Children Under Institutional Care: Ensuring Quality Care and Safety

  • Sibnath DebEmail author
  • Aleena Maria Sunny
  • Bishakha Majumdar


A large number of children worldwide live in institutions and their number is increasing every day. It is very unfortunate that a large number of children live in institutions while they are supposed to be with their parents and enjoying their love and affection and all other needs for their overall healthy growth and development. A number of factors are responsible for being thrust into institutional care and they include poverty, broken homes and remarriage, irresponsible behaviour of parents, parents’ dependence on substance, lack of support from extended family members during crisis, absence of parents on account of death, abandonment by parents and children in conflict with the law and so on. The main focus of the chapter is to define the institutions, their objectives and the nature of services rendered. Further, the chapter highlights the reasons for taking shelter in institutions, the profile of children and their perception of the nature of support services. The perception of the parents/guardians is also captured in the discourse. The chapter also discusses the safety measures and adversities experienced by the children and the reasons thereof. Finally, the chapter discusses the nature of crimes committed by juvenile delinquents, its magnitude, causes behind juvenile delinquency and preventive measures, based on first-hand experience and how to improve the quality of care and support services, in addition to discussing about legislative and social measures for the protection of the rights of children under institutional care in the light of the UN Convention on the Rights of The Child 1989.


Children Institution Care Support services Perception Abuse Maltreatment 


  1. Abou-Khadra, M. (2012). Sleep of children living in institutional care facilities. Sleep Breath, 16(3), 887–894. Scholar
  2. Agarwal, D. (2018). Juvenile delinquency in India—Latest trends and entailing amendments in Juvenile Justice Act. People: International Journal of Social Sciences, 3(3), 1365–1383.Google Scholar
  3. Asian Centre for Human Rights. (2013). India’s hell holes: Child sexual assault in juvenile justice homes. Asian Centre for Human Rights.Google Scholar
  4. Ayaz, M., Ayaz, A., Basgul, S., Karakaya, I., Sismanlar, S. G., Yar, A., et al. (2012). Prevelance of mental disorders and associated factors in institutionalized 3–5 year old children. Turkish Journal of Psychiatry, 23(2), 82–88.Google Scholar
  5. Berridge, D., Blehal, N., & Henry, L. (2012). Living in children’s residential homes. (No. DFE-RR201). Department for Education, UK.Google Scholar
  6. Better Care Network. (2014). Country care review: India. Retrieved from
  7. Bos, K. J., Zeanah, C. H., Smyke, A. T., Fox, N. A., & Nelson, C. A. (2010). Stereotypies in children with a history of early institutional care. Archives of Pediatrics and Adolescent Medicine, 164(5), 406–411.CrossRefGoogle Scholar
  8. Boy rescued from street says he was beaten by caretaker. (2015, February 2). The Times of India, p. 3.Google Scholar
  9. Boy found murdered at rescue home, sodomy suspected. (2015, January 24). The Times of India, p. 9.Google Scholar
  10. Bowlby, J. (1952). Maternal care and mental health. Geneva: World Health Organization.Google Scholar
  11. Bhuvaneswari, K. (2017). Mental health of children under institutional care: An empirical investigation. Thesis submitted to Pondicherry University in partial fulfillment of the requirement for the Award of the Degree of Doctor of Philosophy.Google Scholar
  12. Brandt, D. (2006). Delinquency, development, and social policy. London: Yale University Press.CrossRefGoogle Scholar
  13. Child rescued from unlicensed home, fourth in 3 days. (2015, June 25). The Times of India, p. 3.Google Scholar
  14. Child Welfare panels fail, abuse continues at homes. (2014, August 28). The Times of India, p. 5.Google Scholar
  15. Children make “damning” statements against persons running the home. (2015, November 29). The Hindu, p. 7.Google Scholar
  16. Chung, Le Hen, & Lawrence, S. (2006). Relations between neighborhood factors, parenting behavior, peer deviance and delinquency among juvenile offenders. Development Psychology, 42(2), 319–331. Scholar
  17. Crime in India Reports (2005–2015). Ministry of Home Affairs, Government of India.Google Scholar
  18. CRY. (2005). The Right to a home and a family… a dream. For India’s Most Invisible Children. Retrieved November 12, 2015, from
  19. Database on Orphanages under Women’s and Children’s Institutions (Licensing) Act, 1956. (n.d.). NIPCCD—A Compilation.Google Scholar
  20. Dopp, A. R., Borduin, C. M., White, I. I., Mark, H., & Kuppens, S. (2017). Family-based treatments for serious juvenile offenders: A multilevel meta-analysis. Journal of Consulting and Clinical Psychology, 85(4), 335.CrossRefGoogle Scholar
  21. Embleton, L., Ayuku, D., Kamanda, A., Atwoli, L., Ayaya, S., & Vreeman, R. (2014). Models of care for orphaned and separated children and upholding children’s rights: Cross-sectional evidence from western Kenya. BMC International Health and Human Rights, 14(9), 1–18.Google Scholar
  22. Escueta, M., Whetten, K., Ostermann, J., O’Donnell, K., & POFO. (2014). Adverse childhood experiences, psychosocial wellbeing and cognitive development among orphan and abandoned children in five low income countries. BMC International Health and Human Rights, 14(6), 1–13.Google Scholar
  23. Euser, S., Alink, L., Tharner, A., IJzendoorn, M., & Bakermans-Kranenburg, M. (2013). The prevalence of child sexual abuse in out-of-home care: A comparison between abuse in Residential and in Foster Care. Child Maltreatment, 18(4), 221–231.Google Scholar
  24. Fischer, S., Dölitzsch, C., Schmeck, K., Fegert, J. M., & Schmid, M. (2016). Interpersonal trauma and associated psychopathology in girls and boys living in residential care. Children and Youth Services Review, 67, 203–211. Scholar
  25. Fitzpatrick, M., Carr, A., Dooley, B., Flanagan-Howard, R., Flanagan, E., Tierney, K., et al. (2010). Profiles of adult survivors of severe sexual, physical and emotional institutional abuse in Ireland. Child Abuse Review, 19(6), 387–404. Scholar
  26. Gearing, R., MacKenzie, M., Schwalbe, C., Brewer, K., & Ibrahim, R. (2013). Prevalence of mental health and behavioral problems among adolescents in institutional care in Jordan. Psychiatric Services, 64(2), 196–200.CrossRefGoogle Scholar
  27. Gleason, M. M., Fox, N. A., Drury, S. S., Smyka, A. T., Nelson, C. A., & Zeanah, C. H. (2014). Indiscriminate behaviors in previously institutionalized young children. Pediatrics, 133(3), e657–e665.CrossRefGoogle Scholar
  28. Hermenau, K., Hecker, T., Elbert, T., & Ruf-Leuschner, M. (2014). Maltreatment and mental health in institutional care—Comparing early and late institutionalized children in Tanzania. Infant Mental Health Journal, 35(2), 102–110. Scholar
  29. Hermenau, K., Hecker, T., Ruf, M., Schauer, E., Elbert, T., & Schauer, M. (2011). Childhood adversity, mental ill-health and aggressive behavior in an African orphanage: Changes in response to trauma focused therapy and the implementation of a new instructional system in. Child and Adolescent Psychiatry and Mental Health, 5(29), 1–9.Google Scholar
  30. Hindustan Times, New Delhi (2019, January 17). CBI registers cases against 2 more shelter homes in Bihar for abuse of minors.Google Scholar
  31. Horror stories from shelter for runaway kids. (2012, July 3). The Times of India, p. 3.Google Scholar
  32. Jiménez-Morago, J. M., León, E., & Román, M. (2015). Adversity and adjustment in children in Institutions, Family Foster Care, and Adoption. The Spanish Journal of Psychology, 18.
  33. Kacker, L., Varadan, S., & Kumar, P. (2007). Study on child abuse: INDIA 2007. Ministry of Women and Child Development, Government of India. Erişim Adresi:
  34. Kumsta, R., Kreppner, J., Rutter, M., Beckett, C., Castle, J., Stevens, S., et al. (2010). Deprivation specific psychological patterns. Monographs of the Society for Research in Child Development, 75, 48–78.CrossRefGoogle Scholar
  35. Lasher, M. P., Webb, J. R., Stinson, J. D., & Cantrell, P. J. (2017). Addressing social anxiety concurrently with prison-based sex offender treatment: A case of individual needs in an era of manualized treatment. Journal of Correctional Health Care, 23(3), 271–282.CrossRefGoogle Scholar
  36. Landenberger, N. A., & Lipsey, M. W. (2005). The positive effects of cognitive–behavioral programs for offenders: A meta-analysis of factors associated with effective treatment. Journal of Experimental Criminology, 1(4), 451–476.CrossRefGoogle Scholar
  37. Lipsey, M. W. (2009). The primary factors that characterize effective interventions with juvenile offenders: A meta-analytic overview. Victims and Offenders, 4(2), 124–147.CrossRefGoogle Scholar
  38. Loman, M. M., Johnson, A. E., Quevedo, K., Lafavor, T. L., & Gunnar, M. R. (2014). Risktaking and sensation-seeking propensity in post-institutionalized early adolescents. Journal of Child Psychology and Psychiatry, 55(10), 1145–1152. Scholar
  39. Loman, M. M., Johnson, A. E., Westerlund, A., Pollak, S. D., Nelson, C. A., & Gunnar, M. R. (2013). The effect of early deprivation on executive attention in middle childhood: Early deprivation and executive attention. Journal of Child Psychology and Psychiatry, 54(1), 37–45. Scholar
  40. Maruf, M. M., Rahman, F., Khan, M. Z. R., & Jahan, N. (2015). Socio-demography, substance abuse and offence among inmates with psychiatric disorders in female juvenile centre, Bangladesh. People: International Journal of Social Sciences, 1(1).Google Scholar
  41. McCall, R. B. (2012). The development and care of institutionally reared children. Child Development Perspectives, 6(2), 174–180.CrossRefGoogle Scholar
  42. McCall, R. B. (2013). The consequences of early institutionalization: Can institutions be improved? Should they? Child and Adolescent Mental Health, 18(4), 193–201. Scholar
  43. McCall, R. B., Groark, C. J., & Rygaard, N. P. (2014). Research, practice, and policy issues on the care of infants and young children are at risk: The articles in context. Infant Mental Health Journal, 35(2), 87–93.CrossRefGoogle Scholar
  44. Merz, E. C., & McCall, R. B. (2010). Behavior problems in children adopted from psychosocially depriving institutions. Journal of Abnormal Child Psychology, 38(4), 459–470. Scholar
  45. Muhamedrahimov, R. J. (1999). New attitudes: Infant care facilities in St. Petersburg, Russia. In: J. D. Osofsky, H. E. Fitzgerald (Eds.), WAIMH Handbook of infant mental health. Vol. 1. Perspectives on infant mental health (pp. 245–294). New York: Wiley.Google Scholar
  46. Muhamedrahimov, R. J., Agarkova, V. V., Vershinia, E. A., Palmov, O. I., Nikiforova, N., McCall, R. B., et al. (2014). Behavior problems in children transferred from a socio-emotionally depriving institution to families in St Petersburg, Russian Federation. Infant Mental Health Journal, 35(2), 111–122.CrossRefGoogle Scholar
  47. Mukhopadhyay, T., & Bhalla, V. (2016). Case study on compliance of juvenile justice (care and protection of children) rules, 2007 by juvenile institutions in Kolkata. Institutionalized Children Explorations and Beyond, 3(1), 29. Scholar
  48. Nari Niketan rape case: Ex-staff held. (2015, December 14). The Times of India, p. 8.Google Scholar
  49. Nelson, C. A. (2007). A neurobiological perspective on early human deprivation. Child Development Perspectives, 1, 13–18. Scholar
  50. Nooreyezdan, M., & Mehta, D. (2016). Need for legal aid: Reflections on child welfare committees. Institutionalized Children Explorations and Beyond, 3(1), 46. Scholar
  51. Officials’ ignorance adds to children’s woes. (2015, November 29). The Hindu, p. 7.Google Scholar
  52. Oriol, X., Sala-Roca, J., & Filella, G. (2014). Emotional competences of adolescents in residential care: Analysis of emotional difficulties for intervention. Children and Youth Services Review, 44, 334–340.CrossRefGoogle Scholar
  53. Padmaja, G., Sushma, B., & Agarwal, S. (2014). Psychosocial problems and wellbeing in institutionalized and non-institutionalized children. Journal of Humanities and Social Science, 19(10), 59–64.Google Scholar
  54. Palacios, J., Moreno, C., & Roman, M. (2013). Social competence in internationally adopted and institutionalized children. Early Childhood Research Quarterly, 28(2), 357–365. Scholar
  55. Parwon, S. T. (2006). Orphanage Assessment Report Submitted to Hon. Vivian J. Cherue, Deputy Minister for Social Welfare, Ministry of Health and Social Welfare.Google Scholar
  56. Private children’s homes aided by corrupt system. (2014, August 25). The Times of India, p. 6.Google Scholar
  57. Provence, S., & Lipton, R. C. (1962). Infants in institutions. Oxford: International University Press.Google Scholar
  58. Sairam, R. (2014, June 13). Two minor girls raped at knifepoint. The Hindu. Pollachi. Retrieved from
  59. Smyke, A. T., Koga, S. F., Johnson, D. E., Fox, N. A., Marshal, P. J., Nelson, C. A., et al. (2007). The caregiving context in institution-reared and family-reared infants and toddlers in Romania. Journal of Child Psychology and Psychiatry, 48, 210–218. Scholar
  60. Save the Children. (2014). Institutional care: The last resort policy brief. Retrieved from
  61. Sagar, R., Patra, B. N., & Gupta, P. (2017). Gap analysis in mental health care services in child care institutions: A Delhi-based study. NCPCR. Retrieved from
  62. Sood, S., Bakhshi, A., & Devi, P. (2012). An assessment of perceived stress, resilience and mental health of adolescents living in border areas. International Journal of Scientific and Research Publications, 3, 176–179.Google Scholar
  63. South Asia Initiative to End Violence against Children | SAARC Apex Body for Children. (2014). Retrieved December 1, 2016, from
  64. Stellern, S., Esposito, E., Mliner, S., Pears, K., & Gunnar, M. (2014). Increased freezing and decreased positive affect in post institutionalized children. Journal of Child Psychology and Psychiatry, 55(1), 88–95.CrossRefGoogle Scholar
  65. Teen abused, assaulted in Bangalore govt-run home. (2014, August 23). The Times of India, p. 8.Google Scholar
  66. The Juvenile Justice (Care & Protection) Act. (2015). The juvenile justice care and protection of children act, 2015. Ministry of Law and Justice, Government of India. Retrieved from
  67. The National Policy for Children, 2013. (2013). Government of India, National Policy on Children. New Delhi: Ministry of Women and Child Development.Google Scholar
  68. The Pastor at the home loved to torture them. (2014, August 28). The Times of India, p. 5.Google Scholar
  69. The St. Petersburg. (2008). USA Orphanage Research Team. The effects of early social emotional and relationship experience on the development of young orphanage children. Monographs of the Society for Research in Child Development, 73, 1–262.Google Scholar
  70. UNCRC. (1989). United Nations Convention on the Rights of the Child. Geneva: High Commissioner for Human Rights.Google Scholar
  71. Underwood, L., & Washington, A. (2016). Mental illness and juvenile offenders. International Journal of Environmental Research and Public Health, 13(2), 228.CrossRefGoogle Scholar
  72. van IJzendoorn, M. H., Palacios, J., Sonuga-Barke, E. J. S., Gunnar, M. R., Vorria, P., McCall, R. B., & Juffer, F. (2011). Children in Institutional Care: Delayed development and resilience. Monographs of the Society for Research in Child Development, 76(4), 8–30. Scholar
  73. van IJzendoorn, M. H., Schuengel, C., &Bakermans-Kranenburg, M. (1999). Disorganized attachment in early childhood: Meta-analysis of precursors, concomitants, and sequelae. Development and Psychopathology. 11:225–249. Scholar
  74. Vorria, P., Papaligoura, Z., Sarafidou, J., Kopakaki, M., Dunn, J., van, IJzendoorn. M.H., & Kontopoulou, A. (2006). The development of adopted children after institutional care: A follow-up study. Journal of Child Psychology and Psychiatry, 47, 1246–1253. Scholar
  75. We were tutored to say that we are treated well. (2014, August 28). The Times of India, p. 5.Google Scholar
  76. Wiik, K., Loman, M., Ryzin, M., Armstrong, J., Essex, M., Pollak, S., et al. (2011). Behavioral and emotional symptoms of post-institutionalized children in middle childhood. Journal of Child Psychology and Psychiatry, 52, 56–63.CrossRefGoogle Scholar
  77. WHO. (2005). Atlas: Child and adolescent mental health resources: Global concerns, implications for the future.Google Scholar
  78. Whetten, K., Ostermann, J., Pence, B. W., Whetten, R. A., Messer, L. C., Ariely, S., & The Positive Outcomes for Orphans (POFO) Research Team. (2014). Three year change in the wellbeing of orphaned and separated children in institutional and family-based care settings in five low- and Middle Income Countries. PLoS ONE, 9(8), e104872. Scholar
  79. Yet another children’s home in Trichy violated rights. (2016, January 25). The Times of India, p. 6.Google Scholar
  80. Zeanah, C. H., Nelson, C. A., Fox, N. A., Smyke, A. T., Marshall, P., Parker, S. W., et al. (2003). Designing research to study the effects of institutionalization on brain and behavioral development: The Bucharest Early Intervention Project. Development and Psychopathology, 15, 885–907. Scholar
  81. Zeanah, C. H., Smyke, A. T., & Settles, L. (2006). Children in orphanages. In K. McCartney & D. Phillips (Eds.), Blackwell handbook of early childhood development (pp. 224–254). Malden, MA: Blackwell Publishing.Google Scholar
  82. 10 girls of a home suffer from food poisoning. (2015, November 16). The Hindu, p. 5.Google Scholar
  83. 4 lakh in childcare: State NGOs make a killing through donations. (2014, August). The Times of India, p. 6.Google Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Sibnath Deb
    • 1
    Email author
  • Aleena Maria Sunny
    • 2
  • Bishakha Majumdar
    • 3
  1. 1.Department of Applied PsychologyPondicherry UniversityPuducherryIndia
  2. 2.Department of Applied PsychologyPondicherry UniversityPuducherryIndia
  3. 3.Organizational Behavior and Human Resource ManagementIndian Institution of Management VisakhapatnamVisakhapatnamIndia

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