Sounds easy right, no alcohol for 9 months.
Problems
Studies are misquoted in the media – recent reports about little evidence regarding effects of occasional drink was interpreted as it’s ok to have an occasional drink
Physicians still tell patients it is ok to have a drink
Mothers who did drink can have a healthy child
Why take the risk?
Preventing FASD
Reactive attachment disorderADHDOppositional defiantBiPolar Disorder NOS Cognitive Disorder NOS Depressive Disorder NOS Personality Disorder, Mixed with Borderline
Antisocial and Schizotypal features Conduct Disorder, Disruptive Behavior
FASD- collect Diagnosescan be difficult clients
Consider FASD as the umbrella
Remember the behaviors are ONLY the symptoms of underlying physical disorder
Show significant cognitive, behavioral, health, and learning disabilities,
Problems with memory and attention,
Lack cause and effect reasoning,
Act impulsively, and
Have receptive language and adaptive functioning difficulties
Rarely diagnosed as an adult
Regardless of Label lifelong difficulties
Important for tailoring treatment and future prevention
Are labeled as neglectful, uncaring or sabotagingMight end up repeating behaviors – multiple
pregnanciesHave children removed from their care Fail to follow through-- multiple directions Lose parental rights
FASD Screening for Caregivers
CHOICES- CDC funded program for non-pregnant women at risk
Screening and Brief Intervention Parent-Child Assistance Program – a 3 year case
management model ACOG ToolkitAmerican Academy of Pediatrics toolkitAssociation of Reproductive Health Professionals
Available tools for Prevention
Rutman, D. (2016). Becoming FASD Informed: Strengthening Practice and Programs Working with Women with FASD. Substance Abuse: Research and Treatment, 10(Suppl 1), 13–20. http://doi.org/10.4137/SART.S34543
Gelb, K. & Rutman, D. (2011). Substance Using Women with FASD and FASD Prevention: A Literature Review on Promising Approaches in Substance Use Treatment and Care for Women with FASD. Victoria, BC: University of Victoria
Substance Using Women with FASD and FASD Prevention
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