Dr. Alex Dromerick co-directs the Brain Research Center at the National Rehabilitation Hospital. Here he observes Stephen Jones, a policeman who was involved in a motorcycle accident. Becky Lettenberger/NPR hide caption

itoggle caption Becky Lettenberger/NPR

Jeff Galemore leans on his pickup truck near the Ash Grove Cement plant in Chanute, Kan. He and his family are concerned about the toxic emissions and are fighting for independent testing downwind. David Gilkey/NPR hide caption

itoggle caption David Gilkey/NPR

The Continental Carbon plant sits on the southern outskirts of Ponca City, Okla. Until August, the plant was on an internal EPA "watch list," for violating rules of the Clean Air Act. David Gilkey/NPR hide caption

itoggle caption David Gilkey/NPR

The Continental Carbon plant sits on the southern outskirts of Ponca City, Okla. Residents blamed the plant, which produces a black dust known as carbon black, for polluting their city. David Gilkey/NPR hide caption

itoggle caption David Gilkey/NPR

Dwayne Stenstrom and his wife, Rose, live on South Dakota's Rosebud reservation, where they raised six children. Also pictured is their granddaughter. John Poole/NPR hide caption

itoggle caption John Poole/NPR

When Dwayne Stenstrom was 8 years old a state worker told him that he and his brother were going to a special camp for the summer. Instead, he spent 12 years in foster care.

John Poole/NPR hide caption

itoggle caption John Poole/NPR

Children at the Black Hills campus of the Children's Home Society head into the main building for lunch. The home caters to children with special needs, many of whom are Native American.

Laura Sullivan/NPR hide caption

itoggle caption Laura Sullivan/NPR

Derrin Yellow Robe, 3, stands in his great-grandparents' backyard on the Crow Creek Reservation in South Dakota. Along with his twin sister and two older sisters, he was taken off the reservation by South Dakota's Department of Social Services in July 2009 and spent a year and a half in foster care before being returned to his family.

John Poole/NPR hide caption

itoggle caption John Poole/NPR

Janice Howe fought the state of South Dakota for a year and a half to bring her grandchildren back home after they were placed in foster care.

John Poole/NPR hide caption

itoggle caption John Poole/NPR