James, an adoption professional and therapist providing services for attachment difficulties, childhood trauma, and issues related to adoption, presents a guide for families, and professionals who work with them, to adopting a child to a family that already has children and helping siblings deal with challenges that may occur with the arrival of a newcomer, especially a traumatized child. She describes the expectations siblings develop when they learn their family is adopting; ways for parents to conduct pre-placement preparation with children; reviewing and refining parental strengths; moving the child in; the pros and cons of traveling to their homeland; common challenges with a child with complex trauma; what to do if the challenges are too great; and strategies for meeting the needs of each child, dealing with grief issues, blending children with diverse birth histories, learning to be a peaceful family, dealing with sexual acting out and aggression, and restoring family fun. The final chapter contains stories from siblings and adoptees.