Children in foster care are dealing with personal tragedies, such as abuse, neglect, family breakdown, or the death of caregivers. Refugee children face additional challenges in foster care. In addition to the separation from their family of origin, grief and loss, refugee children must also confront issues of adaptation and biculturalism. They struggle to develop and maintain a healthy sense of self and a connection to their cultures, ethnicities, languages and religions. This Spotlight focuses on the challenges facing refugee youth in foster care and the issues for service providers.