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The adult criminally accused person who is affected by Fetal Alcohol Spectrum Disorder(FASD) is in need of special responses and handling throughout the process of criminal justice.This paper considers, in the context of the current status quo, how trial judges may consider andrespond to the special circumstances of a person affected by FASD as they appear before theCourt, from the time of first appearance through to conviction and sentencing. It also suggestshow case management and a more integrated set of agency support activities may contribute tomore effective outcomes.The Trial Judge’s Perspective: Creative Sentencing and the Adult FASDOffenderPeter Ayotte, Provincial Court of Alberta, Canada (peter.ayotte@albertacourts.ca)The presence of Fetal Alcohol Spectrum Disorder (FASD) in a convicted offender presents aspecific and special challenge to the trial judge. In Canada the stated principles of sentencinginclude preservation of the rule of law, the enhancement of public safety, denunciation,deterrence, retribution, incapacitation through physical separation, rehabilitation, the promotionof individual responsibility including recognition of victims and the harm committed or resultingfrom criminal acts, and finally, reparations for the harm endured by victims. These purposes areexpressly set out in s. 718 of the Criminal Code. In addition, the dominant statutory principle inCanada is proportionality. While the enumerated principles of sentencing must be dulyconsidered, the sentence must be “proportionate to the gravity of the offence and the degree ofresponsibility of the offender”. This is prescribed by section 718.1 of the Criminal Code. Withthese principles and strictures in mind, when the offender is affected by FASD, the judge shouldconsider the offender’s ability to actually comply with the terms of the sentence. To facilitatethis, an effective sentence should involve a variety of agencies and community members, to giveassistance to the affected offender so as to promote his or her management and response to theterms of the sentence. In this way, the affected person is aided by the terms of the sentence,rather than being merely punished or worse, subjected to a set of requirements which he or shewill most likely fail to adhere to or effectively manage.The Challenges Facing Social Services and Corrections: FASD Sufferers asInmates and When Supervised by Community CorrectionsE. Sharon Brintnell, University of Alberta (sharon.brintnell@ualberta.ca)Karen Cotton, Alberta Justice & Solicitor General, Edmonton, Canada(karen.cotton@gov.ab.ca)Fetal Alcohol Spectrum Disorder (FASD) necessitates a planned, targeted and programmedresponse by corrections agencies and officials. Persons subject to the jurisdiction of corrections,161