Babies in orphanages often don't cry. It's been well documented that they eventually fall silent after their cries go unanswered, as they realise no one will come. There is a general lack of knowledge about the reality of what institutionalization does to a child, and we speak to Lari Cannon, a Mental Health Counsellor and Adoption and Foster Care Specialist at OrphanCARE, about the growing movement to shift the focus and transfer resources from large institutions that provide poor quality care to community-based services.