Optimistic Voices

Rising Tides Catalyzing Change: Part 2. Beyond Orphanages: The Global Shift to Family-Based Care

• Helping Children Worldwide; Dr. Laura Horvath, Emmanuel M. Nabieu, Yasmine Vaughan, Melody Curtiss • Season 4 • Episode 11

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The global movement to transition children from orphanages to families is gaining momentum, but significant challenges remain. In this thought-provoking episode, David Titus Moussa hosts a conversation with Stephen Usembe, a care leaver and founder of Kenya Society of Care Leavers, and Phil Aspergren, executive director of Casa Viva in Costa Rica, as they unpack key insights from the recent Rising Tide Conference.

Stephen shares his unique perspective as someone who grew up in institutional care, emphasizing the critical need for research and data to drive meaningful policy change. "When we know better, we have a responsibility to do better," he reminds us, highlighting how institutions isolate while families embrace. The experts discuss how poverty, misguided funding models, and entrenched attitudes continue to separate vulnerable children from families that could care for them with proper support.

Phil recounts a powerful story of transformation: when 26 adolescents in a well-run children's home were asked what they wanted most, every single one answered, "I want to live in a family." This led to a complete transition from institutional care to family placements for all 26 youth—proving that change is possible even in challenging circumstances. He challenges listeners who support orphanages not to withdraw funding, but instead to use their influence to ask important questions and encourage transition toward family-based solutions.

The conversation explores practical strategies for redirecting resources, changing mindsets (particularly within North American churches), and creating stronger collaboration between governments and organizations. Rather than focusing on improving orphanages, the experts advocate prioritizing family-based alternatives first. With compelling examples from Haiti, Kenya, Costa Rica, and beyond, they demonstrate that children with disabilities, children in poverty, and children in crisis can all thrive when supported in family environments.

Subscribe to Optimistic Voices for more inspiring conversations on global child welfare, and join us in believing that with radical courage and collaboration, we can ensure every child grows up where they belong—in a family.

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Contact support@helpingchildrenworldwide.org to discuss how.

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