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J.K. Rowling describes how a newspaper photograph of a young boy confined to a caged bed in a residential institution inspired her to establish Lumos, a charity dedicated to ending the institutionalisation of children. She says the image also exposed a wider tendency to look away from the suffering of an estimated 8 million children separated from their families worldwide.

According to Rowling, most children in institutions are not orphans. Many have parents who could care for them but face poverty, discrimination, or a lack of local education and health services, especially for children with disabilities. Others lack a suitable family home but are institutionalised because no alternative is available. She recounts severe neglect, including an institution where children endured a broken heating system in freezing temperatures.

Rowling argues that institutions, including well-resourced ones, can cause lasting physical and psychological harm. Children may experience malnutrition, developmental delays and trauma, face greater risks of abuse and trafficking, and struggle with education, employment and inclusion later in life. She advocates replacing institutions with support for families, inclusive health care and education, and family-based alternatives such as fostering and adoption. She also says family care is more cost-effective than institutional care.

Lumos estimates that child institutionalisation could be eradicated globally by 2050. Rowling cites progress in countries where the charity works: a 70% national reduction in the number of children in institutions in Moldova since 2007; a 75% fall in admissions in a Lumos demonstration area in the Czech Republic; and, in Bulgaria, a 54% reduction in children in institutions alongside a substantial increase in foster carers. She calls on international donors and the public to support the transition, including through the awareness campaign **#Letstalklumos**, and says she has committed to serving as Lumos president for life.