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Cazul de investiții argumentează importanța și impactul investițiilor într-un sistem de îngrijire centrat pe familie și prezintă o estimare a resurselor necesare pentru a finanța serviciile de care Republica Moldova are nevoie pentru (i) a preveni plasarea copiilor în îngrijire rezidențială; (ii) a asigura îngrijirea copiilor în familii sigure și protectoare; și (iii) a transforma instituțiile rezidențiale în centre comunitare care răspund efectiv nevoilor comunității.
Raportul analizează finanțarea curentă a serviciilor rezidențiale și de îngrijire alternativă familială, calculează…
Context:
The aim of the Changing the Way We Care initiative in Moldova (hereafter CTWWC) is to contribute to the completion of the deinstitutionalization process of children in institutions and to strengthen families and family-like services so that children can enjoy a safe and nurturing environment. In the Republic of Moldova, the CTWWC initiative is implemented in partnership with three civil society organizations that play a key role in the implementation of child protection reform at the national level: Keystone Moldova, CCF Moldova, and Partnerships for Every Child. As part…
Over the last 20 years, much has been learned about the extent to which early-life deprivation affects the mental health of children and adolescents. This body of evidence comes predominantly from studies of children raised in institutional care.
The Bucharest Early Intervention Project (BEIP) is the only randomized controlled trial designed to evaluate whether the transition to family-based foster care early in development can ameliorate the long-term impact of institutional deprivation on psychopathology during vulnerable developmental windows such as adolescence.
In this review, the…
This study examined longitudinal data from the Bucharest Early Intervention Project, a randomized controlled trial of foster care as an alternative to institutional care following exposure to severe psychosocial deprivation. The authors report data from 135 participants assessed in early adulthood (age 18 y). They found that 16 years after randomization occurred, those who had been randomized to high-quality foster care had significantly higher IQ scores (9 points, 0.6 SD) than those randomized to care as usual.
Mediation analyses provide evidence that the causal effect of the intervention…
Abstract
Background: Institutional deprivation in early childhood is associated with neuropsychological deficits in adolescence. Using 20-year follow-up data from a unique natural experiment – the large scale adoption of children exposed to extreme deprivation in Romanian institutions in the 1980s – we examined, for the first time, whether such deficits are still present in adulthood and whether they are associated with deprivation-related symptoms of attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD).
Methods: Adult neuropsychological functioning was…
Abstract
Childhood adversity may sensitize certain individuals to later stress which triggers or amplifies psychopathology. The current study uses data from a longitudinal randomized controlled trial to examine whether severe early neglect among children reared in institutions increases vulnerability to the effects of later stressful life events on externalizing problems in adolescence, and whether social enrichment in the form of high-quality foster care buffers this risk. Children abandoned to Romanian institutions were randomly assigned to a foster care intervention or care-as-usual…
Abstract
Background
Children reared in institutions experience profound deprivation that is associated with both heightened levels of psychopathology and deficits in executive functioning (EF). It is unclear whether deficits in EF among institutionally-reared children serve as a vulnerability factor that increases risk for later psychopathology. It is also unclear whether this putative association between EF and psychopathology is transdiagnostic (i.e. cuts across domains of psychopathology), or specific to a given syndrome. Thus, we examined whether global deficits in EF mediate the…
Abstract
This article explores how the type of placement in children's social care influences identity formation and contact with the birth family. It draws on 40 life history interviews with Romanian-born, care experienced young people who entered adulthood from different types of placement: 16 from residential care, eight from foster care, seven from domestic adoption and nine from intercountry adoption. The article contributes to an understanding of how residential care, foster care, domestic adoption and intercountry adoption affect identity formation and contact with the birth family…
Introduction
Children placed in institutional care are deprived of their fundamental right to living in a family environment. The Romanian state would greatly improve their situation, if it took care of preventing the separation of children from their family, instead of focusing on the current model - placing in care about 63,000 children, while hundreds of thousands of them still live in inhumane conditions. These are the ones that specialised public authorities pretend they do not see, because they lack the capacity for legislative framework design to prevent the separation of…
Abstract
Exposure to early psychosocial deprivation as a result of institutional care disrupts typical brain development. The Bucharest Early Intervention Project (BEIP) is the first longitudinal study to investigate the neurodevelopment of institutionalized infants randomized to a foster care (FCG) intervention versus care as usual (CAUG). Here, we present findings from a follow‐up assessment of brain electrical activity as indexed by resting EEG at age 16 years. In addition, we examined the effects of disruption of foster care placement, (e.g. the number of moves among foster care…