By comparison, of children under age 18 in the U.S. who are reported to child welfare authorities, 80% are investigated for neglect, 18% for physical abuse, and 9% for sexual abuse, according to the latest estimates from the National Child Abuse and Neglect Data System (NCANDS) (U.S. Department of Health and Human Services, 2015a and U.S. Department of Health and Human Services, 2015b). While foster care should protect foster youth from further victimization, as many as 33% report maltreatment by a substitute caregiver during out-of-home care (Pecora et al., 2005)