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There is a profound crisis in the United States’ foster care system according to this book. No state has passed the federally mandated Child and Family Service Review; two-thirds of the state systems have faced class-action lawsuits demanding change; and most tellingly, almost half of all children who enter foster care never go home. The field of child welfare has lost its way and is neglecting its fundamental responsibility to the most vulnerable children and families in America. The family stories this book weaves throughout the chapters provide a backdrop for the statistics presented. Amanda, raised in foster care, began having children of her own while still a teen and lost them to the system when she became addicted to drugs. Tracy, brought up by her schizophrenic single mother, gave birth to the first of eight children at age fourteen and saw them all shuffled through foster care as she dealt drugs and went to prison. Both they and the other individuals that are featured in the book spent years without adequate support from social workers or the government before finally achieving a healthier life; many people never do. But despite the clear crisis in child welfare, most calls for reform have focused on unproven prevention methods, not on improving the situation for those already caught in the system. The book argues that real child welfare reform will only occur when the centerpiece of child welfare — reunification, permanency, and foster care — is reaffirmed.
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