FETAL ALCOHOL SPECTRUM DISORDERS florida resource guide

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Health care professionals are missing an important opportunity toeducate and intervene with women at risk for drinking during pregnancy.Even women who do not normally utilize health care will get medicalcare and prenatal care when they are pregnant. Training and education forhealth care professionals must include information about the importanceof capitalizing on the fact that during pregnancy women can be highlymotivated to stop drinking for the sake of their unborn child.SECTION 6PreventionIdentify High Risk Birth Mothers and Intensify Prevention ProgramsChildren with FAS can be biomarkers. Several studies report thatwomen who have had one child with FAS, and who continue to drink,have progressively more severely affected children with subsequentpregnancies (May et al., 1983; Davis & Lipson, 1984; Abel, 1988).Identifying high-risk birth mothers and targeting interventionstrategies (diagnostic and treatment) could potentially provide a costeffective approach to FAS prevention. Focusing prevention efforts onthis select and high-risk group of women could reduce the incidenceof FAS births dramatically without overburdening the currenthealthcare and alcohol treatment system (Clarren & Astely, 1998).While Florida devotes considerable resources to prevention andintervention services for individuals with FASD, continuing needsremain. To improve our capacity to ascertain true surveillance andidentification of FASD, Florida must:▪ Improve awareness of the dangers of alcohol consumption duringpregnancy.▪ Increase and enhance identification methods.▪ Increase training of pediatricians in recognizing symptoms ofFASD.▪ Implement health-care provider training and education on FASDto improve knowledge about the effects of alcohol use duringpregnancy, and improve referrals for needed services and preventionactivities.▪ Create capacity to review a sample of state’s births for FAS.▪ Augment training on FASD in medical schools.▪ Increase identification of women at high risk for prenatal alcoholconsumption.▪ Continue and expand state capacity for staff resources to supportwork of the Fetal Alcohol Spectrum Disorders Interagency ActionGroup.FETAL ALCOHOL SPECTRUM DISORDERS florida resource guide 55
SECTION 6PreventionThe Fetal Alcohol Spectrum Disorders Interagency Action GroupStrategic PlanHighlightsPriority Area 1: Prevention – How to Prevent Children from Being Born with FAS▪ Increase professional awareness of FASD through video, print media, conferences, citybuses, pharmacies, clinics, ABC stores, bathrooms, bars, and restaurants. Educatefoster care and child protection workers and other professionals on signs of FASD.▪ Increase teen awareness of FASD.▪ Increase awareness of FASD in pregnant women.Priority Area 2: Diagnosis▪ Assess current educational level of FASD information among health professionals,educators, human services.▪ Implement educational initiatives.▪ Move toward a more active Birth Defects Registry.▪ Increase information dissemination to health care professionals.▪ Add alcohol consumption (prenatal) question to children’s services intake forms forWIC, CMS, Foster Care, and EIP.▪ Support Diagnostic/Evaluation Regional Centers.Priority Area 3: Intervention▪ Increase the number of professionals qualified to provide intervention to children andfamilies affected by FASD.▪ Improve the quality of treatment services available to children and adults with FASD.▪ Increase access to treatment services.Priority Area 4: Life Support/Extended Services▪ Train professionals how to identify and assess FASD in young adults. This mayinclude training for vocational rehabilitation (VR) counselors, high school counselors,school nurses and social workers, judges, and Department of Corrections personnel.▪ Conduct literature review on effective intervention strategies for promoting positiveoutcomes for FASD adults.▪ Advocate for specific inclusion of FASD in listing of eligibility criteria for VR,developmental disabilities, etc.▪ Identify existing support services for young adults and older adults with FASD: workevaluation, job training, sheltered living, ongoing employment supervision, money/lifemanagement assistance, in-home respite/support.56 FETAL ALCOHOL SPECTRUM DISORDERS florida resource guide
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ACKNOWLEDGEMENTSShawn Baldwin, MSAs
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Page 9 and 10: Introductioneducational plan. Despi
Page 11 and 12: SECTION 1Overview of FetalAlcohol S
Page 13 and 14: SECTION 1Overview of FetalAlcohol S
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 and 50: SECTION 6PreventionCurrent Strategi
Page 51 and 52: SECTION 6PreventionScreening for Wo
Page 53 and 54: SECTION 6PreventionFlorida spendsan
Page 55 and 56: SECTION 6PreventionFlorida provides
Page 57: SECTION 6PreventionFuture Strategie
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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