The purpose of this study was to examine whether post-trauma-focused therapy improved emotional attachment, communication, and trust with children adopted from state custody. In this qualitative case study, Ainsworth's (1969) Attachment Theory was used to determine whether parents who adopt children from state custody experience increased emotional attachment, trust, and communication with the children as a result of post-trauma training. This study involved six adoptive parents from one clinic who had completed trauma-focused therapy and were adopted from state custody. Through trauma-focused cognitive behavioral therapy, this study found that post-traumatic, trauma-focused training can improve children's emotional attachment, communication, and trust. The data collected and analyzed showed that post-adoption, trauma-focused therapy helped parents improve communication, trust, and emotional attachment to their adopted children. A study like this would corroborate that post-trauma-focused therapy is essential to the successful raising of a child adopted from state custody and is useful for the parenting of a child adopted from state custody. Based on the analysis of this qualitative case study, these recommendations could contribute to new discoveries regarding the care of children adopted from the state. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml.]