The Final Report: Changing the Way We Care; Year 5 Evaluation highlights the Changing The Way We Care (CTWWC) initiative’s substantial contributions to advancing care reform globally and in demonstration countries—Guatemala, Kenya, and Moldova—through strengthened policies, systems, and stakeholder collaboration.

This study examined the long-term use of the Standard Triple P parenting program in Portugal’s child protection system, five years after 16 practitioners were accredited. Using a SWOT analysis and the Integrated Sustainability Framework, the study identified key strengths, weaknesses, opportunities, and threats affecting program sustainability, highlighting the need for deliberate planning to ensure evidence-based parenting programs are maintained over time and effectively reach families in need.

This study explored wellbeing among Swedish adolescents with and without out-of-home care experience, using cluster analysis of 10 wellbeing indicators. It found two distinct groups—one with higher wellbeing and one with lower wellbeing—with girls, unemployed youth, and those with care experience more likely to fall into the reduced wellbeing cluster.

This study found that parental poverty is a key factor pushing children in Akwa Ibom State, Nigeria into street life, where deprivation drives them to engage in delinquent activities such as theft, drug peddling, and begging. The findings highlight urgent gaps in child welfare and social protection, calling for targeted interventions to address poverty, improve access to education and healthcare, and strengthen support systems.

This study assessed the situation of street children in Lubumbashi, DRC through a survey of 250 children across the city’s seven municipalities in November 2021. The findings highlight the urgent need for stronger state involvement, organizational support, and parental responsibility to address and reduce the phenomenon of street children.

This article examines how foster parents in Sweden navigate and reproduce public suspicions about financial compensation, drawing on texts and interviews from a three-year research project. While payments are essential for recruitment amid a shortage of foster families, foster parents face sensitivity, suspicion, and blame, leading them to develop strategies to deflect questions and avoid stigma.

This article analyzes data from a qualitative study that aims to investigate the well-being and vulnerability of Swiss children and adolescents in residential care. The empirical findings focus on the importance of digital media for children’s and adolescents’ well-being from their perspectives.

This article traces the evolution of Cambodia’s system for caring for orphans and vulnerable children (OVC), shaped by political stabilization, emerging child protection concerns, international advocacy, and gradual state engagement. While Cambodia now has a solid policy framework, weak government prioritization, poor interagency coordination, and limited local capacity hinder implementation, leaving proponents to push for broader political commitment, balanced international support, and stronger responses to root causes such as poverty and migration.

Using nationwide register data from Finland (1980–2020), this study shows that the lifetime risk of children entering out-of-home care more than doubled, with a notable rise in residential care placements. At the same time, the average duration of care shortened, and the likelihood of children returning home before age 18 increased significantly.

Among Syrian migrants who have settled in Türkiye through mass migration, informal kinship care remains insufficiently clear due to gaps in registration and regulatory frameworks stemming from religious and cultural factors. This study expands the literature on informal kinship care among migrant families.

This study analyzes how Omani law protects vulnerable children without family care through foster arrangements, comparing it with practices in Morocco, the UAE, and the principles of Islamic Sharia law. While Oman’s legal framework provides a foundation for care, the research highlights weaknesses in implementation and oversight, recommending stronger monitoring, greater community involvement, and closer alignment with both regional best practices and Sharia objectives.

This study examines the transition experiences of 25 care leavers in Vietnam through semi-structured qualitative interviews. While many showed resilience and made progress, they also faced significant challenges related to housing, work, education, social relationships, and stigma, highlighting the crucial role of external support in sustaining their agency.

Strengthening Families in India: Framework & Guidance, jointly developed by India Alternative Care Network (IACN) and Changing the Way We Care (CTWWC), aims to consolidate existing knowledge, interventions, and promising practices led by government bodies and civil society organizations across India.

Migrant and refugee children arriving in Italy often face significant trauma, having fled war, violence, and exploitation, and survived one of the world’s most dangerous migration routes across the central Mediterranean. UNICEF’s Terreferme project has shown that foster care placements cost municipalities significantly less than residential facilities, with the added benefit of strengthening the social service workforce through training and case management.

This short film was produced by the Global Youth-Led Movement on Ending Violence Against Children for the launch of the World Health Organization’s first-ever report on the public health impact of corporal punishment of children (August 2025).

This research explores how the perception of “feeling like a family” impacts the quality of life for children and adolescents in residential care in Spain. Findings from both qualitative and quantitative studies show that shared activities, affectionate relationships, and supportive environments foster this sense of family, which in turn is strongly linked to improved well-being.

Uganda’s first mapping study on parenting interventions (2020–2021) highlighted the need for evidence-based approaches and clear delivery guidelines to strengthen parenting programming. In response, the Ministry of Gender, Labour and Social Development developed a parenting manual to harmonize stakeholders’ efforts, streamline programming, and strengthen families nationwide.

This study compares residential childcare workforce practices across programs in Poland, Spain, and the United States, examining recruitment, training, supervision, and performance monitoring. Findings reveal both shared priorities, such as upholding children’s dignity, and region-specific differences that suggest potential solutions and highlight the value of international collaboration to strengthen training standards.

This paper critically examines the international child rights regime under the auspices of the United Nations, highlighting its historical foundations, key challenges, and the role of global institutions in safeguarding children’s rights. Employing a qualitative research methodology, the paper also offers recommendations to strengthen the effectiveness of child rights protections worldwide.

This article presents an in-depth analysis of children and young people's engagement in Terre des Hommes Netherlands (TdH NL) influencing work over the past 10 years. It underscores the importance of integrating children's voices into decision-making processes to ensure systemic change and the sustainable protection of children's rights.

This book offers a comprehensive and rights-based legal framework addressing the unique challenges faced by children living on the streets. The book delivers a detailed analysis of international legal instruments—both binding treaties and relevant “soft law”—to clarify how they apply to such children.

This study explores how trust is built within the Mockingbird Family foster care model in Australia, based on interviews with children, carers, and care networks. Findings show that trust emerges through daily interactions, collaboration, and organizational and political support, rather than being a fixed trait. The study highlights the importance of relationship-centered, interconnected approaches to reimagining foster care.

This study examined factors influencing depression among adolescents living in orphanages in Central Aceh Regency, Indonesia. The findings highlight the need to prioritize interventions that strengthen social support networks, while also exploring additional psychosocial factors such as caregiver relationships, trauma experiences, and coping strategies.

India is advancing child protection reforms with a growing focus on ensuring children thrive in safe, nurturing families, supported by collaboration among government, civil society, communities, and families. Insights from the National Family Summit 2025 highlight how multi-level partnerships are driving family strengthening and family-based alternative care, while also charting a roadmap to overcome systemic challenges and sustain progress.

This study piloted a virtual trauma-informed caregiving curriculum, Trauma Competent Caregiving (TCC), to assess its acceptability and usefulness for foster and kinship caregivers in the United States. Despite high attrition, qualitative findings indicate that caregivers found the curriculum relevant and meaningful, though they noted challenges with time demands and called for broader access to similar evidence-based training.

In this book about the birth of our species, The Origin of Language argues that it was not hunting, fighting, or tool-making that forced early humans to speak, but the inescapable need to care for our children.

En enero de 2025, el ministro de Asuntos Exteriores del Reino Unido lanzó una iniciativa audaz y visionaria: transformar la vida de la niñez y la adolescencia en todo el mundo para que todas las niñas, niños y adolescentes crezcan en el seno de una familia y estén protegidos de la violencia, la explotación y otras prácticas perjudiciales.

En janvier 2025, le ministre des Affaires étrangères du Royaume-Uni a lancé une initiative audacieuse et visionnaire : transformer la vie des enfants dans le monde entier afin que tous soient pris en charge dans leur famille et à l’abri de la violence, de l’exploitation et d’autres pratiques néfastes. Cet aperçu fournit un aperçu de la campagne et de la Charte mondiale, y compris la manière dont les pays peuvent la signer.

La Carta Global para la Reforma del Cuidado de la Niñez y Adolescencia es un llamado a los líderes mundiales para que actúen juntos para: respetar la Convención de las Naciones Unidas sobre los Derechos del Niño y sobre los Derechos de las Personas con Discapacidad; invertir en las familias, en las niñas, niños o adolescentes egresados del sistema de protección y servicios inclusivos; poner fin a la violencia contra la niñez y adolescencia y a las prácticas perjudiciales como el turismo en las instituciones

La Charte mondiale pour la réforme de la prise en charge des enfants appelle les dirigeants mondiaux à agir ensemble pour: respecter la Convention des Nations Unies relative aux droits de l’enfant et la Convention des Nations Unies relative aux droits des personnes handicapées;
investir dans les familles, les enfants, les jeunes sortant de l’aide sociale et dans des services inclusifs; mettre fin à la violence à l’égard des enfants et aux pratiques néfastes telles que le tourisme dans les orphelinats

This report, based on a study across nine countries, examines how to strengthen the community-level social welfare workforce (CLSWW) as a vital but under-resourced part of national child protection systems. It calls for context-specific strategies that clearly define roles and competencies, build capacity, and align with local norms, mechanisms, and resources to enhance child protection outcomes.

This Toolkit is designed to support parents, caregivers and educators to nurture the spiritual development of children in the early years. It provides critical tools and resources to better equip all those who would assist these key adults in children’s lives to create safe, loving, violence-free and respectful environments, strengthen their positive relationships with children, and provide empowering experiences that allow children to develop holistically.

The Safe and Responsible Exit Guidance developed by Catholic Relief Services provides a structured framework for organizations transitioning away from financial and technical support of residential care facilities. This guidance emphasizes ethical divestment that prioritizes child safety and supports ongoing care reform.

This article examines the increasing phenomenon of orphanage trafficking in Nepal – a practice involving the coercive separation of children from their families and placement into unauthorized care facilities under false pretences, often for financial exploitation. It evaluates relevant constitutional provisions, national child protection and anti-trafficking legislation, and international obligations to assess Nepal’s compliance with its legal responsibilities.

Interviews with care leavers and instructors in Zimbabwe found that institutional life skills programs strengthen resilience, self-reliance, and adaptability, helping youth navigate challenges after leaving care. However, outdated curricula, limited follow-up support, and restricted financial access constrain agency and economic participation, highlighting the need for more relevant training and structured transitional support.

Child adoption remains a complex and sensitive issue within Islamic legal discourse, particularly due to its tension with Western legal frameworks that often permit full adoptive rights, including name changes and inheritance. This study addresses the central problem: how can Islamic law reconcile child protection needs with religious norms that prohibit altering a child’s lineage? The research aims to investigate how the concept of kafalah in Islamic jurisprudence serves as an alternative to formal adoption and how Muslim-majority countries navigate the duality between sharia and civil legal systems.

This study reanalyzes interviews with 20 children in Ireland to explore their perspectives on participation in child protection processes involving their families. Findings show that while children often shared adult concerns, they viewed participation differently—particularly regarding risk, safety, stigma, and the need for ongoing dialogue—highlighting the importance of more child-centred approaches in practice.

Child protection systems have traditionally emphasized remedial services over prevention, often relying on uniform care models that fail to account for children’s diverse needs. This study examines the child protection systems of countries representing various welfare models and comparatively evaluates the practices for disabled children in need of protection in these systems.

Foster care is the preferred out-of-home placement for children at risk. However, the number of children in child protection systems exceeds the availability of foster families, highlighting the need for recruitment campaigns. Despite the growing development of such campaigns, their results have not been evaluated. This study aimed to design and experimentally evaluate messages to increase awareness, willingness, and intention to foster in Portugal.

Drawing on the panel and discussions at the Global Study’s Global Conference on Justice for Children Deprived of Liberty 2024 Geneva event, this chapter outlines key elements required for deinstitutionalisation for effective children’s care reforms that are accountable to children. It proposes a two-pronged approach of systems change reforms reinforced by accountability mechanisms to achieve this for children in institutions specifically for care purposes.

This study investigates how Kinship Navigator Programs (KNPs) help mitigate disparities in caregiving challenges faced by informal kinship caregivers (especially grandparents) of maltreated children. Using Latent Class Analysis, the research identifies three distinct patterns of caregiving challenges: financial, child's behavioral/emotional health, and intergenerational family dynamics. 

The Solomon Island's Child and Family Welfare Act 2017 signalled a strong commitment from the government to strengthen national efforts to prevent and respond to violence, abuse, neglect and exploitation of children. This Multi-Sectoral Implementation Plan 2025–2030 outline's the government's plan to improve services to strengthen family and community caring practices and to ensure a timely and appropriate response to all children in need of care and protection.

The human rights challenges faced by Queer youth in out-of-home care (OOHC), such as foster and residential care, have largely been overlooked in child protection research, policy, and practice development. This systematic scoping review aims to identify and synthesize the existing international, English-language, empirical research documenting the human rights challenges experienced by Queer youth in OOHC systems.

Integrated healthcare models combining behavioral and primary care provide solutions for vulnerable pediatric populations, especially youth in foster care, facing disproportionately high rates of chronic conditions and mental health issues. This review synthesizes current literature to assess the impact of integrated care on health outcomes for youth in foster care in the U.S..

The first comprehensive “Benchmarking Report on Parenting Support Policies and Programs in the Republic of Serbia” aims to support national and local efforts to improve the availability and quality of systemic, cross-sectoral support for parents and caregivers in Serbia, in order to ensure the optimal development of children and young people.

Based on the importance of including children with disabilities in the growing movement toward deinstitutionalization and care reform, the Children and Families Together – India consortium, with Keystone Human Services International as the prime, undertook an assessment of the situation of care and protection of children with disabilities in India.

On June 9, Keystone Human Services International and partners hosted a side event at the 18th Conference of States Parties to the CRPD on “Closing the Revolving Doors: A Lifespan Approach to Deinstitutionalization.” Panelists explored challenges, opportunities, and success stories in advancing sustainable care reform and community-based supports for children and adults with disabilities.

This study aimed to highlight the challenges faced by care leavers due to the absence of or inadequate aftercare support during the transition, which increases care leavers’ vulnerabilities to homelessness, unemployment, substance misuse and ruptured social relationships.

Using interdisciplinary analysis, Kit W. Myers examines the adoption of Asian, Black, and Native American children by White families in the United States. He shows how race has been constructed relationally to mark certain homes, families, and nations as spaces of love and better futures—in contrast to others that are not.

The Adoptions and Safe Families Act (ASFA) of 1997, combined with rising incarceration rates, has increased the risk of parental rights termination for incarcerated parents, often leading to foster care placements for their children. A review of state-level policies found most lacked coordination between the child welfare and criminal legal systems, highlighting the need for cross-system collaboration and inclusion of parents with lived experience in legislative efforts.

This research examined children’s homes, one of the residential child care institutions in Turkey, in terms of spatial aspects, institutional functioning and, child-care staff relations.

In this commentary, two examples of how research often cited in calls to eliminate residential care has been inappropriately overgeneralized.

A scoping review of 31 studies (2013–2023) examined why children and young people in out-of-home care in Australia spend unauthorised time away from placements. Findings show these absences often reflect efforts to seek safety, stability, connection, autonomy, and belonging, highlighting systemic shortcomings and the need for youth-informed practices that address needs both in care and while away.

Providing comprehensive healthcare to children in foster care can be challenging. This discussion provides healthcare providers in the US with a practical, trauma-informed guide to caring for youth in foster care rooted in evidence-based practice and current guidelines.

This article investigates the image of an ideal foster grandparent as constructed by social workers, drawing upon 24 in-depth interviews with practitioners from foster care agencies in the Czech Republic.

This study examined the geographical location of fostered children in Kenya, identified who provides their care and the nature of mothers’ relationships with these caregivers, explored transitions and mobility within kin networks, and analyzed how location and distance influence maternal–child contact.

This study, conducted in the UK, aimed to better understand the experiences of foster carers who are caring for children who have experienced trauma and loss.

This Norwegian study examines how unaccompanied refugee minors in foster care (re)create a sense of home over time, identifying security, familiarity, and autonomy as key intertwined aspects. It underscores the dynamic role of past experiences, present circumstances, and future aspirations, emphasizing the need for foster parents and child welfare workers to support cultural, relational, and personal continuity.

Vlad is a 13-year-old child rights advocate in the Republic of Moldova. Speaking at a United Nations Human Rights Council's debate on the rights of the child on 13 March 2025, he stressed the importance of investing in early childhood development. "The earlier we act, the more chances we give the child to develop harmoniously," he said.

This systematic review of open-access research examined the effects of parental separation on children, identifying a wide range of adverse outcomes including neurological changes, trauma, abuse, poor academic performance, mental health disorders, and risky behaviors. The risk is highest between ages 9 months and 9 years, particularly when separation is abrupt, occurs in preschool years, involves care by strangers, or coincides with a change of residence.

This study explored the experiences of 14 adolescents living in a ci'aiyuan childcare institution in Xiangxi, China, finding that it sometimes fostered supportive relationships, enhanced perceived social support, and facilitated positive life changes. While these accounts challenge dominant negative views of institutional care, the study emphasizes the need to address ongoing complexities and challenges in such settings.

Using group-based trajectory modelling on Swedish children born 1990–1999, this study identified six distinct patterns of out-of-home care placements that varied in onset, duration, and type. Findings show greater parental disadvantage among children entering care earlier, highlighting the need for early intervention and family-centred prevention strategies.

An analysis of 14 national foster care policies across six European countries found that while most acknowledge children’s cultural, ethnic, religious, and linguistic backgrounds, they provide little concrete guidance on ensuring relational and cultural continuity—particularly for children with migrant backgrounds. The study highlights four policy patterns, including prioritizing adult over peer relationships, emphasizing parental contact over extended family or transnational ties, assuming Western cultural norms, and struggling to balance immediate care needs with maintaining cultural and relational connections.

Kin and fictive kin involvement can be protective following maltreatment and contribute to the development of children’s strengths. Findings show that support from kin may positively influence strength development for youth in foster care. Professionals in foster care should prioritize kin involvement to enhance support and develop youth strengths.

This study used a quasi-experimental design to evaluate the Transition to Independence Program (TIP) at Wayne State University in Detroit, Michigan, which provides targeted financial aid, concrete supports, academic coaching, and navigation assistance for college students with foster care experience. Findings show TIP participants had significantly higher retention rates than non-participating peers with foster care backgrounds and performed on par with low-income, first-generation students without foster care experience.

Out-of-home care entry can have profound effects on families, society, and a child’s development and wellbeing. This review synthesised evidence on the factors contributing to initial entry and re-entry into out-of-home care during childhood (<18 years), as well as those that protect against these outcomes.

This consensus statement on youth in foster care makes a case for a developmentally informed system of care. Although it avoids making specific policy and practice recommendations, it identifies general areas where research can inform change.

Understanding the circumstances in which children migrate is important to ensure their well-being. Yet, child migration in sub-Saharan Africa is not easy to measure. Health and Demographic Surveillance Systems (HDSS) provide an excellent opportunity to estimate child migration in the region.

Transitioning to adulthood is challenging. For young people raised in youth care, this is even more difficult as they often have a limited social network.

This meta-analysis examines the impact of supportive housing on child welfare outcomes, focusing on whether it reduces foster care placements, facilitates family reunification, and decreases homelessness and subsequent child welfare reports in the United States.

A randomized controlled trial examined the effectiveness of a peer grief support program for youth in foster care, an underrepresented population who experience disenfranchised grief. The sample included 78 youth, ages 12–20, randomly assigned to a treatment or waitlist control group.

The objective of the study is to explore the impact of residence and education status on the basic needs of street children in Pabna Municipality, Bangladesh.

This study, conducted by the Children and Family Research Center at the University of Illinois, examines the prevalence, nature, and circumstances of child maltreatment in out-of-home care, with a focus on identifying cases that occurred prior to placement but are recorded as incidents during car

This document aims to give a brief outline of the main steps taken by Bulgaria and by Romania in their struggle to reform the national child protection systems. The experience accumulated between the two countries, both in terms of similarities and differences (in terms of approach and level of success) may constitute an important basis of debate and inspiration/ learning for other countries in the region that are sharing similar post-communist heritage and are currently considering ways of approaching their own child protection reforms.

For over 20 years, the U.S. Government Accountability Office (GAO) has reported on youth in the foster care system who are placed in residential facilities, including concerns with the physical, emotional, and sexual abuse of these youth.

Residential care for children has aroused much controversy. Several scandals involving the physical and sexual abuse of residents have led to public inquiries and reports (Kent, 1997; Utting, 1997; Waterhouse, 2000). These have almost all concerned abuse by staff.

Despite significant efforts towards achieving the Sustainable Development Goals (SDGs) that have been made since 2015, progress for children in recent years has stalled, been reversed, or has been insufficient in many countries and for millions of children. This UNICEF policy solutions report presents the evidence for a set of policies that have shown to generate important results across multiple children’s outcomes. These include child benefits, immunization, quality secondary education for girls, and early childhood nutrition and development programmes. 

This paper provides a comparative analysis of social work professionalization in the Philippines, Thailand, Indonesia and Singapore. By examining the different approaches across the countries, policymakers will have examples of practices that have been effective elsewhere and adopt these to suit the context of Malaysia.

This study protocol outlines the first randomized controlled trial of Hope Groups—a 12-session psychosocial, mental health, and parenting support program—among Ukrainians affected by war. The trial aims to assess its impact on caregiver mental health, violence prevention, and family well-being, with potential for global adaptation and scale-up in other crisis-affected settings if proven effective.

This paper aimed to assess the effectiveness of psychosocial and parenting support groups, called ’Hope Groups,’ on improvements in caregiver mental health, positive parenting, and prevention of violence against children, for families affected by the war in Ukraine, using a pre/post study design.

This guideline provides evidence-based recommendations on parenting interventions for parents and caregivers of children aged 0–17 years that are designed to reduce child maltreatment and harsh parenting, enhance the parent–child relationship, and prevent poor mental health among parents and emot

This policy brief explores how extended foster care in the U.S.—enabled by the Fostering Connections Act of 2008—can support young people aging out of foster care by providing critical resources and stable living arrangements through Independent Living Programs (ILPs) and Supervised Independent Living Placements (SILPs). It outlines the challenges these youth face, the evolution of related federal policy, and offers recommendations to strengthen support during their transition to adulthood.

Advocacy is about representing the views, wishes and needs of children and young people to professionals making decisions about their lives, and helping them to navigate the system, especially in times of transition.

This study explores the prevalence and multilevel risk factors of 1,309 Israeli Arab and Jewish adolescents’ experiences of unwelcome sexual behaviors by peers in residential care settings (RCSs) for at-risk children.

The 2024 Annual Report of the Global Coalition for Youth Mental Health highlights the Coalition’s expanding efforts to address the global mental health needs of children, youth, and caregivers.

A scoping review on the short-term (during care) outcomes of residential care at the user level (children and their families) was conducted.

The SNEH: Supporting Nurturing Enabling Happy Families compendium was developed by Miracle Foundation India as part of the first National Family Summit to showcase progress, insights, and best practices in advancing family-based care and child protection reforms in India. It builds on lessons from its “Leadership Dialogue” series and collaborations with government, civil society, and care-experienced youth.

This study advances the understanding of child separation and Family Tracing and Reunification (FTR) needs in humanitarian settings.

This video shows highlights from The National Summit on “Reimagining the Care System for Children in India” held on the 30th of March, 2025, in New Delhi. The Summit aimed to foster collaboration, learning and collective action among key stakeholders from government, civil society, academia, and individuals with lived experience.

The National Summit on “Reimagining the Care System for Children in India” was held on the 30th of March, 2025, in New Delhi.

In January 2025, the U.K. Foreign, Commonwealth and Development Office launched an initiative to transform the lives of children globally so that all children are cared for in families and free of violence, exploitation and other harmful practices.

Through this new campaign governments, civil society, faith groups, and individuals with lived experience of care systems are calling on world leaders to join forces in a global movement that harnesses decades of international progress to ensure all children are growing up in a safe, nurturing and loving family environment. This overview calls on government leaders to join this movement.

This report makes a series of recommendations on issues affecting all types of care, including foster care, adoption, kinship care, children’s homes, and support for disabled children in the UK.

This document provides comprehensive guidelines for designing, implementing, and evaluating effective and scalable parenting programs—including by examining their costs—particularly in low- and middle-income countries.

This report provides a comprehensive overview of global and regional child labor trends. The publication profiles children engaged in child labor, maps where these practices are most concentrated, and examines the critical impact on children’s access to education and learning outcomes.

The VACS Data Dashboard is a comprehensive online tool designed to provide easy access to data from the Violence Against Children and Youth Surveys (VACS) across more than 20 countries.

There is currently little consensus in the United Kingdom around the prevalence of violence against children: maltreatment, intimate partner violence, sexual violence, bullying, and community violence, and most existing studies focus on only a single or a few forms of violence. This study aims to produce data to highlight the current magnitude of the problem in the UK, to inform policy, drive action and allow for monitoring of progress over time.

This briefing looks at what data and statistics are available about children in care to help professionals, and the organisations they work for, make
evidence-based decisions.

Safety, or the absence of maltreatment, is the primary mandate of the child protection services (CPS) system, both for children living at home and those living away from home. Yet, few research studies have examined maltreatment in out-of-home care due to the low incidence rate and data limitations. This study used statewide administrative data to estimate the association between placement type and experiencing a maltreatment investigation or substantiation in out-of-home care.