For more than six hundred years, societies have created institutions designed to rescue, protect, discipline, and reform children. Foundling hospitals took in abandoned infants. Houses of refuge promised to save children from crime and poverty. Reform schools claimed they could turn troubled boys and girls into productive adults. And eventually, residential treatment centers and therapeutic programs promised something more modern: treatment.
Many of these institutions represented genuine progress. Many helped children. But across centuries, remarkably similar problems kept appearing behind their walls.
In this episode, we trace the history of institutionalizing children from Renaissance Florence to nineteenth-century reformatories, the notorious Dozier School for Boys, and today's residential treatment industry. Along the way, we look at buried graves, children confined without committing crimes, allegations of abuse that went ignored for decades, and modern systems where regulators can still struggle to determine who is responsible for keeping children safe.
Because the most unsettling part of this history isn't simply that institutions sometimes failed.
It's how often the conditions that allowed those failures to happen survived the reforms meant to fix them.
Every effort was made to cross-check primary sources and modern research. Where paraphrasing is used, it’s drawn from the texts below with narrative license for clarity and flow.If you spot an error or have a source to suggest, DM @thisagainshowFollow This, Again on Instagram: @thisagainshow
This, Again is written, produced, and hosted by Mallory Faust.
Sources and Further Reading:
Historical Foundations and Foundling Institutions
Istituto degli Innocenti. “History.” Istituto degli Innocenti.
https://www.istitutodeglinnocenti.it/en/about-us/history
Foundling Museum. “History of the Foundling Hospital.” Foundling Museum.
https://foundlingmuseum.org.uk/our-story/history/
Harris, W. V. “Child-Exposure in the Roman Empire.” Journal of Roman Studies 84 (1994): 1–22.
https://www.cambridge.org/core/journals/journal-of-roman-studies/article/childexposure-in-the-roman-empire/3410A0618E4B37F1CF1EE52B11DC89F4
Levene, Alysa. Scholarship on mortality and child survival at the London Foundling Hospital.
The original Deep Research relies on Levene's scholarship for the mortality discussion but does not preserve a sufficiently specific bibliographic link for me to give you a URL without reconstructing the citation independently.
Houses of Refuge, Reformatories, and “Incorrigibility”
Ex parte Crouse. 4 Whart. 9 (Pa. 1839).People ex rel. O’Connell v. Turner. 55 Ill. 280 (1870).Historical scholarship on houses of refuge and nineteenth-century juvenile reform.
https://www.jstor.org/stable/44686761
Chicago Reform School. Historical annual reports and institutional records. Library of Congress digitized collection.
https://tile.loc.gov/storage-services/master/gdc/gdcebookspublic/20/21/75/86/21/2021758621/2021758621.pdf
Development of Modern Child Protection
The National Archives. “Children’s Homes and Orphanages.” The National Archives (UK).
https://www.nationalarchives.gov.uk/help-with-your-research/research-guides/children-care/
United Kingdom. Children Act 1948, 11 & 12 Geo. 6 c. 43.United States. Child Abuse Prevention and Treatment Act of 1974, Pub. L. No. 93-247, 88 Stat. 4.University of South Florida. Arthur G. Dozier School for Boys Project. USF Libraries Digital Collections.
https://digitalcommons.usf.edu/dozier_school/1/
University of South Florida Libraries. Arthur G. Dozier School for Boys Research Guide.
https://guides.lib.usf.edu/dozier
These are especially important for the forensic investigation, historical records, cemetery research, survivor material, and the discrepancy between the earlier official burial accounting and what archaeologists subsequently located.
Synanon, Therapeutic Communities, and Behavior Modification
De Leon, George, et al. Scholarship on the history and development of therapeutic communities. National Library of Medicine/PubMed Central.
https://pmc.ncbi.nlm.nih.gov/articles/PMC3562581/
Chatfield, Mark. Scholarship on totalistic youth programs and the historical development of the troubled-teen industry.
The original Deep Research cites Chatfield's scholarship but does not preserve a sufficiently specific canonical URL for me to provide one without independently reconstructing the citation.
Modern Residential Treatment and the Troubled-Teen Industry
U.S. Senate Committee on Finance. Warehouses of Neglect: How Taxpayers Are Funding Systemic Abuse in Youth Residential Treatment Facilities. Washington, DC: U.S. Senate Committee on Finance, 2024.
https://www.finance.senate.gov/imo/media/doc/rtf_report_warehouses_of_neglect.pdf
U.S. Government Accountability Office. Residential Treatment Programs: Concerns Regarding Abuse and Death in Certain Programs for Troubled Youth. GAO-08-146T. Washington, DC: U.S. Government Accountability Office, 2007.
https://www.gao.gov/assets/gao-08-146t.pdf
U.S. Department of Health and Human Services, Office of Inspector General. Many States Lack Information To Monitor Maltreatment in Residential Facilities for Children in Foster Care. Washington, DC, 2024.
https://oig.hhs.gov/reports/all/2024/many-states-lack-information-to-monitor-maltreatment-in-residential-facilities-for-children-in-foster-care/
U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation. State Residential Treatment for Behavioral Health Conditions: Regulation and Policy Environmental Scan. Washington, DC: HHS, 2021.
https://aspe.hhs.gov/reports/state-residential-treatment-behavioral-health-conditions
U.S. Government Accountability Office. Foster Care: HHS Should Help States Address Maltreatment in Residential Facilities. GAO-24-107625. Washington, DC: U.S. Government Accountability Office, 2024.
https://www.gao.gov/assets/gao-24-107625.pdf
Hilton, Paris. Testimony before the U.S. House Committee on Ways and Means, June 26, 2024.
https://waysandmeans.house.gov/wp-content/uploads/2024/06/Hilton-Testimony.pdf
United States. Stop Institutional Child Abuse Act. Pub. L. No. 118-194 (2024).
https://www.govinfo.gov/app/details/PLAW-118publ194
Psychology and Institutional Structure
Goffman, Erving. Asylums: Essays on the Social Situation of Mental Patients and Other Inmates. Garden City, NY: Anchor Books, 1961.Smith, Carly P., and Jennifer J. Freyd. “Institutional Betrayal.” American Psychologist 69, no. 6 (2014): 575–587.Scholarship on institutionalization and total institutions. National Library of Medicine/PubMed Central.
https://pmc.ncbi.nlm.nih.gov/articles/PMC3702490/
Additional Book Mentioned in the Episode
Due, Tananarive. The Reformatory. New York: Saga Press, 2023.