1. Childhood Obesity US childhood overweight & obesity rate – 30% Texas children are overweight or obese- 32% Youth in juvenile justice facilities (MA)- 40% Adolescents in residential care facilities - 46% http://www.cdc.gov/obesity/data/childhood.html Chipp, C.L. Corey, S., Johnson, M.E., & Brems, C. (2010) Health risk factors in an adolescent residential treatment facility. Residential Treatment for Children and Youth, 27, 314-325 Keough L Beckman D, Sinclair T Young S, Baichoo S, Cobb M. (2015). Weight patterns of youth entering an urban juvenile justice facility. J Correct Healthcare, 1,45-52

2. System-Involved Youth National childhood obesity rate- 17% Foster children in out-of-home care (NSCAW) – 27% Children in group foster care homes (NSCAW)– 37% Foster Youth And Obesity - Who Is At Risk. http://cfrc.illinois.edu/pubs/po_20120601_FosterYouthAndObesityWhoIsAtRisk.pdf

3. Texas Foster Care Health Data Diabetes Short-Term Complications PDI Rates Reported Child/Adolescent Obesity Data and graphs from EQRO Summary of Activities and Trends in Healthcare Quality- 2009-2011.

4. Adverse Childhood Experiences (ACES) ACEs increase the risk of: -Heart disease - Chronic Lung disease -Liver disease -Suicide - Injuries -HIV and STDs - and other risks for the leading causes of death Felitti, V. J., & Anda, R. F. (1997.)The Adverse Childhood Experiences (ACE) Study. Centers for Disease Control and Prevention. Retrieved from http://www.cdc.gov/ace/index.htm