Limitations to the Use of Small Group Homes

There is increasing debate among people involved in designing alternative care for children as to whether or not small group homes are an acceptable option that is in the best interest of the children. There is no consensus on this yet. In fact, I have recently put in a bid to be allowed to do the literature review that SOS Children’s Villages is commissioning to get an overview of the research done on this.

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Rethinking Group Homes

For a long time, it was thought that if it was difficult to place a child with a foster family, placing him in a small group home was a suitable alternative. Group homes were seen as imitating families and where therefore expected to have a similar beneficial effect.

Over the past couple of years, experts have come back from this position, because there is too much evidence pointing in the opposite direction.

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DI: Preparing the Children

A child who is moved from an institution into a family situation without any preparation, is likely to be traumatised and this may cause a lot of very challenging behaviour. It has been shown that if children with severe intellectual disabilities, who have lived in an institution for a long time, are moved to a family without preparation, the shock can actually kill them.

So, it is essential to provide proper preparation for the children, when you are planning to move them out of an institution. This blog will look at what that entails.

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DI: The Institution’s Job

An institution deciding to move their children to family-based care – or being ordered to by their government – has a big job ahead of it. Just showing the children the door is not going to be enough and would lead to a lot of suffering and trauma among the children. It would be likely to lead to children ending up living on the street and/or being targeted for trafficking and sexual exploitation.

Making the move to family-based care needs to be responsibly handled and carefully planned. So, in this blog I will put forward some of the things that are very important to make sure of.

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What Does Deinstitutionalisation Mean?

A very long word, often shortened to DI to save ourselves the trouble, that is thrown around more and more, in various different places. A word of some importance, and therefore important to understand. What exactly do people mean when they talk about deinstitutionalisation and what is involved in the process.

In this blog I will give a brief overview and in the following blogs I will pick out some elements that are mentioned today and look at them more closely, to allow a more thorough understanding to develop.

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Next Best: Imitation Families

It is very rare, only a very small percentage of children without parental care, but it does sometimes happen that it is not possible to find a place for a child with their extended family, nor in a foster family and the situation is not such that an adoptive family would be appropriate. Usually these children are older, often teenagers, and have complicated challenging behaviour that is difficult to deal with in a family. Or they are children with complex, severe multiple special needs.

What to do with these children? Should they go into an institution? I presume that by now you can predict that the answer here is ‘no’. In this blog we will look at what then.

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The Real Cost of Institutionalisation

When you start talking about the need to move away from institutional childcare, towards family-based care, you are often confronted with the argument: ‘it is too expensive, we cannot afford to move way from institutions’. It is a very persistent myth that institutional childcare is the most efficient, cost-effective way to care for children without parental care.

Since these days the best way to convince anyone of your point of view is to come with a financial argument, let’s have a look at the real cost of institutionalisation, not just in the moment, but in the long run.

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What Is a Residential Childcare Institution?

It is often called an ‘orphanage’, even though most of the children living in it are not orphans. Or it is called a children’s home, while it cannot really be called a true home to the children, when their essential basic needs are not met. The most accurate word to use is residential childcare institution, but this is quite a mouthful. And as it turns out, even when you use the most accurate description, there is still a lot of room for confusion, because this term is used for a large variety of things.

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