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Maltreatment and Mental Health in Institutional Care—comparing Early and Late Institutionalized Children in Tanzania

Bibliographic Data

ID11276267
AuthorsKatharin Hermenau (University of Konstanz and vivo international, corresponding author), Tobias Hecker (0000-0001-9272-0512, University of Konstanz and vivo international), Thomas Elbert (0000-0003-1332-4939, University of Konstanz and vivo international), Martina Ruf‐Leuschner (University of Konstanz and vivo international)
Year2014
Volume35
Issue2
Pages102-110
Publication date2014-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInfant Mental Health Journal (JOURNAL)
Journal identifiersISSN: 0163-9641 • E-ISSN: 1097-0355
PublisherWiley (PUBLISHER • GB)
DOI10.1002/imhj.21440
PMID25798516
OpenAlexW1950355216
LanguageEN
Citations received13
References cited37

Research has shown the harmful potential of institutional care on young children; however, little is known about the consequences of institutional care on infants in Sub‐Saharan Africa. We compared 35 Tanzanian children who were institutionalized at birth to 4 years of age with a matched group of 35 children who were institutionalized at 5 to 14 years of age. We examined adverse childhood experiences over the course of their entire lives, in their family of origin and in institutional care, and mental health problems at primary school age, such as depressive symptoms, aggressive behavior, and internalizing and externalizing problems. Results showed that early institutionalized children reported more adverse experiences during their time in institutional care and a greater variety of mental health problems than did late institutionalized children. Moreover, maltreatment in institutional care was positively related to mental health problems only in early institutionalized children. We conclude that adverse experiences in institutional care play an important role for early institutionalized children who need special care from adequately educated caregivers. Therefore, training concepts focusing on the needs of the youngest children have to be developed, tested, and established. Countries such as Tanzania need policies that apply to all orphanages to ensure an adequate standard of quality in childcare

Foster care · Health care · Mental health · Political science · Psychiatry · Socioeconomics · Tanzania · Child Welfare and Adoption · Global Maternal and Child Health · Medicine · Nursing · Poverty, Education, and Child Welfare · Psychology

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Unique citing works13
Citations per year1,08
Citation span2014 - 2026 (13)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 13

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