Kinship care is the full-time care of children by relatives, either informally (without the involvement of public child welfare agencies) or formally (when public child welfare agencies are involved in placing children with relatives). An estimated 32,000 children, or one out of 50 children in Washington State, are in kinship care. Based on surveys and interviews of relative caregivers and the experiences of other states, this report describes the prevalence, challenges, and needs of kinship caregivers in Washington State and provides policy options to address those needs. Also available are two technical appendices providing detail on the challenges and needs of kinship caregivers: (1) Kinship Care Needs Assessment: Focus Group Results. Prepared by the Social and Economic Sciences Research Center, Washington State University. (2) Washington State Relative Caregivers Survey: Final Analysis.