 Despite extensive documentation, these youths have high mental health needs and exhibit aggression. This situation highlights a challenge that states across the country are grappling with a shortage of placements for foster care with mental health needs. Texas ranks among the top states for kids in foster care with more than 31,000 children in the system, most of whom suffer neglect, drug abuse by a parent, and physical abuse. The further mistreatment and lack of proper care for these kids is inexcusable. Ms. Hilton, from your experience, what are the outcomes for youth placed in these kinds of facilities?