FETAL ALCOHOL SPECTRUM DISORDERS florida resource guide

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Identification of At-Risk Drinking WomenSECTION 6PreventionFig. 12 Identification and Treatment of WomenWho Drink Above Recommended Limits• Frequency• Binge useStep II:Assess for Alcohol-Related Problems• Medical• Behavioral• Withdrawal• EmploymentStep I:Ask About Alcohol Use• Tolerance• Family concernIf consumption is:> 7 drinks per week or > 3 per occasion• Accidents• Legal• Family concernStep III:Advise Appropriate Action• Relate health problems to alcohol use.Discuss risks during pregnancy.• Engage patient in the process.• Provide Personal Steps to a Healthy Choice:A Woman’s Guide.• Establish goals to reduce drinking.• Refer patient to specialized treatment,if needed.Even womenwho do notnormally utilizehealth care will getmedical care andprenatal care whenthey are pregnant.Unfortunately, notall health careprofessionalscapitalize on thefact that duringpregnancy womencan be highlymotivated to stopdrinking for thesake of their unbornchild.Alcohol Dependence• Advise to abstain.• Refer to substance abusetreatment provider.• Offer additional resources.At-Risk/Problem• Advise to cut down.• Establish drinking goal.• Advise pregnant women toabstain.• Offer additional resources.Step IV:Follow Patient Progressfrom National Institutes of Health Publication No. 99-4368FETAL ALCOHOL SPECTRUM DISORDERS florida resource guide 47
SECTION 6PreventionScreening for Women at Risk for Drinking DuringPregnancyScreening women for alcohol problems can be easily incorporated intoroutine clinical care through the use of health questionnaires orquestions administered by support staff or the clinician. Idealopportunities for screening include routine well women care,treatment of acute problems, pregnancy or pre-pregnancy counseling.Since women expect their health care providers to ask them about theirhealth habits, inquiring about type and level of drinking is timely andappropriate. Women will, for the most part, welcome preventionactivities that will improve their quality of life and that of their baby.Primary care physicians have a unique opportunity to identify andtreat women who are using alcohol above recommended limits.A variety of screening instruments are available that can assist inidentifying women at risk for drinking during pregnancy and can befurther used to facilitate a discussion of the negative effects of prenatalalcohol exposure. (See Fig. 13.)Florida’s Fetal Alcohol Syndrome InitiativesFlorida’s initiatives to reduce the incidence and impact of Fetal AlcoholSyndrome are housed in many programs. Often theses activities arecollaborative efforts involving several agencies. Some of the manyactivities are listed below.Department of Health▪ All health care providers receiving state or federal funding arerequired to educate women of child bearing age about the dangersof using alcohol or other drugs during pregnancy, assess substanceabuse history, and make appropriate referrals and follow up onreferrals.▪ Lake County Citizens for Alcohol Warning Labels worked with theBureau of Professional Regulation to advise all alcoholic beveragesales outlets of the availability of posters warning of the danger ofdrinking during pregnancy. To obtain call (850) 488-3638.▪ The Family Health Hotline provides education about the dangerof using alcohol and other drugs during pregnancy and links thoseunable to access treatment services with those services. Call800-451-2229 (451-BABY).48 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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Page 15 and 16: SECTION 2The Effect of AlcoholConsu
Page 19 and 20: SECTION 3FAS: Fact and FictionSeven
Page 23 and 24: SECTION 4Diagnosis of FASWe havenev
Page 25 and 26: SECTION 4Diagnosis of FASPhysical a
Page 27 and 28: SECTION 4Diagnosis of FASThe FAS Sc
Page 29 and 30: SECTION 4Diagnosis of FASThe FAS Sc
Page 31 and 32: SECTION 4Diagnosis of FASFAS Diagno
Page 33 and 34: SECTION 4Diagnosis of FAS30 FETAL A
Page 37 and 38: SECTION 5Effects of PrenatalAlcohol
Page 49: SECTION 6PreventionCurrent Strategi
Page 53 and 54: SECTION 6PreventionFlorida spendsan
Page 55 and 56: SECTION 6PreventionFlorida provides
Page 57 and 58: SECTION 6PreventionFuture Strategie
Page 59 and 60: SECTION 6PreventionThe Fetal Alcoho
Page 61 and 62: ResourcesBOOKS, continuedOur FAScin
Page 63 and 64: ResourcesSUPPORT GROUPS, AGENCIES a
Page 65 and 66: ResourcesNEWSLETTERS, continuedThe
Page 67 and 68: ResourcesWEBSITES, continuedFamily
Page 69 and 70: ReferencesAbel, E. (1988). Fetal al
Page 71 and 72: References, continuedStreissguth, A
Page 73: Produced jointly byFlorida Departme

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