The opioid epidemic and related substance abuse reaches far and wide, with many newborns across the country left to endure the consequences. What follows is a unique, first-person account of a "Story From the Field" that highlights the experiences of one mother as she watched her adopted daughter suffer the effects of neonatal abstinence syndrome and as she repeatedly observed the absence of infant mental health supports within the context of her daughter's treatment. This story elucidates the need for improved infant and early childhood mental health services within the context of treatment for neonatal abstinence syndrome.