C. Alternative Care of Children Issue 6 Violation of the Rights of the Child in Out-of-Home Placement Low Percentage of Family-Based Care for Children 21. According to Attachments 5-7 and 5-8 of the Second Report and Control Yuan's investigation, 15 residential placement (63.34%) accounted for the highest percentage of out-of-home placement of children during 2016-2019, followed by foster families (30.95%); among them, placement in the form of family child care increased from 1.64% in 2016 to 3.45% in 2019, which is the highest growth among all types of placement. The percentage of family child care (3.45%) was already higher than that of kinship placement (2.92%) in 2019. In addition, according to §167 and Attachment 6-27 of the Second Report, referrals to other placement organizations accounted for 42.86% of cases closed in 2020, a record high in the past 5 years. 22. The Control Yuan’s 2018 investigation report16 points out that multiple transfers to different placements are detrimental to children’s physical and mental development. The MOHW responded to NHRC's written inquiry about the reasons for transfers by stating "the number of children with special needs has increased, and as the situations of children have become more complex, it is more difficult to care for them. The caregivers do not have enough professional competence or support resources, which leads to the switch of placement of children." The NHRC believes that the Ministry is still unable to address the care dilemma that entails multiple changes of placement even though it has 15 16 The Control Yuan investigation report approved on Feb 4, 2021. (Tainan City Government Child Abuse Case) The Control Yuan investigation report approved on Jan 4, 2018. (Insufficient Personnel in Children Placement Organizations, Evaluation and Exit Mechanism) 17