This study investigated the knowledge, skills, and perceptions of school psychologists regarding prenatal opioid exposure in school-aged children. The study also aimed to explore school psychologists' awareness of the effects of prenatal opioid exposure on children's academic, social, and emotional development. Utilizing a quantitative approach, the researcher collected data through a survey from a sample of school psychologists in Illinois across various educational settings. The findings highlight gaps in understanding and awareness of the effects of prenatal opioid exposure on children's academic, social, and emotional well-being. The research underscores the need for tailored training and professional development initiatives to equip school psychologists with the necessary competencies to effectively support children impacted by prenatal opioid exposure. Furthermore, the study discusses practical implications and suggests avenues for future research in this critical area. [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.]