A healthy stream has stable banks and sediment transport, with diverse in-stream habitat and flows. Key factors include stable streambeds and natural floodplains, as well as vegetated riparian buffers. Unstable streams can aggrade or degrade from changes in watershed runoff, sediment loads, slopes, and floodplain or riparian disturbances. Assessing stability uses metrics like entrenchment ratios, meander widths, and bank erosion hazard indices.