The health, development, and sleeping patterns of 240 children adopted from China were examined using a survey research approach. Eighty percent of the children were 18 months of age or younger when adopted, and 98 percent of the children were girls. Sixty-two percent of the children were reported to have been developmentally delayed at the time of adoption; of this number, 91 percent were reported to have had delays in motor development. Of the families, 52 percent reported that children experienced sleep problems, but only 9 percent of the total sample experienced significant sleep difficulties. Implications for social workers are also discussed.