In-depth interviews with 500 adoptive families who received postadoption services through Virginia's Adoptive Family Preservation (AFP) program paint a richly detailed picture of the challenges adoptive families face and what they need to sustain adoption for many years after finalization. Findings document the need for support in a variety of forms, including respite, counseling, and information. Numerous implications for strengthening adoption practice through effective training and technical assistance are discussed. (Contains 2 tables.)