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I agree with everyone else. It just depends on the baby. Some do very well and some have major issues.
So, instead of reiterating what everyone else said, I thought I would provide a website that offers Foster/Adoption training. On this site there is an area for Alcohol & Drug Related Issues. You should also look at the classes under the area of Infants & Toddlers. There are a couple of classes there for "Early Intervention" and "High Needs Babies & Beyond". I found the classes on this site helpful when I am Fostering Babies Exposed to Drugs. Also, the classes are very economical.
The link to the site is:
[url=http://www.fosterparentstest.com/store/index.htm]Foster Care and Adoptive Community[/url]
I don't know about Mass but in the state of Texas we have Early Childhood Intervention (ECI). ECI comes out to evaluate the child to help them catch up to their age group. I would check to see if something like that is offered up there. My guess would be there is something similar.