The incidence of children exposed to drugs and/or alcohol prenatally is rising rapidly especially in Tennessee and increasingly appearing on speech-language pathology caseloads. This session provides background information about problems and neurodevelopmental outcomes. As well, a communication-based intervention approach for babies and their mothers is described with data from case studies. Participants will be able (1) to describe the characteristics of NAS and common neurodevelopmental outcome; (2) to discuss the treatment challenges associated with this population; (3) to identify the benefits and challenges of a communication-based intervention approach for babies exposed prenatally to drugs and their mothers.