Most children leaving care are not thriving
At least 2.7 million children are growing up in residential care worldwide, and most never grow into self-sufficient adults. This figure is widely acknowledged to be a significant undercount. The cost of that gap is measurable.
of youth aging out of care in the US become homeless.
NIHof trafficking and exploitation victims spent time in out-of-family care.
National Center for Missing & Exploited Childrenof young men who aged out were convicted of a crime by age 24.
Chapin Hallmore likely their own children end up in foster care or group homes.
NIHThese outcomes are not inevitable. The landmark Positive Outcomes for Orphans study found that when children in residential care experience high-quality, intentional care, they achieve outcomes comparable to family-raised peers.
In Central America, these risks deepen. Youth leaving care face heightened exposure to gang recruitment, and protection systems often lack the infrastructure to support their transition.
Foster care and adoption cannot scale to meet the global need.
Residential care will continue, and most programs lack the training and systems to consistently prepare children for life after care.
- 2.7 million children in residential care worldwide. Based on official records from 140 countries. Independent researchers note significant underreporting in low- and middle-income countries (Petrowski et al., 2017; van IJzendoorn et al., 2020).
- Roughly $8.1 billion estimated annual global spending on residential care. A conservative estimate of about $3,000 per child per year across 2.7 million children in care.
- Nearly half of young people aging out become homeless within the first year, and their own children are nine times more likely to end up in care. National Institutes of Health.
- More than 60% of trafficking and exploitation victims spent time in out-of-family care. National Center for Missing and Exploited Children.
- 60% of young men who aged out of residential settings were convicted of a crime by age 24. Chapin Hall.
- Central America compounding risks. Perrigo et al., Child Abuse & Neglect, vol. 147, January 2024. UNHCR and UNICEF, December 2020.
- High-quality, intentional care yields outcomes comparable to family-raised peers. Whetten, K. et al., Positive Outcomes for Orphans (POFO), PLOS ONE, vol. 4, no. 12, December 18, 2009.
When children in residential care experience high-quality, intentional care, they achieve outcomes comparable to family-raised peers.
A credible team, and a smarter use of a dollar
We know the work from the inside
Founded in 2016 on more than 25 years of on-the-ground experience through Hope Unlimited for Children in Brazil.
Expertise under one roof
Training, research, and advocacy in one place, bringing evidence-informed practice most care organizations cannot build alone.
Trusted across the system
A growing presence in El Salvador through Seeds of Independence, with credibility across the field and seasoned leadership under Sean Rutter.
Strengthen Hope Institute, and you strengthen every organization we touch.
Roughly $8.1 billion already flows into residential care worldwide each year. Your gift moves upstream of it, strengthening the organizations and systems that carry stronger care to every child they serve.
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Billions fund beds, one child at a time, with little change to the quality of care.
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Each organization we equip carries stronger, evidence-informed care to the young people it serves.
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The Life & Learning Center roots the work in real practice. Hope Academy extends it globally. Each side makes the other stronger.

