This report, commissioned by The National Adoption Day Coalition, provides a national analysis of adoption information collected from the congressionally mandated Child and Family Services Reviews (CFSRs) conducted in all 50 states and the District of Columbia. The report offers a national compilation, as well state-by-state assessments, of barriers and promising approaches states report at different stages in the adoption process. The stages where most states report barriers include terminating parental rights, recruiting adoptive homes, court case management, child welfare case management, and establishing and changing permanency goals.