FETAL ALCOHOL SPECTRUM DISORDERS florida resource guide

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Other Effects of Prenatal Alcohol ExposureExposure to alcohol while in utero does not always result in a childhaving FAS. Some children who are exposed have no lasting effects;others have partial manifestations of the disorder, most frequentlyCNS damage (Streissguth, 1997).Children with Fetal Alcohol Effects (FAE) may present with cognitive,behavioral, and psychological dysfunction that can cause lifelongdisabilities. Abnormal cognitive functioning manifests in a variety ofdomains, including mathematical deficiency, difficulty with time andspace, cause and effect, comprehension, and memory deficits. Further,children with FAE may demonstrate poor attention and concentrationskills, impaired judgment, hyperactivity and impulsivity. Conductproblems such as lying, stubbornness, stealing, and oppositionalbehavior are also present in some children with FAE (Streissguth,1997).Fig. 2 Diagnostic Classification of FAS & Alcohol-Related EffectsFAS with confirmedmaternal exposureFAS w/o confirmedmaternal exposurePartial FAS withconfirmed exposure*Alcohol-relatedbirth defects(ARBD)**Alcohol-relatedneurodevelopmentaldisorder (ARND)**AConfirmedExposure toAlcoholBFacialAnomaliesOR OR ORCGrowthRetardationDCNSAbnormalitiesECognitiveAbnormalitiesFBirthDefectsSECTION 1Overview of FetalAlcohol SpectrumDisordersWhile FetalAlcoholEffects does notinclude the fullbattery of physicalsymptoms seen inchildren with FAS,neither is itconsidered a lesssevere form of FAS.To the contrary,since they lackoutward signs, andconsequently are notperceived as havingbrain damage,children affected byFAE often havemore problematicexperiences in schooland as adults.— Streissguth, 1997*Partial FAS with confirmed exposure means there is confirmed exposure to alcohol, facialanomalies, and either C, D, or E, as indicated above.**Alcohol-related effects indicate clinical conditions in which there is a history of maternalalcohol exposure, and where clinical or animal research has linked maternal alcoholingestion to an observed outcome. There are two categories, alcohol-relatedneurodevelopmental disorder and alcohol-related birth defects, which may co-occur. If bothdiagnoses are present, then both diagnoses should be rendered.Adapted from Stratton, Howe, & Battaglia, 1996.FETAL ALCOHOL SPECTRUM DISORDERS florida resource guide 9
SECTION 1Overview of FetalAlcohol SpectrumDisordersPrevelanceThe reported prevalence rates of FAS vary widely depending on thepopulation studied and the intensity of case ascertainment. While anabsolute rate of prevalence of FAS is not known, results of studiesusing different methods and data sources show rates for the UnitedStates that range from 3 to 22 cases per 10,000 births (CDC, Fetalalcohol Syndrome Surveillance Network, 2002). Prevelance rates forFAE are even more difficult to ascertain, however, one estimate is 100cases per 10,000 births. To calculate estimates of FAS in your area goto the Prevalence and Cost Calculator http://www.online-clinic.com/Content/Materials/calculator.aspOn any given day in the United States…For additional information check: www.acbr.com/fas/poster10,657 babies are born3,890,000/yr: US Census Bureau1 of these babies is HIV positive.5/100,000: Center for Disease Control and Prevention3 of these babies are born with Muscular Dystrophy.1 in 3,200: Muscular Dystrophy Association4 of these babies are born with Spina Bifida.3.2/10,000: Center for disease Control and Prevention10 of these babies are born with Down Syndrome.1/1,000: Center for Disease Control20 of these babies are born with Fetal Alcohol Syndrome.19.5 per 10,000: Natl Org. of Fetal Alcohol Syndrome100 of these babies are born with Alcohol Related Neurodevelopmental Disorder.1/100: Teratology 1997 Nov: 56(5): 317-26The comprehensive lifetime cost of just one baby with FAS could be as much as$4 million.FAS Community Resource CenterThe cost to American taxpayers for Fetal Alcohol Syndrome is estimated to be$5 million a day.$1.9 billion/year: National Institute on Drugs and AlcoholAs noted by the Institute of Medicine’s 1996 Report to Congress on FAS: “These incidence figuresare offered not as established facts but to emphasize the magnitude of a problem that has seriousimplications — for the individual and for society.”From the Executive Summary of the IOM Report.Revised September 24, 1999FAS Community Resource Center~http://www.come-over.to/FASCRC10 FETAL ALCOHOL SPECTRUM DISORDERS florida resource guide
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Page 5 and 6: ACKNOWLEDGEMENTSShawn Baldwin, MSAs
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Page 9 and 10: Introductioneducational plan. Despi
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ResourcesSUPPORT GROUPS, AGENCIES a
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ResourcesNEWSLETTERS, continuedThe
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ResourcesWEBSITES, continuedFamily
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ReferencesAbel, E. (1988). Fetal al
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References, continuedStreissguth, A
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Produced jointly byFlorida Departme
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