The Push and the Gap in India

This year marks ten years since I first travelled to India and got involved in alternative care there. As I am about to travel to India again next week, it seems like a fitting moment to contemplate the changes in attitude and approach to alternative care that I have witnessed over that time.

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Developing a Model

Over the past 50 years, the awareness of the harm caused by institutionalising children has gradually sunken in and started spreading globally. Western Europe, North America, Australia and New Zealand were the first to start moving away from institutional care and towards family-based alternative care. Since they were at the forefront of this movement, they had on the one hand the challenge of discovering alternatives and figuring out how to implement them properly with little precedence to go on, while on the other hand they had the advantage of being able to do so without outside pressure to get it done quickly. In the past decade or two that pressure has been rising on all countries.

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Do Not Rush Deinstitutionalisation

Even though we are all in a hurry to put an end to the institutionalisation of children, we cannot afford to rush the process of deinstitutionalisation. In a previous blog (HERE), I mentioned the dangers of time pressure on the deinstitutionalisation process at the national and international level. In today’s blog, I want to address the dangers of rushing the process at the level of the individual institution, and how hard it is to resist the temptation to give in to the push to go faster.

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Time Pressure Is a Risk Factor

At the DI conference in Sofia at the start of the month, Jana Hainsworth of Eurochild gave a ‘lessons learned’ presentation in which she gave the EU some pointers on where they need to improve their approach to encouraging the move from institutional to family-based alternative care. In the previous blog (HERE), I discussed her point that there is a need for a shared terminology surrounding alternative care. Another one of her points – and more indirectly several of them – revolved around the power that is associated with being a distributor of money.

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Establishing Security for the Child

A couple of weeks ago, I wrote a blog about Sylvia Duncan’s presentation at the Trauma Informed Practice Conference in Birmingham in September, which you can find HERE. I mentioned how she pointed out the importance of not making false promises, in order to gain a child’s trust. I have realised that there is something else she mentioned that is important to share.

She spoke about how children who have not been able to form attachments when they were very young, and those whose trust has been broken to the point where they have lost any willingness to form new attachments, may be 7 or 8 years old, but in a lot of ways, emotionally, they function like babies. Because they have not had the opportunity to go through those early development stages yet, or they have regressed to before the stage where they went through that development.

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The Need for Counselling

Too often children who are placed in alternative care, or children who have been moved from an institution to a family – whether it be their own or a new one – are not provided with any counselling. This is a big problem and can even cause a ‘placement break-down’. Meaning it turns out not to be possible any longer for a child to stay in the family she was placed in – even if it was her own – because of emotional and behavioural problems.

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Busting Stigmas with Awareness

When you suggest that it might be possible to move towards family-based care by reuniting children with their families or by finding foster families for them, it is not uncommon to be told that this is not possible with ‘those’ children. Or sometimes, people will tell you that they have tried to convince families to take back their children or have tried to recruit foster families, and no one was willing. In a way, these nay-sayers are right, because it is not that easy, but it is possible.

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Plans for Why Family-Based Solutions

In the previous blog, I described how, coming up to the 1-year-aniversary of the start of Why Family-Based Solutions, I have been putting a lot of thought into what I would like the organisation to be about and what I can and want to aim to achieve. In today’s blog, I would like to share some of the conclusions that I have drawn.

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