the State by a judge and the child welfare places the child with family members." The state will remain having legal custody of the child and the relatives will have physical custody, which means they must support the child financially and give them a home. If the parents and relatives agree on the child visiting their parents or siblings, the child welfare agency is responsible for creating the visits and making sure that the visits happen. With this type of kinship care, the relatives become the foster parents of the child. Mental development of children in kinship care The first few years are crucial for early childhood, during which children develop rapidly. The relationships established with their caregivers predict children's later performance in social lives, marriage relationships and relationships with their own children. Therefore, it is important to understand the quality of kinship care in terms of mental development of children to see how these early relationships influence children socially, emotionally and cognitively and further impact school readiness. Studies that have examined custodial kinship families have reported high prevalence of poverty and low educational levels compared with other family arrangement. As such, kinship caregivers are often associated with high level of strain when playing caring and rearing role to children. These obstacles are less energy, limited financial resource, and more health problems and concerns. Besides, psychological challenges include difficulties of re-entering parent roles, implementing effective disciplinary strategies, dealing with relationship among children, caregivers and biological parents, and overcoming a generation gap. These multi-aspect factors potentially influence children in kinship care and expose them to more mental health risks. A study of 733 custodial grandmothers and 9,878 caregivers from the 2001 National Health Interview Survey (NHIS) who completed the Strengths and Difficulties Questionnaire (SDQ) reported that children raised by grandparents have more behavioral and emotional disturbances than children in the overall U.S. population. Among the subjects, major Caucasian custodial grandparents reported more difficulties with the children than African American grandparents. The white grandparents often report their grandchildren with behavior problems of argumentative, impulsive and depressed characteristic, school withdraw, less independent, and low self-esteem, while black grandparents report their custodial children had lied or cheated, were disobedient at school, destroyed things, and got into fights）. Another study of 59 New York custodial grandparent families reported that more than half of the children have developed some level of health conditions, among the most