De-institutionalising and Transforming Children's Services: A Guide to Good Practice

Georgette Mulheir & Kevin Browne

This document begins with the paradigm that residential care is harmful to children and that community-based care is most beneficial to children.  However, the movement from institutions to community-based care is challenging and complex.

 Each chapter of this comprehensive guide outlines one of the 10 key steps to deinstitutionalisation:

  1. Raising awareness on deinstitutionalization:  Provides research evidence on the negative effects of residential care
  2. Managing the process of deinstitutionalization:  Provides a framework for developing a strategic plan for deinstitutionalization
  3. Analysis at regional/country level:  Outline for conducting country/region analysis
  4. Analysis at institutional level:  Outline for conducting institutional analysis
  5. Design of alternative services:  Describes the necessary services for deinstitutionalization, including prevention, substitute care, community services
  6. Planning transfer of resources:  An aid for projecting the costs of services
  7. Preparing and moving children:  Highlights the trauma children experience when moved and how to support and monitor the children
  8. Preparing and moving staff:  Addresses possible resistance of workers and assessing them for suitability in the new services
  9. Logistics:  Planning for a timescale, preparation, movement, training and opening of new services
  10. Monitoring and evaluation:  Outlines state and local responsibilities in deinstitutionalization
  11. Conclusions and recommendation:  Broader perspective and summary of the model

The document also uses various case examples and visuals such as tables and figures to help illustrate the process.

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