The Role of Small-Scale Residential Care for Children in the Transition From Institutional to Community-Based Care and in the Continuum of Care in the Europe and Central Asia Region

Stela Grigoras - UNICEF Europe and Central Asia Regional Office (ECARO)

The first waves of child care reforms in the Europe and Central Asia (‘ECA’) region were based on one simple, clear and evidence-based argument: children should never be ‘warehoused’ in large institutions and are best raised in families and within communities. After over 20 years of efforts to transform large-scale institutions in the region into family and community-based care settings, a new and important discussion has emerged that focuses on two core questions:

  1. Is residential care, under certain conditions, an appropriate form of communitybased care?
  2. If so, what balance should be struck between residential care and other forms of care such as foster care, kafalah, kinship and (transition to) adoption within a comprehensive child care and protection system?

The White Paper summarizes evidence on the current use and impact of small-scale residential care (also: ‘SSRC’) and offers guidance on how to enable all children to grow up in a loving and stable family environment. It aims to promote better decisionmaking among policy-makers, local governments, non-governmental organizations (NGOs), as well as child welfare and other, allied practitioners of the establishment.

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