The research found that children living with family and friends carers often had emotional or behavioral problems, special education needs, or disabilities before placement. These issues occurred at much higher rates than in the general child population. Many of the carers also had their own health issues, stress levels twice that of the general population, and difficulties meeting the needs of the children in their care. Local authorities often failed to provide adequate support to the carers and children and were reluctant to classify kinship care arrangements as formal foster placements, despite the child's needs. Less than half of local authorities had published a family and friends care policy as required.