EU/WHO Daphne 2003

Daphne project: 2003-046

Daphne Programme – Year 2003

Annex to the Final Report

Project Nr: 2003/ 046/C

Title: Identifying good practices in the deinstitutionalisation of children under 5 years from European institutions

Start Date:01 April 2004 End Date: 30 April 2005

Co-ordinating Organisation’s name: Centre for Forensic and Family Psychology

Contact person: Dr Catherine Hamilton-Giachritsis and Professor Kevin Browne

Name: School of Psychology, University of Birmingham

Address: Edgbaston

Postal code: B15 2TT

City: Birmingham

Country: United Kingdom

Tel. N°.: +44 121 414 43319

Fax Nr.: +44 121 414 8248

e-mail:
Website:

Annexes

List of Keywords describing project
List of materials produced during project

a)Paper trail Proforma

b)In-depth study Background information form

c)In-depth study follow up form for home visits

d)In-depth study follow up form for institutional visits

e)Publication list

CD Rom of Athens Conference presenting results of the end of the project to 100 international participants (8th April 2005), published by WHO Regional Office for Europe, Copenhagen with EU logo and Daphne Programme acknowledgement.

De-institutionalising Children from Residential Care: A Guide to Good Practice. Manual in press.To be published by UNICEF with EU logo and Daphne Programme acknowledgement and WHO Regional Office for Europe logo.

‘Identifying good practices for the deinstitutionalisation of young children from European residential care’. Book to be published by the University of Birmingham (Centre for Forensic and Family Psychology) in collaboration with the EU Daphne programme and WHO Regional Office for Europe, Copenhagen. All logos will appear on the front cover.

ANNEX 1: KEYWORDS

The main purposes of the Daphne Programme are to create networks and to encourage the exchange of information and best practices. The Commission has therefore set up a database containing the details of all completed Daphne projects. This database is accessible via the Daphne page on the EC web site:

(

Beneficiaries / Daphne Objectives / Areas
x Children / Support to the collaboration of organisations /  Sexual violence
 Young people / x Support to multidisciplinary networks /  Gender violence
 Women / x Exchange of good practices / x Violence in family
x Studies / x Violence in domestic context
Specific groups / Support to public awareness /  Violence in schools
 Homosexuals /  Information campaign / x Violence in institutions
 Migrants / x Information sources /  Violence in urban areas
 Refugee / x Recognition and reporting /  Violence in rural areas
 Asylum seekers /  Violence in the work place
 Trafficked persons /  Trafficking in human beings
x Ethnic minorities / Specific Objectives /  Commercial sexual exploitation
x Handicapped / x Prevention of violence /  Internet
 Domestic workers / x Protection from violence /  Child Pornography
 People in prostitution / Treatment of victims /  Racism
 Elderly / x Reintegration of victims /  Self-harm
 Prisoners /  Counselling victims /  Physical punishment
x Support to families /  Female genital mutilation
Targeted Audience /  Legislative measures / x Health impacts
 Violent men /  Treatment of offenders
 Perpetrators / offenders /  Reintegration of offenders / Instruments
x Public Authorities / x Network with NGOs
x General Public / x Multisector network
x Medical staff / x Awareness-raising
x Educational staff / x Dissemination of good practice
 Police staff / x Guidelines / Counselling
x Judicial staff / x Models (analysis / development)
x Media / Journalists / x Training
x Production of materials
x Conference / seminar
 Telephone / Internet Helpline
x Field work

Daphne project: 2003-046_1

Annex 2a. EU Daphne programme/WHO: Identifying best practice in the deinstitutionalisation of children under 5 years from Institutions

PAPER TRAIL PROFORMA FOR CASES OF DEINSTITUTIONALISED CHILDREN (corrected final version)

Country:

Data collector:

Today’s date:

Child code number:

Child’s gender:

MALE / FEMALE

Date of birth:

Date of admission:

Name of institution:

/ Ethnicity

Daphne project: 2003-046_1

Length of time in family before child was placed in care: ______Was the child breast fed?YES / NO

* For each question below please indicate where information was obtained from If information was gained from staff member but is also available in files then please circle both. If the source is ‘other’ please explain on the final page.

Daphne project: 2003-046_1

1. Does the child have any disabilities or medical problems?

YES / NO

*FILE / STAFF / OTHER

If yes, tick all that apply

Downs syndrome
Cerebral palsy
Developmental delay
Blind (specify degree of impairment in box below)
Deaf (specify degree of impairment in box below)
Mutism/elective mutism
Physical disability (specify disability in box below)
Foetal Alcohol Syndrome
Drug induced abnormality
Autistic spectrum
Hydroencephaly
Heart malformations
Epilepsy
Other (specify disability in box below)
2. What type of placement has the child been moved to? (tick as appropriate)

*FILE / STAFF / OTHER

With at least one biological parent
With other family members (unpaid)
With other family members (allowance)
Foster family (kinship)
Foster family (state funded)
Foster family (NGO funded)
Adopted within-country (state organised)
Adopted within-country (NGO organised)
Adopted within-country (kinship )
Adopted internationally
Moved to a smaller institution
Moved to a larger institution
Other (please specify below)
3. Why was the child placed in institutional care? (tick all that apply)

*FILE / STAFF / OTHER

Biological orphan
Disability
Medical problem
Abandoned by parents
Poverty of parents
Cultural stigma (e.g. single parent, illegitimate child) (please specify)
Severe ill health of parents
Substance abuse in parents
Mental health problems in parents
Parents in prison
Abusing parents
Neglectful parents
Violent family member in household
Housing difficulties (e.g. homelessness)
Family breakdown
Other (please specify below)
4. Why was the child moved? (tick as many as appropriate)

*FILE / STAFF / OTHER

Institution is closing
Initial placement was short term
Better placement found
Parents wants child back
Parents have agreed to alternative placement (e.g. fostering or adoption)
Health/special educational needs of child have changed
Difficult child – institution can not cope
Change in institution structure/legislation
Child has reached institution leaving age
Court decision
To re-unite siblings
Review procedure
Other (please specify below)
5a. Who initiated the decision to move the child? (tick as appropriate)

FILE / STAFF / OTHER

Parent/relative
‘New’ parent/carer or representative
Institution manager
State Authority
Case conference (joint decision)
Professional initiating decision alone (e.g. psychologist, social worker)
Other (please specify below)
5b. Who made the recommendation about the new placement? (tick as appropriate)

*FILE / STAFF / OTHER

Parent/relative
‘New’ parent/carer or representative
Institution manager
State Authority
Case conference (Joint decision)
Professional making recommendation alone (e.g. psychologist, social worker)
Other (please specify below)
5c. Who* finally decided on the new placement? (tick as appropriate)

*FILE / STAFF / OTHER

Parent/relative
‘New’ parent/carer or representative
Institution manager
State Authority
Case conference (Joint decision)
Professional making decision alone (e.g. psychologist, social worker)
Other (please specify below)
Any appeals on decision yes or no?

* i.e. who chose the actual foster family not who decided that the child should be in foster care

6a. Was there an assessment of the child prior to the decision being made?

YES / NO

*FILE / STAFF / OTHER

If yes, tick the areas which were assessed

Health
Developmental status
Disability
Family situation
Other (please specify below)
6b. How was the assessment made? (tick all that apply)

*FILE / STAFF / OTHER

Professional home/institutional visit
Professional clinic
By NGO
In institution by institutional staff
Non-professional home/institutional visit
Other (please specify below)
7a. Was there an assessment of the new placement?

YES / NO

*FILE / STAFF / OTHER

Physical environment
Primary caregiver suitability
Social or family environment (e.g., other children in placement)
Financial situation
Other (please specify below)
7b. How, by whom, was the assessment made? (tick all that apply)

*FILE / STAFF / OTHER

YES / NO

*FILE / STAFF / OTHER

If yes, tick the areas which were matched

Health needs
Special needs (e.g., disability)
Developmental needs
Ethnicity
Accessibility of parents or family contact
Avoidance of change to nursery/school
Other (please specify below)
9. Does the new placement consider the child’s siblings?

YES / NO / NA

*FILE / STAFF / OTHER

If yes, tick as appropriate

Siblings are going to same placement
Contact will be maintained with siblings
Contact will be re-established
Other (please specify below)
10. Was there preparation for the move?

YES / NO

*FILE / STAFF / OTHER

If yes, tick as appropriate

Child was talked to about the move
Child had life-story work / pictures etc
Transitional objects introduced to child
Child visited new placement before move
New carers visited child in institution
Professional talked to family
New carers trained (e.g., foster carer)
Was the placement context prepared and adequate to the child’s needs (e.g., house ready and physically safe)
Other (please specify below)

Daphne project: 2003-046_1

11. Does the child have any siblings?

YES / NO / UNKNOWN

*FILE / STAFF / OTHER

If yes, how many?

Please indicate the age and placement of siblings

A.Age

B.Placement not known

C.Adult living independently

/ With other family members (unpaid) / With other family members (allowance) / Foster family (kinship) / Foster family (state funded) / Foster family (NGO funded) / Adopted within-country (state organised) / Adopted within-country (NGO organised) / Adopted within-country (kinship ) / Adopted inter-country

Daphne project: 2003-046_1

12. Timeframes

FILE / STAFF / OTHER

When did child enter first residential care (i.e. first placement) ?
Where did child enter from (e.g., maternity ward)
Number of placements since first placement (including current placement)?
Length of stay in current institution
Total length of stay in institutional care (in years and months)
13a. Did the institution follow-up the child after the move?

YES / NO / UNKNOWN

*FILE / STAFF / OTHER

If yes, please state

How many times
For how long?
If yes, was this (tick as appropriate)
Follow-up by telephone
Visit with the child at the new placement
Visit with the child at the institution
Visit with new carers at the new placement
Visit with staff at the institution
Formally assessed/recorded
Other (please specify below)
13b. Did the State Authority follow-up the child after the move?

YES / NO / UNKNOWN

*FILE / STAFF / OTHER

If yes, please state

Daphne project: 2003-046_1

14. Is the institution aware of any further placements after the initial move?

YES / NO / UNKNOWN

*FILE / STAFF / OTHER

If yes, was this because (tick as appropriate)
Breakdown in placement
Natural/biological parent withdrew consent
Natural/biological parent took legal action successfully
Whereabouts of child unknown
New family rejects child
Child rejects new family
Professional initiates removal (for sound reason)
More appropriate placement available
Financial problems
Change in circumstances (e.g., carer dies)
Child died
Other (please specify below)

Please use this space to add in other information that is relevant or that could not be fitted into the boxes. Please write the question number at the start of any additional comments

Daphne project: 2003-046_1

Annex 2b: BACKGROUND INFORMATION ON INSTITUTIONALISED CHILDREN BEFORE TRANSFER TO NEW PLACEMENT

(Form 1: Pre assessment to be completed for ALL children in in-depth study of deinstitutionalisation)

Country:

Data collector:

Today’s date:

Child code number:

Child’s gender:

MALE / FEMALE

Date of birth:

Date of admission:

Name of institution:

/ Ethnicity

Daphne project: 2003-046_1

Length of time in family before child was placed in care: ______Was the child breast fed?YES / NO

* For each question below please indicate where information was obtained from. If information was gained from staff member but is also available in files then please circle both. If the source is ‘other’ please explain on the final page.

Daphne project: 2003-046_1

1. Does the child have any disabilities or medical problems?

YES / NO

*FILE / STAFF / OTHER

If yes, tick all that apply

Downs syndrome
Cerebral palsy
Developmental delay
Blind (specify degree of impairment in box below)
Deaf (specify degree of impairment in box below)
Mutism/selective mutism
Physical disabilities (specify disabilities in box below)
Foetal Alcohol Syndrome
Drug induced abnormality
Autistic spectrum
Hydroencephaly
Heart malformations
Epilepsy
Other (specify disability in box below)
2. Physical characteristics (closest to the date prior to the child leaving the institution)

FILE / STAFF / OTHER

Heighta
Date recorded:
Weighta
Date recorded:
Head circumferencea
Date recorded:

a Please specify unit of measurement

3. What type of placement has the child been moved to? (tick as appropriate)

FILE / STAFF / OTHER

With at least one biological parent
With other family members (unpaid)
With other family members (allowance)
Foster family (kinship)
Foster family (state funded)
Foster family (NGO funded)
Adopted within-country (state organised)
Adopted within-country (NGO organised)
Adopted within-country (kinship )
Adopted internationally
Moved to a smaller institution
Moved to a larger institution
Other (please specify below)
4. Why was the child placed in institutional care? (tick all that apply)

FILE / STAFF / OTHER

Biological orphan
Disability
Medical problem
Abandoned by parents
Poverty of parents
Cultural stigma (e.g. single parent, illegitimate child) (please specify)
Severe ill health of parents
Substance abuse in parents
Mental health problems in parents
Parents in prison
Abusing parents
Neglectful parents
Violent family member in household
Housing difficulties (e.g. homelessness)
Family breakdown
Other (please specify below)
5. Why was the child moved? (tick as many as appropriate)

FILE / STAFF / OTHER

Institution is closing
Initial placement was short term
Better placement found
Parents wants child back
Parents have agreed to alternative placement (e.g. fostering or adoption)
Health/special educational needs of child have changed
Difficult child – institution can not cope
Change in institution structure/legislation
Child has reached institution leaving age
Court decision
To re-unite siblings
Review procedure
Other (please specify below)
6a. Who initiated the decision to move the child? (tick as appropriate)

FILE / STAFF / OTHER

Parent/relative
‘New’ parent/carer or representative
Institution manager
State Authority
Case conference (Joint decision)
Professional initiating decision alone (e.g. psychologist, social worker)
Other (please specify below)
6b. Who made the recommendation about the new placement? (tick as appropriate)

FILE / STAFF / OTHER

Parent/relative
‘New’ parent/carer or representative
Institution manager
State Authority
Case conference (Joint decision)
Professional making recommendation alone (e.g. psychologist, social worker)
Other (please specify below)
6c. Who* finally decided on the new placement? (tick as appropriate)

FILE / STAFF / OTHER

* i.e. who chose the actual foster family not who decided that the child should be in foster care

7a. Was there an assessment of the child prior to the decision being made?

YES / NO

FILE / STAFF / OTHER

If yes, tick the areas which were assessed

Health
Developmental status
Disability
Family situation
Other (please specify below)
7b. How was the assessment made? (tick all that apply)

FILE / STAFF / OTHER

YES / NO

FILE / STAFF / OTHER

Physical environment
Primary caregiver suitability
Social or family environment (e.g., other children in placement)
Financial situation
Other (please specify below)
8b. How, by whom, was the assessment made? (tick all that apply)

FILE / STAFF / OTHER

YES / NO

FILE / STAFF / OTHER

If yes, tick the areas which were matched

Health needs
Special needs (e.g., disability)
Developmental needs
Ethnicity
Accessibility of parents or family contact
Avoidance of change to nursery/school
Other (please specify below)
10. Does the new placement consider the child’s siblings?

YES / NO / NA

FILE / STAFF / OTHER

If yes, tick as appropriate

Siblings are going to same placement
Contact will be maintained with siblings
Contact will be re-established
Other (please specify below)
11. Was there preparation for the move?

YES / NO

FILE / STAFF / OTHER

If yes, tick as appropriate

Daphne project: 2003-046_1

12. Does the child have any siblings?

YES / NO / UNKNOWN

FILE / STAFF / OTHER

If yes, how many?

Please indicate the age and placement of siblings

D.Age

E.Placement not known

F.Adult living independently

Daphne project: 2003-046_1