This article compares family placements for adults with those for chil
dren with special needs. Findings are presented of a postal survey whi
ch was carried out in the UK and closely based on a survey undertaken
shortly before in the USA and Canada. There were a number of similarit
ies between the programmes for adults and specialist schemes for child
ren, despite their different purposes, origins and contexts. Although
outcomes are often good, both types of project have worrying levels of
breakdown, whilst a number of adult schemes are precarious in status
and resourcing.