Exploring alternative care options for children in China: recent developments and challenges

In recent years, there has been increasing recognition of the complexities surrounding alternative care arrangements for children, especially within China’s changing childcare landscape. This paper addresses the gap in understanding the nuances of alternative care options in China by conducting a narrative review of existing literature and governmental documents, focusing specifically on kinship care, institutional care, family foster care, and adoption. The review reveals recent developments and current challenges associated with each form of alternative care, providing insights into the evolving childcare system in China. Key findings include significant progress in diversifying childcare options, increased funding investment in the system, and efforts to standardize alternative childcare practices through policies and legislative measures. However, challenges persist in promoting psychosocial development and preparing individuals living in institutions for leaving care, ensuring adequate resources and support for kinship caregivers, and enhancing participation rates in family foster care and adoption practices. Practical implications for policymakers and child welfare agencies are discussed, emphasizing the importance of promoting family-based care options, providing quality caregiver training, considering various aspects of children’s needs, extending support for kinship care, and formulating inclusive adoption policies.