Out-of-Home Care for Children at-Risk in Israel and in Spain: Current Lessons and Future Challenges

This article compares the out-of-home care (OOHC) systems for children at-risk in Spain and Israel. Both countries share a strong tradition of placing children at-risk mainly in large residential care settings rather than familial solutions, and both face the challenge of the deinstitutionalization of care, including the tendency to substitute family-based solutions for institutional care. This article follows the historical development and current status of out-of-home care systems, as well as the main research contributions on these topics in both nations, revealing a great similarity. Both countries share a Mediterranean culture, in which the family ties are dominant in providing personal and social well-being. The strong family ties are assumed to be related to the slower consolidation of foster family care as an alternative for out-of-home placement. In Spain it has led to a high prevalence of kinship foster care, while in Israel this has led to high use of residential care settings. The challenges Spain and Israel face given this structure of public child care are discussed.