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They may have gone through multiple placement breakdowns already (especially if there has been hyperactivity or other behavioural problems).
Tracy has at least two foster placement breakdowns before she lands in the home - which she calls The Dumping Ground.
But when it goes wrong, the results can easily reinforce prior placement breakdowns, disrupt friendships in a new school and exacerbate emotional, behavioural and relationship problems.
The informants' accounts of placement breakdowns reflect the considerable responsibility assigned to foster carers for ensuring stability for children in care.
Because lack of selective attachment has been suggested to underlie inhibited symptoms, we hypothesized inhibited symptoms to be associated with a caregiving history characterized by absence of a preferred caregiver or discontinuity in caregiving (i.e. multiple placement breakdowns and neglect).
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Multidisciplinary work is especially important given the wide-ranging implications of placement breakdown for service providers.
We wouldn't expect any single factor (or combination of factors) to trigger a placement breakdown.
Challenging behaviour is a common cause of home placement breakdown, and historically has led to hospital placements which can be far away from home.
Very rarely are placements truly emergencies in that the need for the child to come into care was not foreseen or the placement breakdown not apparent.
But a future which may include placement breakdown, unstructured and possibly unknown contact with the natural family, upset and confusion, "seems a long cry from the sunny upland of a happy, settled, secure future with a 'forever family' which has been the traditional goal of those making adoption orders to date".
BPSD are among the most difficult symptoms to treat, a primary source of caregiver stress, strongly associated with carer burden and depression and one of the main drivers for placement breakdown and admission to residential care facilities [ 7- 12].
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