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

Dozier, Mary; Zeanah, Charles H.; Wallin, Allison R.; Shauffer, Carole

doi:10.1111/j.1751-2409.2011.01033.x

Cited by 159 publications

(96 citation statements)

References 102 publications

(180 reference statements)

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“…Dünya'da birçok devlet, çocuğun temel haklarından biri olan bakım hakkının ailesi tarafından sağlanamadığı durumlarda, çocukların gereksinimlerini karşılamak için sistemler geliştirmiştir (6) Bakımları ebeveyn yerine kurum personeli tarafından üstlenilen çocukların fiziksel ve duygusal gelişimleri olumsuz etkilenebilmektedir (8,9). Birleşik Krallık'ta yapılan geniş çaplı bir çalışmada kurum bakımında yetişen Ankara Çocuk Koruma Birimi'nde Ocak 2015-Ekim 2017 yılları arasında izlenen tüm olguların yaş ortalaması 6,2± 5,5 yıl iken, annesi kurum bakımında kalan yedi olgunun yaş ortalaması 17,4 ay olup dört olgu bir yaş ve altındadır.…”

Section: Introductionunclassified

“…Çocukluk dönemini kurum bakımında geçiren bireyler, ebeveyn olduklarında temel yaşam becerileri ile sağlıklı ebeveynlik becerilerini kazanmakta güçlükler yaşayabilmektedir. Anne baba rol modeli olmadan yetişen ebeveynlerin kendi çocuklarına bağlanmalarında sorunlar ortaya çıkabilmektedir (12). Bu durum ebeveynlerin çocuk bakımı ve yetiştirilmesi sürecinde pek çok alanda güçlük çekmelerine neden olarak, çocuklarını ihmal ve istismara açık hale getirebilir.…”

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Çocuk İhmali ve İstismarı için Bir Risk Faktörü: Devlet Koruması Altında Yetişen Anneler

Topçu¹,

Ulukol²,

Açok³

2018

Akd Med J

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ÖZAmaç: Çocuk istismarı ve ihmali olgularında ebeveynlere ilişkin özellikler çok önemlidir. Çocuğun ihmal ve istismara uğramasında annenin kurum bakımında yetişmiş olmasının getirdiği olumsuzlukları incelemeyi amaçladık. Gereç ve Yöntemler:Ankara Çocuk Koruma Birimi'nde Ocak 2015-Ekim 2017 yılları arasında ihmal/istismar tanısı ile izlenen 290 çocuk takip edildi. Bunlardan annesinin kurum bakımında yetişme öyküsü olan 7 olgunun özellikleri sunulmaktadır. Bulgular:Olgularımızın dördü ihmal, ikisi fiziksel istismar, biri hem ihmal hem de fiziksel istismar tanısı almıştır. Olguların dördü bir yaş ve altındadır. Annelerin çoğunun psikiyatrik sorunları olduğu ve sağlıklı evlilik ilişkisi kuramadığı, babaların ise büyük kısmının cezaevinde olduğu görülmektedir.Sonuç: Bu gözlemsel çalışma ile tüm kurum bakımında yetişen anneler için çocuk istismar ve ihmali açısından artmış bir riskten bahsedemeyiz. Bu konuda kontrollü, karşılaştırmalı çalışmalara ihtiyaç vardır. Yeterli veri toplanmasına kadarki süreçte bu annelerin çocuklarının belli periyodlarla izlenmesi yerinde bir yaklaşım olacaktır.Anahtar Sözcükler: Devlet koruması, Ebeveyn, Risk, Çocuk, İhmal, İstismar ABSTRACT Objective: Parental characteristics are very important for issues related to child abuse and neglect. We aimed to investigate the adverse effects regarding child abuse and neglect that may occur due to growing up of mothers in institutional care. Material and Methods:A total of 290 children who had been exposed to neglect / abuse and followed up by the Ankara Child Protection Unit between January 2015 and October 2017 were included. The characteristics of 7 of the 290 cases whose mothers grew up in institutional care were presented.Results: Four of our cases of were neglected, two were physical abuse cases, and one was both neglected and physically abused. Four of the cases were under 1 year old. It was detected that most of the mothers had psychiatric problems and could not have a healthy marriage relationship and most of the fathers were in prison. Conclusion:There is an increased risk of the neglect / abuse in children whose mothers grew up in institutional care. Comparative-controlled studies are needed regarding this issue. The routine follow-up of children whose mothers grew up in institutional care should be a reasonable intervention.

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Section: Introductionunclassified

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Çocuk İhmali ve İstismarı için Bir Risk Faktörü: Devlet Koruması Altında Yetişen Anneler

Topçu¹,

Ulukol²,

Açok³

2018

Akd Med J

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“…Instead of intimacy and continuity of relations with parents (or substitute parents), children in institutional care are exposed to a lack of individualized emotional attachment. Research on various domains of child development finds that institutionalized children have significant developmental deficits [23]. Damaging physiological effects of institutionalization have been shown, for instance, in terms of general physical development of children in institutions as well as in terms of the development of the central nervous system [23].…”

Section: Deprivation Of Parental Carementioning

confidence: 99%

Towards a holistic approach to children’s rights in Lithuanian mental health policy: a case study

Kisunaite¹,

Pūras²

2016

Arch Psych Psych

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SummaryA holistic approach to children's right to health requires that a disorder-oriented approach and a health promoting perspective are considered equal priorities. However, the mental health policy in many countries is still oriented towards the biomedical treatment of disorders rather than preventive and promotional measures. In this paper we argue that a successful implementation of a health-promoting approach can be achieved through sustainable investment in sectoral cooperation, capacity-building and political will. Using the example of Lithuanian mental health policy, we show how the shortcomings affecting each determinant impede progress in prioritizing a health promotion perspective and thus a holistic approach to children's right to health. Our findings suggest that the application of a holistic approach in Lithuania might face many challenges and obstacles, such as a high number of vulnerable children, the quality of child and family support services, and the still minimal and fragmented interest of policy makers in improving children's mental health.children's rights/child mental health/holistic approach to healthcare/health policies in Lithuania

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“…Indeed, institutionalization constitutes a risk condition for the development of attachment disorders, as its structural and functional characteristics constrain opportunities for the development of a selective attachment to a particular caregiver. Empirical evidence indicates that poor caregiver-child ratios, frequently changing caregivers, lack of individualized care, and insensitive caregiving are associated with increased risk of problematic development (Carlson, Hostinar, Mliner, & Gunnar, 2014;Dozier, Zeanah, Wallin, & Shauffer, 2012;Van Ijzendoorn et al, 2011;Zeanah et al, 2005), including the ability of the child to establish a focused attachment relationship with a particular caregiver (Smyke et al, 2002;Zeanah et al, 2005). Adding insult to injury is the fact that some children experience multiple institutional placements, thus being repeatedly subjected to disruptions in care.…”

Section: Quality Of Care and Iadbmentioning

confidence: 99%

Inhibited attachment disordered behavior in institutionalized preschool children: links with early and current relational experiences

Corval

Belsky

Baptista

et al. 2017

Attachment & Human Development

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Inhibited attachment disordered behavior (IADB) is characterized by difficulty in establishing an attachment relationship with a primary caregiver; is associated with persistent social and emotional problems; and is observed most frequently in contexts of pathological care such as institutional rearing. Here, we seek to enhance understanding of the conditions that give rise to IADB among institutionalized children by examining prior family experiences of neglect and deprivation and concurrent relational experiences at the institution. The sample is comprised of 146 children, between 36 and 78 months. IADB was assessed using a semistructured interview administered to the child's primary caregiver. Results revealed that both pre-institutionalization experiences (e.g. parental abandonment) and current relational ones (e.g. low quality of child-caregiver relationship) predicted IADB. Findings are discussed in light of the need to promote conditions which foster the establishment and maintenance of the child's selective attachment to a caregiving figure.ARTICLE HISTORY

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

Cited by 159 publications

References 102 publications

Çocuk İhmali ve İstismarı için Bir Risk Faktörü: Devlet Koruması Altında Yetişen Anneler

Çocuk İhmali ve İstismarı için Bir Risk Faktörü: Devlet Koruması Altında Yetişen Anneler

Towards a holistic approach to children’s rights in Lithuanian mental health policy: a case study

Inhibited attachment disordered behavior in institutionalized preschool children: links with early and current relational experiences

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