“…And, indeed, this is the fundamental difficulty in estimating the effect of foster care placement on children: Maltreated children—whether or not they go into foster care—suffer from a host of poor outcomes (for an overview, see Gilbert et al, 2009b). Maltreated children are more likely to smoke during adolescence and early adulthood (e.g., Anda et al, 1999), attempt suicide (e.g., Dube et al, 2001), engage in crime and delinquency (e.g., Currie & Tekin, 2012; Widom, 1989), exhibit symptoms consistent with psychopathology (e.g., Molnar et al, 2001), and have higher rates of unintended (e.g., Dietz et al, 1999) and teen (e.g., Elders & Albert, 1998) pregnancy, as well as more unstable relationships (e.g., Cherlin et al, 2004). And this is to say nothing of their high mortality rates (e.g., Putnam-Hornstein et al, Forthcoming ).…”