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.

1. Moving Kids from Institutions to Community Life Rene Wallis Executive Director

2. May 2006 State of the Federation Address More children must live in families Direct the regions to reduce the use of orphanages

3. Profound Negative Health Impacts Life expectancy: 30 years Sexual, physical and verbal abuse – victims become perpetrators Suicide – 10%, Incarceration – 25% Aggression turns outward Abused becomes abuser Child abused Aggression turns inward Self destruction Destroyed by others Child abused

4. Stunting Small body size Decrease in electrical activity in brain Social and emotional growth profoundly diminished

5. Population Loss “Demographic Crisis” 150,000,000 146,000,000 148,000,000 144,000,000 142,000,000 1992 2002 Women - 71 years Abortions common Small families Men = 58 years Traffic accidents Alcohol related Chronic, degenerative and infectious diseases Infant mortality = 18 per 1000

6. How Does Russia Invest its Child Welfare Dollars? Now Policy: Kids are Institutionalized Institutions Community Kids Kids Future Policy: K ids Will Live in Families Institutions Community Families

7. Moving Kids from Institutions to Community Life From Here to There

8. Prenatal to Age Four Maternity Facility Clinics for Pregnant Women Children’s Hospital Baby Home Abuse/Neglect Opportunity for intervention Opportunity for intervention Opportunity for intervention

9. Four to Sixteen Baby Home Specialized Boarding Houses Orphanage for Disabled Children Community Foster Adopt Specialized Schools Health Care Support Shelters Lying Down Rooms

10. Aging Out General Social Distress Mental Illness Poor Elderly Homeless Disability Orphanages Boarding Schools Community Jail 25% Adult Shelter Housing Sex Trade Criminal Behavior

11. Interventions Firefly’s work to support kids in families: Early intervention for children with disabilities Early intervention for at risk families Foster care program development and oversight “ Granny” volunteer program Special education school training Collaborative efforts Professional library

12. Challenges We Face Lack of investment in healthcare, child welfare Declining support from international community Professional gap in human development, education, health care and social work

13. Firefly Children’s Network 600 New Hampshire Avenue, NW Suite 500 Washington, DC 20037 202.338.5706 www.fireflykids.org