Fetal alcohol spectrum disorders: an overview for pediatric and adolescent care providers

Yasmin Suzanne N Senturias1

  • 1Developmental-Behavioral Pediatrics Program, Levine Children׳s Hospital, Charlotte, NC; Developmental and Behavioral Pediatrics of the Carolinas-Charlotte, Carolinas Healthcare System, Charlotte, NC; Department of Pediatrics, University of North Carolina, Charlotte, NC.

Insights

Fetal alcohol spectrum disorder (FASD) is a preventable cause of intellectual disability. Early diagnosis and intervention are crucial to prevent secondary disabilities and improve outcomes for affected individuals and families.

Area of Science:

  • Pediatrics
  • Neuroscience
  • Public Health

Background:

  • Fetal alcohol spectrum disorder (FASD) encompasses conditions from prenatal alcohol exposure, marked by facial dysmorphia, growth deficits, and CNS abnormalities.
  • FASD is the leading preventable cause of intellectual disability in the U.S., incurring significant financial costs and leading to severe secondary disabilities if unaddressed.

Purpose of the Study:

  • To highlight the importance of prevention, identification, diagnosis, and management of FASD.
  • To emphasize the role of clinicians in the continuum of care for FASD.

Main Methods:

  • Review of existing diagnostic tools and resources.
  • Introduction of the American Academy of Pediatrics (AAP) FASD algorithm and toolkit.
  • Focus on evidence-based interventions and supportive services for families.

Main Results:

  • Undiagnosed FASD and lack of intervention lead to common secondary disabilities like substance abuse, school dropout, and criminal involvement.
  • The diagnostic process facilitates access to crucial resources and interventions.
  • Clinicians play a vital role in managing FASD from prevention to supportive care.

Conclusions:

  • Early identification and intervention are critical for mitigating the impact of FASD.
  • Comprehensive care, including supportive services, is essential for individuals with FASD and their families.
  • Clinicians are pivotal in addressing this preventable disorder through a continuum of care approach.

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