Two out of five children in care in Northern Ireland have behavioural difficulties, new research has discovered.
A three-year study carried out by Queen's University Belfast into 'looked after children and young people' (LACYP) also found that more than a third had emotional problems.
Based on a sample of 233 children, the study is the first of its kind to examine the mental and physical health of those in care and what improvements can be made.
It is estimated that there are around 2,800 LACYP in Northern Ireland.
Over the past five years, there has been increasing concerns about a backlog across health trusts in dealing with cases involving vulnerable and at-risk children.
The report recommends the development of dedicated guidance for Northern Ireland and greater support for foster families who care for children with complex needs.
Lead researcher and psychologist, Dr Dominic McSherry, said: "These children and young people receive limited attention in health services research, even though their poor health potentially impacts on a whole range of outcomes, including educational and economic achievement, quality of life, and future parenting. Furthermore, health problems can place significant strain on placements and lead to placement breakdowns, which itself can be emotionally costly for the young people and the families involved."
