The crisis in social work services to families and children, is reflected in the growing numbers of children being placed out of their homes (Allen, 1991), adolescents running away from home (Simons & Whitbeck, 1991), and homeless youth (Bass, 1992). In this context, identifying children likely to be referred for emergency services is especially crucial because these children are at heightened risk for out of home placement. This paper thus examines some of the patterns associated with placement and subsequent discharge of rural children in emergency shelter care.