Foster care in the United States

Foster care is the term used for a system in which a minor who has been made a ward is placed in an institution, group home, or private home of a state certified caregiver referred to as a "foster parent". The placement of the child is usually arranged through the government or a social-service agency. The institution, group home or foster parent is provided compensation for expenses.

The state via the family court and child protection agency stand in loco parentis to the minor, making all legal decisions while the foster parent is responsible for the day-to-day care of said minor. The foster parent is remunerated by the state for their services.

In the United States, foster home licensing requirements vary from state to state, but are generally overseen by each state's Department of Child Protective Services or Human Services. In some states, counties have this responsibility. Each state's services are monitored by the federal Department of Health and Human Services through reviews such as Child and Family Services Reviews, Title IV-E Foster Care Eligibility Reviews, Adoption and Foster Care Analysis and Reporting System and Statewide Automated Child Welfare Information System Assessment Reviews.

The foster parent licensing process is often similar to the process to become licensed to adopt. It requires preparation classes as well as an application process. The application varies but may include: a minimum age, verification that your income allows you to meet your expenses, a criminal record check at local, state and federal levels including finger printing and no prior record of child abuse or neglect; a reference from a doctor to ensure that all household members are free from diseases that a child could catch and in sufficient health to parent a child and; letters of reference from an employer and others who know them.

Children found to be unable to function in a foster home may be placed in Residential Treatment Centers (RTCs) or other such group homes. In theory, the focus of treatment in such facilities is to prepare the child for a return to a foster home, to an adoptive home, or to the birth parents when applicable. But two major reviews of the scholarly literature have questioned these facilities' effectiveness. There are some children in foster care who are difficult to place in permanent homes through the normal adoption process. These children are often said to require "special-needs adoption." In this context, "special needs" can include situations where children have specific chronic medical problems, mental health issues, behavioral problems, and learning disabilities. In some cases, sibling groups, and older children qualify as "special needs." Governments offer a variety of incentives and services to facilitate this class of adoptions.

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