Objective: This study investigated foster or group care placement as a predictor of help-seeking behavior among adolescents who were at high risk for physical and mental health problems. Method: Data from the 1985 to 1986 wave of the Adolescent Health Care Evaluation Study were used to compare three groups of adolescents: (a) 136 that had experienced placement, (b) 136 that were randomly selected from the larger sample, and (c) 136 matched to the placement group on key variables. Results: Adolescents who experienced placement had more physical and mental health problems compared to the random and matched groups. However, foster or group care placement was associated with help-seeking behavior only for two problems: depression and conduct disorder. Conclusion: Understanding the impact of placement on help-seeking behavior 20 years ago fills a critical gap in the current literature and provides an anchor point for examining foster care policy and programming today. (Contains 3 tables and 3 figures.)