As child welfare professionals have become aware of the impact of prenatal substance exposure on children in the adoption process or who are available for adoption, there is a heightened need for understanding a range of issues connected with prenatal alcohol and drug exposure. This book addresses many of these issues, including the impact of prenatal substance exposure on children's immediate and long-term health and development; remedial effects of a positive postnatal environment; counseling suggestions for prospective adoptive parents; and supports to maximize positive adoption outcomes. The chapters are: (1) "The Impact of Prenatal Substance Exposure: Research Findings and Their Implications for Adoption" (Madelyn Freundlich); (2) "Outcomes for Drug-Exposed Children Eight Years Postadoption" (Richard P. Barth and Devon Brooks); (3) "African American Kin Caregivers and Child Welfare Issues: Research Implications" (Robert B. Hill); (4) "Fetal Alcohol Exposure and Adult Psychopathology: Evidence from an Adoption Study" (Remi J. Cadoret and Kristin Riggins-Caspers); (5) "T.I.E.S. for Adoption: Supporting the Adoption of Children Who Were Prenatally Substance Exposed" (Susan B. Edelstein, Jill Waterman, Dorli Burge, Carolyn McCarty, and Joseph Prusak); (6) "Alcohol-Related Disorders and Children Adopted from Abroad" (Jane Ellen Aronson); (7) "Attachment Issues for Adopted Infants" (Mary Dozier and Kathleen E. Albus); (8) "Societal Attitudes toward Drug-Using Women and Their Children: Past and Present" (Stephen R. Kandall); (9) "Emerging Legal Issues in the Adoption of Drug-Exposed Infants" (Judith Larsen and Harvey J. Schweitzer); and (10) "The Adoption of Children Prenatally Exposed to Alcohol and Drugs: A Look to the Future" (Madelyn Freundlich). (KB)