This project focuses on child and caregiver mental health in residential child care institutions supporting orphaned and separated children (OSC). The population includes children (6-11yrs), adolescents (11-17yrs) caregivers, and alumni (18-24yrs) living in family-style homes. Team has used a mixed-methods approach combining cross-sectional and longitudinal data, including quantitative mental health screenings and qualitative surveys, interviews, and workshops. The work has informs evidence-based counseling, caregiver support, and life-skills programming while strengthening mental health systems, aftercare planning, and advocacy to improve long-term psychosocial and developmental outcomes.