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I think taking in babies born exposed or addicted is a good fit for someone with another Special Needs child. You might also want to consider taking in medically fragile kids under 1 in general. Some drug babies (and I am using the phrase for convenience of typing only, its pretty horrible to call them that outloud) are going to be extra easy personalities and some are going to be so difficult you can't imagine it (in terms of complete inability to sooth). I think that you need to be prepared that you in addition to appointments, you will be doing a lot of advocating. With your bio DD, you simply figured out what she needed next and made the appointment. You will likely spend a lot of your time convincing social workers to even investigate delays, approve medical procedures, allow you to give certain medications etc. . .