This document contains the second in a series of Congressional hearings being held by the Select Committee on Children, Youth, and Families to examine substance abuse among pregnant and parenting women and to explore prevention and treatment strategies. In his opening statement, Committee Chairman George Miller expresses hope that testimony provided at this hearing in Detroit (Michigan) will describe an exceptional model for the treatment of young women who are addicted and pregnant and will offer new information about these women that will facilitate treatment. Brief statements are included from Representatives Holloway and Bliley. Witnesses providing testimony include: (1) William Atkins, director, and William Hall, associate director, Illinois Department of Alcoholism and Substance Abuse; (2) Charlene Johnson, president, Reach, Inc. and Lee Earl, pastor and chairman of the board, Reach, Inc.; (3) Maisha Kenyatta, director, Hope, Unity and Growth, Inc.; (4) Marilyn Poland, associate professor, department of obstetrics and gynecology, Wayne State University Medical School, Detroit, Michigan; (5) Lisa Potti, program coordinator, Mother and Infant Substance Addiction Network, Detroit Health Department; (6) Beth Glover Reed, associate professor of social work and women's studies, University of Michigan; (7) Joyce Scott, executive director, West Side Futures, Chicago, Illinois; (8) Randall Todd, director, Health Promotion and Disease Prevention, Kent County Health Department, Grand Rapids, Michigan; (9) Joan Walker, administrator, office of substance abuse services, Michigan Department of Public Health; and (10) Courtney X, parent, accompanied by Beverly Chisholm, director, Eleonore Hutzel Recovery Center, Detroit, Michigan. Relevant supplemental materials, prepared statements, and letters are included throughout the text. (NB)