America's Health Rankings, United Health Foundation Logo
‌‌‌‌‌
‌
‌
‌‌‌
‌
‌
‌
‌
‌
‌‌‌
‌
‌
‌
‌
‌
‌
‌
‌
‌
‌
‌
‌
‌‌‌‌‌‌

Please tell us a little more about you

We appreciate you taking the time to help America’s Health Rankings better understand our audiences. Your feedback will allow us to optimize our website and provide you with additional resources in the future. Thank you.

Please select one option which best describes your profession or field of expertise

Journalist or media professional
Health Policy Professional
Public health professional (state, local, or community level)
Health care provider or administrator
Member of an advocacy group or trade organization
Academic, student, or researcher
Government administrator, legislator, or staffer
Concerned citizen
Other
Don't show me this again

Foster Care Instability in Indiana
search
Indiana
search

Explore national- and state-level data for hundreds of health, environmental and socioeconomic measures, including background information about each measure. Use features on this page to find measures; view subpopulations, trends and rankings; and download and share content.

Indiana Value:

10.7 %

Percentage of children in foster care with three or more placements within 12 months

Indiana Rank:

9

Value and rank based on data from 2021

Foster Care Instability in depth:

Appears In:

Health of Women and Children
chevron-right

Foster Care Instability by State

Percentage of children in foster care with three or more placements within 12 months

Search by State
Search for a state or tap below
search

Foster Care Instability in

Explore Data:

Foster Care Instability Trends in
chevron-right
State Data
chevron-right
Compare States
chevron-right

Data from U.S. Department of Health and Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children's Bureau, Child Welfare Outcomes Report Series, 2021

7.9% - 11.3%

11.4% - 14.1%

14.2% - 16.9%

17.0% - 20.3%

20.4% - 31.8%

• Data Unavailable
Top StatesRankValue
Rhode Island
chevron-right
17.9 %
Wyoming
chevron-right
28.6 %
New Jersey
chevron-right
39.2 %
Your StateRankValue
Pennsylvania
chevron-right
810.4 %
Indiana
chevron-right
Ohio
chevron-right
910.7 %
Colorado
chevron-right
Minnesota
chevron-right
1111.3 %
Bottom StatesRankValue
Arkansas
chevron-right
4823.8 %
Vermont
chevron-right
4924.7 %
South Carolina
chevron-right
5026.6 %

Foster Care Instability

Rhode Island
chevron-right
17.9 %
Wyoming
chevron-right
28.6 %
New Jersey
chevron-right
39.2 %
West Virginia
chevron-right
49.3 %
Iowa
chevron-right
510.1 %
Hawaii
chevron-right
610.2 %
Michigan
chevron-right
710.3 %
Pennsylvania
chevron-right
810.4 %
Indiana
chevron-right
910.7 %
Ohio
chevron-right
910.7 %
Colorado
chevron-right
1111.3 %
Minnesota
chevron-right
1111.3 %
Montana
chevron-right
1311.4 %
Nebraska
chevron-right
1311.4 %
Wisconsin
chevron-right
1511.5 %
Maryland
chevron-right
1611.8 %
California
chevron-right
1712.4 %
Arizona
chevron-right
1812.9 %
Virginia
chevron-right
1913.7 %
Connecticut
chevron-right
2014.1 %
Maine
chevron-right
2014.1 %
Georgia
chevron-right
2214.8 %
Kentucky
chevron-right
2214.8 %
Washington
chevron-right
2414.9 %
Idaho
chevron-right
2515.1 %
Illinois
chevron-right
2515.1 %
Utah
chevron-right
2515.1 %
New York
chevron-right
2815.5 %
Delaware
chevron-right
2916.1 %
Nevada
chevron-right
3016.2 %
Mississippi
chevron-right
3116.9 %
South Dakota
chevron-right
3116.9 %
Florida
chevron-right
3317.1 %
Oregon
chevron-right
3417.5 %
Louisiana
chevron-right
3517.8 %
New Mexico
chevron-right
3618.2 %
New Hampshire
chevron-right
3718.9 %
Texas
chevron-right
3718.9 %
North Carolina
chevron-right
3919.4 %
Missouri
chevron-right
4019.6 %
Kansas
chevron-right
4120.3 %
Alaska
chevron-right
4220.4 %
Tennessee
chevron-right
4321.3 %
Oklahoma
chevron-right
4421.5 %
Massachusetts
chevron-right
4521.7 %
Alabama
chevron-right
4621.8 %
North Dakota
chevron-right
4621.8 %
Arkansas
chevron-right
4823.8 %
Vermont
chevron-right
4924.7 %
South Carolina
chevron-right
5026.6 %
United States
chevron-right
•15.2 %
District of Columbia
chevron-right
•31.8 %
• Data Unavailable
Source:
  • U.S. Department of Health and Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children's Bureau, Child Welfare Outcomes Report Series, 2021

Foster Care Instability Trends

Percentage of children in foster care with three or more placements within 12 months

Compare States
plus

About Foster Care Instability

US Value: 15.2 %

Top State(s): Rhode Island: 7.9 %

Bottom State(s): South Carolina: 26.6 %

Definition: Percentage of children in foster care with three or more placements within 12 months

Data Source and Years(s): U.S. Department of Health and Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children's Bureau, Child Welfare Outcomes Report Series, 2021

Suggested Citation: America's Health Rankings analysis of U.S. Department of Health and Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children's Bureau, Child Welfare Outcomes Report Series, United Health Foundation, AmericasHealthRankings.org, accessed 2026.

Children need consistency, predictability and attachment from caring adults to thrive. This is especially true for children in foster care, who have often experienced trauma leading up to their foster placement.

The trauma of unstable or negative foster care experiences can cause both short-term and lifelong consequences. Physical, mental and emotional health issues associated with foster care include:

  • Academic difficulties.
  • Attachment issues, separation anxiety and distrust of others.
  • Chronic unemployment.
  • Low self-esteem and self-efficacy. 
  • Less inclusion in positive social networks. 
  • Substance use and risky sexual behaviors.

Children at risk of increased foster care instability include:

  • Older children compared with younger children. 
  • Children clinically diagnosed with an emotional disorder; additional medical diagnoses increase the risk.
  • Children who are in the foster care system for extended periods.

Strategies to improve foster care stability include:

  • Addressing children’s emotional and behavioral health needs. 
  • Promoting caseworker retention and ongoing education, including training professionals on attachment theory and other concepts and practices that impact the stability of foster care. 
  • Prioritizing placement of children with relatives. Foster care with relatives is on the rise among American Indian and Alaska Native populations.

Healthy People 2030 has a goal to increase the proportion of adolescents in foster care who show signs of being ready for adulthood.

Courtney, Mark E., Amy Dworsky, Adam Brown, Colleen Cary, Kara Love, and Vanessa Vorhies. Midwest Evaluation of the Adult Functioning of Former Foster Youth: Outcomes at Age 26. Chicago, IL: Chapin Hall at the University of Chicago, 2011. https://www.chapinhall.org/wp-content/uploads/Midwest-Eval-Outcomes-at-Age-26.pdf.

Miranda, Megan, Eman Tadros, and Elizabeth Molla. “The Experience of Foster Care and Long-Term Attachment.” The American Journal of Family Therapy 48, no. 1 (January 1, 2020): 87–106. https://doi.org/10.1080/01926187.2019.1679053.

Noonan, Kathleen, David Rubin, Robin Mekonnen, Sarah Zlotnik, and Amanda O’Reilly. Securing Child Safety, Well-Being, and Permanency Through Placement Stability in Foster Care. Evidence to Action Briefs. PolicyLab at CHOP Research Institute, Fall 2009. https://policylab.chop.edu/sites/default/files/pdf/publications/PolicyLab_EtoA_CSAW_Fall_2009.pdf.

Smithgall, Cheryl, Robert Matthew Gladden, Eboni Howard, Robert Goerge, and Mark Courtney. Educational Experiences of Children in Out-Of-Home Care. Chicago, IL: Chapin Hall Center for Children at the University of Chicago, 2004. https://www.chapinhall.org/wp-content/uploads/Smithgall_Educational-Experiences-Children-Out-of-Home_Report_2004.pdf.

Stott, Tonia. “Placement Instability and Risky Behaviors of Youth Aging Out of Foster Care.” Child and Adolescent Social Work Journal 29, no. 1 (February 2012): 61–83. https://doi.org/10.1007/s10560-011-0247-8.

Wedeles, Julia. “Placement Stability in Child Welfare.” PARTicle, 2016.https://www.oacas.org/wp-content/uploads/2016/08/PARTicle-Placement-Stability-in-Child-Welfare-FINAL.pdf.

Related Measures

Adult Mentor - Children
chevron-right
Adverse Childhood Experiences
chevron-right
Child Victimization
chevron-right
Chronic School Absenteeism
chevron-right

Current Reports

America’s Health Rankings builds on the work of the United Health Foundation to draw attention to public health and better understand the health of various populations. Our platform provides relevant information that policymakers, public health officials, advocates and leaders can use to effect change in their communities.

We have developed detailed analyses on the health of key populations in the country, including women and children, seniors and those who have served in the U.S. Armed Forces, in addition to a deep dive into health disparities across the country.

increase

Annual Report

Published January 2026

Longest running annual assessment of the nation’s health on a state-by-state basis. The 36th edition features 99 measures across health outcomes and their drivers.

report

Senior Report

Published May 2025

A portrait of the health and well-being of adults age 65 and older in the United States — with over a decade of data.

women-children

Health of Women and Children Report

Published December 2025

Latest data provide an overview of challenges and successes across the health of women and children at the national and state levels over time.

veteran

Health of Those Who Have Served Report

Published July 2022

A national report that explores the health and well-being of those who have served in the U.S. Armed Forces.

health

Maternal and Infant Health Disparities Data Brief

Published August 2024

Measuring the breadth, depth and persistence of key maternal and infant health disparities by demographic group and at the state level.

  • increase

    Annual Report

    Published January 2026

    Longest running annual assessment of the nation’s health on a state-by-state basis. The 36th edition features 99 measures across health outcomes and their drivers.

  • report

    Senior Report

    Published May 2025

    A portrait of the health and well-being of adults age 65 and older in the United States — with over a decade of data.

  • women-children

    Health of Women and Children Report

    Published December 2025

    Latest data provide an overview of challenges and successes across the health of women and children at the national and state levels over time.

  • veteran

    Health of Those Who Have Served Report

    Published July 2022

    A national report that explores the health and well-being of those who have served in the U.S. Armed Forces.

  • health

    Maternal and Infant Health Disparities Data Brief

    Published August 2024

    Measuring the breadth, depth and persistence of key maternal and infant health disparities by demographic group and at the state level.

America's Health Rankings, United Health Foundation Logo

Reports

Partner With Us

Explore the Data and Stay Tuned for New Insights

Want to be notified of our latest updates? Sign up now

America's Health Rankings, United Health Foundation Logo