Most of ACS's cases never make the papers. But sometimes high-profile cases do surface – Nixmary Brown, Marchella Brett-Pierce, and just last month, Kymell Oram, an 18-month-old boy born addicted to heroin and apparently beaten to death by his foster-mother's teenaged boyfriend. With the media attention often comes calls for reform of the system--or, as in the recent indictment of two ACS workers in Brett-Pierce's death, demand that individual decision-makers be held accountable.
Indeed, the world of child welfare is landscaped with a web of laws, regulations, legal precedents and government agencies, but as reporter Helen Zelon tells interviewed Don Mathieson below, the human factor is what determines whether system succeeds or fails.

