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Forgotten children? An update on young children in institutions across Europe
Catherine Hamilton-Giachritsis1, Kevin Browne
1Centre for Forensic and Criminological Psychology, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK. c.hamilton.1@bham.ac.uk
Insights
Institutional care for children under three poses significant risks to development and mental health. Research highlights the need to prioritize family-based care, as residential settings are inadequate substitutes for parental nurturing.
Area of Science:
- Child Development
- Pediatric Health
- Social Policy
Background:
- Institutional care for young children, particularly those under three, is prevalent in many European countries.
- Current institutional practices often prioritize physical care over crucial social and emotional needs.
- Evidence indicates institutionalization increases risks for developmental delays, attachment disorders, neural dysfunction, and mental health issues.
Purpose of the Study:
- To provide an update on projects addressing the risks of institutional care for children in Europe.
- To advocate for policy changes based on the detrimental effects of institutionalization on early childhood development.
- To reinforce the principle that children under three should not be placed in residential care without a primary caregiver.
Main Methods:
- Review and synthesis of findings from ongoing projects focused on institutional care in Europe.
- Analysis of the impact of institutional environments on child development and well-being.
- Discussion of international policy discussions and guidelines related to early childhood institutionalization.
Main Results:
- Institutional care is a poor substitute for family environments, negatively impacting child development.
- Children in institutions face heightened risks of developmental delay, attachment difficulties, and mental health disorders.
- The principle of avoiding institutionalization for children under three has gained international attention and support.
Conclusions:
- Babies and young children (under three), regardless of disability, should not be placed in residential care without a parent or primary caregiver.
- International bodies like the UN General Assembly recognize the need for guidelines to protect young children from detrimental institutionalization.
- Policy and practice must shift towards supporting family-based care to ensure optimal child development and well-being.
Abstract:
The worst of institutional care was brought to public attention in Romania during the 1990s when pictures of severely deprived and malnourished children were shown around the world. However, many European countries have high rates of young children in institutions, where the physical care of the child predominates, with social/emotional needs a secondary concern. Yet institutional care is a very poor substitute for positive family care, increasing the risk of development delay, attachment difficulties, neural growth dysfunction and mental health disorders. This article provides an update on a series of projects that have highlighted this issue in Europe, arguing that babies and small children aged less than 3years old, with or without disability, should not be placed in residential care without a parent or primary caregiver. This principle has been discussed by the UN General Assembly (2009) and specific guidelines have been produced for all 193 member states.
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