... They have (a) direct access to health services, food, & clothing; (b) a personal room and other belongings, and do not struggle with overcrowded beds and other living spaces; (c) more physical, emotional, & cognitive stimulation within their foster families and schools; (d) more social stimulation within their foster families, schools, clubs, and neighborhoods; and (e) less physical, emotional, and/or sexual abuse because they are cared for by more affectionate and competent caregivers (Cojocaru, 2008;Rus, Butterfield, Cross, Purvis, Parris, & Cliff, 2014). Although there are improvements in foster children's environment and their outcomes compared to institutionalized children, studies in many countries reveal that foster children commonly manifest a high incidence of behavioral problems, health risk behaviors, and/or are more likely to utilize outpatient and inpatient mental health services compared with children from the general population (Gramkowski, Kools, Paul, Boyer, Monasterio, & Robbins, 2009;Halfon, Berkowitz, & Klee, 1992;McIntyre, & Keesler, 1992;Rus, Ito-Jäger, Parris, Cross, Purvis, Dr\ghici, 2014;Tarren-Sweeney & Hazell, 2006). In addition, there is a high incidence of developmental delays in infants and young children in foster care (Klee, Kronstat, & Zlotnick, 1997). ...