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Institutional Care for Young Children: Review of Literature and Policy Implications
Mary Dozier1, Charles H Zeanah, Allison R Wallin
1University of Delaware.
Insights
Institutional care for young children worldwide often fails to meet developmental needs. This review examines institutional care
Area of Science:
- Child Development
- Developmental Psychology
- Pediatrics
Background:
- Millions of infants and toddlers globally reside in institutional care settings.
- Existing institutional care models are frequently inadequate for supporting optimal early childhood development.
Purpose of the Study:
- To review the history and evolution of institutional and surrogate care for children.
- To analyze the inherent conflicts between institutional care environments and children's developmental requirements.
- To synthesize empirical evidence on the developmental impacts of institutional care on young children.
Main Methods:
- Literature review of historical and empirical research on institutional care.
- Analysis of developmental psychology principles in relation to institutional settings.
- Synthesis of evidence on the effects of early childhood institutionalization.
Main Results:
- Institutional care presents significant challenges to children's cognitive, social, and emotional development.
- Evidence consistently demonstrates negative outcomes associated with early and prolonged institutionalization.
- Alternatives to institutional care are often more conducive to healthy child development.
Conclusions:
- Institutional care poses risks to young children's development and well-being.
- Shifting towards community-based and family-centered care models is recommended.
- Policy changes are necessary to improve care for institutionalized children worldwide.
Abstract:
Millions of infants and toddlers are in institutional care around the world, care that is poorly suited to meet young children's developmental needs. In this article, we briefly review the history of institutional care and surrogate care. We then discuss why institutional care is at odds with children's needs, and review the empirical evidence regarding the effects of institutional care on young children's development. Finally, we discuss alternatives to institutional care, and make recommendations for changes.
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