Institutional Care for Young Children: Review of Literature and Policy Implications

Mary Dozier1, Charles H Zeanah, Allison R Wallin

  • 1University of Delaware.

Social Issues and Policy Review
|March 21, 2013
PubMed

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.

Related Concept Videos

Specialized Care Centers and Settings-I01:30

Specialized Care Centers and Settings-I

Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Restorative Care01:19

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
Parental Care00:55

Parental Care

Many animals exhibit parental care behavior, including feeding, grooming, and protecting young offspring. Parental care is universal in mammals and birds, which often have young that are born relatively helpless. Several species of insects and fish, as well as some amphibians, also care for their young.
Community Based Intervention01:30

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...