blog-size version of the general overview yet. So I guess it is high time to change that. Here is my attempt:

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Practical Model for Implementing UN Guidelines

In February, I announced that I was developing a Theory of Change model to given an overview of the practical stages involved in implementing the UN Guidelines on Alternative Care for Children. This is applicable both for places wanting to move from institutional to family-based care or for those who are just trying to set up family-based care and family strengthening. Today I would like to present the model I came up with.

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Secondary Corona Danger to ‘Orphans’

On Monday, I posted a blog explaining how the Coronavirus is much more dangerous to institutionalised children than to other children, because of their weakened immune system (you can read the blog HERE). Since then I have been struck by another threat that faces a portion of institutionalised children because of Coronavirus, and I want to share that with you.

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Corona Virus and Institutionalised Children

News about the Coronavirus, or Covid-19, has been hard to escape for the past couple of months. A lot of people are very worried and various media and industries seem to be whipping up the worry into a panic. It can be hard to keep a level head and to know how to take necessary, sensible precautions, without losing yourself in panic. What can also be hard, is to be aware of what the various groups at greatest risk are. Until you are reminded of it inescapably, as I was while I was in India.

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Q&A Video on Deinstitutionalisation

During the Immersive Simulation Lab: Family-Based Care Conference in Pune, on 27 February, I was asked to explain some aspects of the process of moving from institutional care to family-based care, and I did a short Q&A session. Today, instead of a blog, I would like to share the video of that part of the conference with you.

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Home from India

This weekend I returned home from just over three weeks in India. As I predicted, in the blog on 17 February, it has been an extremely busy time, but very worthwhile. It has been a question of working straight through, long days of providing training, strategy and exploration meetings, preparing for the conference and holding it, and days of observation and on-the-job training.

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Own Family, Foster Family, Group Home

When you are moving towards family-based alternative care, the above should be your priority of ranking for placement of children. Individual assessment has to be done for every child to determine what is best in her case. However, through the whole process the thought needs to be: is there any way to return the child to her family safely, if not, can she be placed in foster care, if not, is she better off in a small group home or in a supported living placement (depending on her age and ability). In that order.

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Arranging Services

Having spent some time, recently, looking at the need for individual assessment and how to go about it, it seems useful to address another step in the process of deinstitutionalisation, namely that of mapping and setting up services. In order for children to move from an institution into the community – whether this is to go live with their parents again, to be placed in a foster family or small group home, or to enter supported living – they are going to require the support of a range of services. This means that these services have to be present before the child is moved.

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Making the Placement Decision

Three blogs have just been dedicated to understanding the individual assessment process. However, while gathering the data on the child through the assessments is extremely important, in itself the data is worthless if nothing is done with it. Just having notes on a paper or having an overview in a spreadsheet is not going to automatically lead to a good placement for the child. Something needs to be done with the information gathered.

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Individual Assessments: Who?

After looking at why individual assessments are necessary (HERE) and getting a glimpse at how they should be approached (HERE), it is not unimportant to have a look at ‘who’. With ‘who’, I am not talking about who should be conducting the individual assessment, that was addressed in the ‘how’ blog. Rather we need to take a look at whom you need to get information from.

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