Why Do Children Experience Multiple Placement Changes in Foster Care? Content Analysis on Reasons for Instability

This study used content analysis and qualitative analysis to examine reasons for moves in 53 child welfare cases with placement instability. Coding from case records of reasons for placement moves revealed three categories in most cases: 1) caregiver-related reasons, such as maltreatment by caregivers or changes in caregivers' lives; 2) child behavior-related reasons such as aggressive behaviors; and 3) system- or policy-related reasons, such as the need to use temporary placements or the aim of placing children with siblings. Children's previous instability should be considered in choosing and supporting caregivers, providing mental health resources, and considering moves to improve care.