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All adoptions need to be finalized in court, though the process varies from State to State. Usually a child lives with the adoptive family for at least 6 months before the adoption is finalized legally. During this time, a social worker may visit several times to ensure the child is well cared for and to write up the required court reports. After this period, the agency or attorney (in the case of independent adoption) will submit a written recommendation of approval of the adoption to the court, and you or your attorney can then file with the court to complete the adoption.
For intercountry adoptions, finalization depends on the type of visa the child has and the laws in your State. The actual adoption procedure is just one of a series of legal processes required for intercountry adoption. In addition to your State laws, you must also follow the laws of the child's country of origin, and the U.S. Bureau of Citizenship and Immigration Service's (formerly INS) requirements.