In 1996, America abolished its long-standing welfare system in favor of a new and largely untried public assistance program. Welfare as we knew it arose in turn from a previous generation's rejection of an even earlier system of aid. That generation introduced welfare in order to eliminate orphanages. This book examines the connection between the decline of the orphanage and the rise of welfare. Matthew Crenson argues that the prehistory of the welfare system was played out not on the stage of national politics or class conflict but in the micropolitics of institutional management. New arrangements for child welfare policy emerged gradually as superintendents, visiting agents, and charity officials responded to the difficulties that they encountered in running orphanages or creating systems that served as alternatives to institutional care. Crenson also follows the decades-long debate about the relative merits of family care or institutional care for dependent children. Leaving poor children at home with their mothers emerged as the most generally acceptable alternative to the orphanage, along with an ambitious new conception of social reform. Instead of sheltering vulnerable children in institutions designed to transform them into virtuous citizens, the reformers of the Progressive era tried to integrate poor children into the larger society, while protecting them from its perils.

The Irish-Catholic Sisters accomplished tremendously successful work in founding charitable organizations in New York City from the Irish famine through the early twentieth century. Maureen Fitzgerald argues that their championing of the rights of the poor—especially poor women—resulted in an explosion of state-supported services and programs. Parting from Protestant belief in meager and means-tested aid, Irish Catholic nuns argued for an approach based on compassion for the poor. Fitzgerald positions the nuns' activism as resistance to Protestantism's cultural hegemony. As she shows, Roman Catholic nuns offered strong and unequivocal moral leadership in condemning those who punished the poor for their poverty and unmarried women for sexual transgression. Fitzgerald also delves into the nuns' own communities, from the class-based hierarchies within the convents to the political power they wielded within the city. That power, amplified by an alliance with the local Irish Catholic political machine, allowed the women to expand public charities in the city on an unprecedented scale.

Known as "The Great Killer" and "The White Plague," few diseases influenced American life as much as tuberculosis. Sufferers migrated to mountain or desert climates believed to ameliorate symptoms. Architects designed homes with sleeping porches and verandas so sufferers could spend time in the open air. The disease even developed its own consumer culture complete with invalid beds, spittoons, sputum collection devices, and disinfectants. The "preventorium," an institution designed to protect children from the ravages of the disease, emerged in this era of Progressive ideals in public health. In this book, Cynthia A. Connolly provides a provocative analysis of public health and family welfare through the lens of the tuberculosis preventorium. This unique facility was intended to prevent TB in indigent children from families labeled irresponsible or at risk for developing the disease. Yet, it also held deeply rooted assumptions about class, race, and ethnicity. Connolly goes further to explain how the child-saving themes embedded in the preventorium movement continue to shape children's health care delivery and family policy in the United States.

In the context of the increasing global movement of people and a growing evidence base for differing outcomes in child welfare, Routledge Handbook of Global Child Welfare provides a compelling account of child welfare, grounded in the latest theory, policy and practice. Drawing on eminent international expertise, the book offers a coherent and comprehensive overview of the policies, systems and practices that can deliver the best outcomes for children. It considers the challenges faced by children globally, and the difference families, services and professionals can make. This ambitious and far-reaching handbook is essential reading for everyone working to make the world a better and safer place for children.

From 1870 until after World War I, reformers led an effort to place children from orphanages, asylums, and children's homes with farming families. The farmers received free labor in return for providing room and board. Reformers, meanwhile, believed children learned lessons in family life, citizenry, and work habits that institutions simply could not provide. Drawing on institution records, correspondence from children and placement families, and state reports, Megan Birk scrutinizes how the farm system developed--and how the children involved may have become some of America's last indentured laborers. Between 1850 and 1900, up to one-third of farm homes contained children from outside the family. Birk reveals how the nostalgia attached to misplaced perceptions about healthy, family-based labor masked the realities of abuse, overwork, and loveless upbringings endemic in the system. She also considers how rural people cared for their own children while being bombarded with dependents from elsewhere. Finally, Birk traces how the ills associated with rural placement eventually forced reformers to transition to a system of paid foster care, adoptions, and family preservation.

George Herman Ruth Jr. was born in Baltimore, Maryland, in 1895. A rebellious child, he was eventually sent to a reformatory boarding school where he never quite learned the discipline his parents hoped for, but he did learn something that changed his lif

This “landmark study of child development” examines the devastating effects of early childhood institutionalization (Avshalom Caspi, Duke University). In 1989, the fall of Romania's Ceausescu regime left approximately 170,000 children in impoverished institutions across the country. This crisis prompted the most comprehensive study to date on the effects of institutionalization on a child’s brain development, behavior, and psychological functioning. Romania's Abandoned Children documents this landmark study, and the devastating toll paid by children who are deprived of responsive care, social interaction, stimulation, and psychological comfort. Launched in 2000, the Bucharest Early Intervention Project was a rigorously controlled investigation of foster care as an alternative to institutionalization. Examining a total of 136 abandoned infants and toddlers, researchers randomly assigned half of them to foster care, while the other half stayed in Romanian institutions. Over a twelve-year span, both groups were assessed for physical growth, cognitive functioning, brain development, and social behavior. Data from a third group of children raised by their birth families were collected for comparison. The study found that the institutionalized children were severely impaired, but that the sooner they were placed into foster care, the better their recovery. Combining scientific, historical, and personal narratives in a gripping, often heartbreaking, account, Romania's Abandoned Children highlights the need to help the millions of parentless children living in institutions throughout the world.