Children in care have told harrowing stories. Now it’s up to the government to act

An inquiry into child safety found the system often failed to address the wellbeing and best interests of children in state care. (ABC News: Curtis Rodda)

Dozens of emails land in my inbox every day. But this one was different.

It was from a child in residential care, and they were desperate.

"What I am currently going through is not okay," they wrote.

"If I die while in my situation, I want residential care to be called out for what it is. Evil and inhumane."

The child felt completely alone. She described workers sitting in the office with the door closed and rarely checking on her.

Commissioner Paul Anastassiou said the Department of Child Safety needs to be rebuilt from the ground up. (AAP: Darren England)

"The state (is) my parent, but it (doesn't) act like one," she said.

The harrowing stories many youth workers, foster carers and young people have of the Queensland child protection system will leave lifelong scars, which can teach more than any inquiry.

A report by Queensland's Commission of Inquiry has made 52 recommendations ranging from overhauling out-of-home care to adoption access.

This week, 52 recommendations have been published from the latest one.

The $20m inquiry is the fourth in almost three decades into what the Queensland government has described as a "broken" system.

Still, the commissioner Paul Anastassiou has published radical, if optimistic, recommendations.

But he said, "no tweak or tinkering will change the present trajectory of the child protection system."

The department, he says, needs to be rebuilt from the ground up.

That starts with shifting children out of the $1bn residential care system, where they've experienced harm, abuse and neglect.

The report delivered 52 recommendations to the Queensland government. (ABC News)

These group homes were supposed to be last-resort, short-stay accommodation for teenagers, but they've made service providers millions. Many of them are unlicensed.

CEO of the Youth Advocacy Network, Katherine Hayes, told the ABC this week the department was a "huge expensive failure" and reforming it will be "like turning around an ocean liner".

The government announced it'll start by removing children under five from residential care.

There are still questions about how this will work in practice.

Experts have asked what it will mean for sibling groups in care. Will they be separated?

The inquiry has recommended a transition to family-based care after decades of underinvestment in kinship and foster care.

Child safety minister Amanda Camm said this week that Queensland now has a sho