The document discusses moving children from institutions into community life. It notes that children in institutions have profoundly negative health impacts, including a life expectancy of only 30 years and high rates of abuse, suicide, and incarceration. Currently, most of Russia's child welfare funds are spent on institutions. However, the future policy will be for children to live with families in the community instead of institutions. The document outlines a plan to transition children from institutions into family and community settings from prenatal to age 16. It also discusses the interventions and challenges involved in this transition.