“…Rosenthal, Motz, Edmonson and Groze (1991), Poertner, Bussey and Fluke (1999) and Hobbs, Hobbs and Wynne (1999) have documented the abuse and neglect of 6,878 children in out-of-home placements in Colorado, USA, Illinois, USA and Leeds, UK, respectively. As well as personal costs, out-of-home placements can add to public sector spending; for example, Barth, Lee, Wildfire and Guo (2006a) estimated the average cost of keeping a child in foster care in North Carolina, USA, at $16,000 per year in 1995, equivalent to $24,000 in 2011.…”