A Call for Collaboration on the Compendium Project

I have started an ambitious independent project. It aims to build on various resources and tools that are developed by different (I)NGOs and practitioners to provide concrete guidance on implementation for various parts of the process of transitioning alternative care from institutional to family-based. I intend to map the resources and tools – also those developed for specific countries – available, (and am able to read documents in English, French, German, Spanish, Portuguese, Danish, Norwegian, Swedish, and Dutch). The project will go beyond an overview of what is out there and where it can be found. It will include a full analysis of the strengths, weaknesses of, and gaps in and between the different resources and tools. The mapping will only be the first stage of the project. The second stage will be to develop a document – or given the eventual size, really more of a compendium – in which the strongest elements from all the resources will be brought together (properly referenced) and to create new material to fill the gaps identified.

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There Is No Failsafe Formula for Transition

Last week, in a discussion with global experts on alternative care and care reform, I became increasingly alarmed. The discussion was about the need to have clear definitions and standards to ensure that everyone knows what is meant and expected. I have no argument with that. However, the way the discussion went, implied that once definitions and standards would be agreed upon, this would provide not just a useful framework, but something like a formula or a clear step-by-step guide. With the further implication that if this formula or guide is followed this would automatically lead to good outcomes. That is what I have major issues with.

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Training Manual for Case Workers

The training manual is now available! It is the twin to Understanding the Trauma of Institutionalised Children. To support the child you adopt, which I published in September last year. That was a book written for adoptive parents caring or planning to care for a child coming from an institution. The book gave information about how institutionalisation affects brain development and the stress response system, what the effects of that are and how parents can support the child to overcome challenging behaviour and developmental delays as much as possible. This information is not only applicable to children who are adopted from institutions. It applies to all children who are moved from institutions to families. That is why, even before the ‘adoption version’ came out, I had started work on adapting the same basic content to a different audience.

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Don’t Let Boarding Schools Replace ‘Orphanages’

As more and more governments start to transition care from institutional to family-based alternative care, and donors increasingly become aware of the harm that institutionalisation causes children, the orphanage industry (running ‘orphanages’ for profit) is falling apart. Removing children from their families, putting them in institutions and calling them orphans was once so profitable, foreign donors and volunteers would be queuing to bring in money. Now, it is becoming harder and harder to convince donors to hand over their money for institutional care. So, people running residential childcare institutions are looking around for other options.

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The Gap Between Policy and Implementation

When working on transition of care, it is always important to be aware of the legislative and policy framework that exists in the country in question. If there are no frameworks supporting family strengthening, family-based alternative care and prevention of unnecessary separation of children from their families, this is a major obstacle. However, the opposite also happens. In some countries, there are lots of great statements and frameworks in legislation and policy, but actual practical implementation is often slow or practically non-existent.

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HIV Awareness-Raising

Today is World AIDS Day. While the situation for people who are infected with HIV has changed a lot since World AIDS Day was first announced, in some ways things seem to have changed hardly at all. When I work with institutions that house children with HIV to transition to family-based care, the biggest obstacle that we run into is not the children’s health issues or medical needs, it is still stigma and discrimination.

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Model for Setting Up Alternative Care System: Continued Development

Part 20 of the explanation with the ToC: Development work is never done. There is no such thing as a perfect child and social protection system Even if someone should manage to establish something that would be considered a perfect system according to today’s best practice, by next month new insights and information will emerge to show that certain things that were long considered to be beneficial turn out to be harmful to children. So, changes need to be made again.

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Model for Setting Up Alternative Care System: Identifying Those at Risk

Part 19 of the explanation with the ToC: Once there are no more children in institutions, that too is not the end of the work to be done. Family-based alternative care and family strengthening do not just serve to absorb children who previously lived in institutions. These systems are in place to provide support and protection to the most vulnerable families and children in society.

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Model for Setting Up Alternative Care System: Monitoring Children

Part 18 of the explanation with the ToC: Once children have been placed back with their own families, or in foster families or other family- and community-based alternative care placements, that is not the end of the road or the work. The necessary support has to continue to be given to the families and caregivers (whether they are the child’s own family or not), and the child’s situation and well-being need to be monitored.

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Model for Setting Up Alternative Care System: Increase Govt Involvement

Part 17 of the explanation with the ToC: Whether this step is relevant, depends on the circumstances of your transition. If you are working with or for the government at the national level to set up a family-based alternative care system, obviously there is no need to get the government more involved in the process and the system.

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