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Protective Paradox: Caregiving in Protracted Crises Across 72 Countries

  • Qusai Khraisha*
  • , Stella Roney
  • , Cameron Murphy
  • , Kate Schnoebelen
  • , Johanna Kappenberg
  • , Beatrice Volta
  • , Orla Norton
  • , Sadhbh Carpenter
  • , Ronan Kelly
  • , Ferdia Geary
  • , Jiayue Sun
  • , Nadeen Abujaber
  • , Catherine Panter-Brick
  • , Kristin Hadfield
  • *Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Millions of children are growing up forcibly displaced in protracted crises lasting years or decades. We conducted the first global systematic review of protective parenting in protracted refugee situations, examining evidence in 22 languages across 10 databases, 16 humanitarian reports, and the top 100 websites from 72 host countries. From 45 studies, we identified three categories of parenting behaviours, the ‘3 Cs’ of parental protection: Control (surveillance or restriction of the child’s behaviour), Conceal (hiding children from threats or hiding threats from children), and Concede (abandoning or separating from the child). Such strategies address immediate risks but may hinder children’s education, social development, independence, and psychological wellbeing – representing a protective paradox. Three empirically informed principles emerge for addressing this paradox: (a) demonstrating rather than prescribing protective alternatives, (b) stratifying rather than simplifying interventions to account for intersecting vulnerabilities that influence families’ risk assessments, and (c) replacing rather than prohibiting existing strategies by providing safer alternatives that address immediate threats while enabling development. These principles may guide practitioners and policymakers in helping refugee families navigate the trade-offs between minimising immediate threats and avoiding delayed development.

Original languageEnglish
JournalTrauma, Violence, and Abuse
DOIs
Publication statusE-pub ahead of print - 26 Feb 2026
Externally publishedYes

Bibliographical note

Publisher Copyright:
© The Author(s) 2026. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being
  2. SDG 16 - Peace, Justice and Strong Institutions
    SDG 16 Peace, Justice and Strong Institutions

Keywords

  • forced displacement
  • intervention
  • parenting
  • protection
  • protracted
  • refugee
  • safeguarding
  • systematic review
  • war

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