This paper defines issues concerned with the needs of children prenatally exposed to alcohol and drugs, delineates solutions, and identifies obstacles and barriers. The primary issue is seen to be identifying those individuals and services likely to contact these infants and young children and to provide such individuals with appropriate training so that early identification is facilitated. Alternative solutions are considered in the context of the importance of the community for planning and development of prevention and intervention services. Among recommendations are expansion of the role of Interagency Coordinating Councils to address all needs of children, schools' use of team building models from business, and emphasis in inservice programs on the topics of collaboration and improving partnerships with parents. Obstacles and barriers are noted, such as avoidance of the problem by many school systems. Service providers are urged to stress interagency collaboration and to avoid stigmatizing children by labeling. (DB)