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Title page
Contents
Highlights 2
Letter 5
Background 8
Placements for Children Entering and Exiting Foster Care 8
Responsibilities for Recruiting and Retaining Foster Families 9
Federal Supports Related to Recruiting and Retaining Foster Families 11
States Employ a Range of Strategies to Recruit Foster Families and Nearly All Use Private Providers to Recruit, Particularly for Therapeutic Foster Care 13
States Recruit Foster Families by Searching for Relatives, Conducting Outreach, Targeting Certain Populations, and Obtaining Referrals 13
Almost All States Reported Using Private Providers to Recruit Foster Families, Particularly for Therapeutic Foster Care 17
States Reported Various Recruitment and Retention Challenges, Including Difficulties Prioritizing Recruitment Efforts and Supporting Foster Families 20
In Recruiting Foster Families, States Reported Challenges with Prioritizing Efforts, Extensive Licensing Processes, and Finding Families Who Can Meet the Needs of Children 20
In Retaining Foster Families, States Reported Challenges with Inadequate Support for Families and Limited Access to Services for Children 25
HHS Supports States' Recruitment and Retention Efforts with Technical Assistance, Guidance, and Funding, though Private Providers Were Unaware of Some Supports 30
Conclusions 34
Recommendation for Executive Action 35
Agency Comments and Our Evaluation 35
Appendix I: Objectives, Scope, and Methodology 37
Appendix II: Comments from the Department of Health and Human Services 42
Appendix III: GAO Contact and Staff Acknowledgments 45
Figure 1. Examples of Responsibilities for Private Providers and Child Welfare Agencies in Recruiting and Retaining Foster Families, As Reported in Three States 18
Figure 2. Percentage of Children in Foster Care Who Are Eligible for Title IV-E Foster Care Funds, Fiscal Years 1996-2015 22
Figure 3. Federal Funding Sources States Reported Using for Foster Family Recruitment and Retention, Fiscal Year 2016 32
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