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Working with Adults with FASD to Prevent FASD


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Cheryl Wissick, SC FASD Collaborative

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Working with Adults with FASD to Prevent FASD

  1. 1. Working with Adults with FASD to Prevent FASD Wissick & Rife, October 2017
  2. 2.  Sounds easy right, no alcohol for 9 months.  Problems  Studies are misquoted in the media – recent reports about little evidence regarding effects of occasional drink was interpreted as it’s ok to have an occasional drink  Physicians still tell patients it is ok to have a drink  Mothers who did drink can have a healthy child  Why take the risk? Preventing FASD
  3. 3. From Choices fact sheet Understanding Risk for Alcohol-Exposed Pregnancies (AEPs)
  4. 4.  Reactive attachment disorder  ADHD  Oppositional defiant  BiPolar Disorder NOS  Cognitive Disorder NOS  Depressive Disorder NOS  Personality Disorder, Mixed with Borderline Antisocial and Schizotypal features  Conduct Disorder, Disruptive Behavior FASD- collect Diagnoses can be difficult clients
  5. 5. Consider FASD as the umbrella Remember the behaviors are ONLY the symptoms of underlying physical disorder
  6. 6.  Show significant cognitive, behavioral, health, and learning disabilities,  Problems with memory and attention,  Lack cause and effect reasoning,  Act impulsively, and  Have receptive language and adaptive functioning difficulties  Rarely diagnosed as an adult Regardless of Label lifelong difficulties
  7. 7.  Important for tailoring treatment and future prevention  Are labeled as neglectful, uncaring or sabotaging  Might end up repeating behaviors – multiple pregnancies  Have children removed from their care  Fail to follow through-- multiple directions  Lose parental rights FASD Screening for Caregivers
  8. 8. From:
  9. 9. Be aware of FASD Person centered approach Focus on strengths Principles of working with FASD
  10. 10.  CHOICES- CDC funded program for non-pregnant women at risk  Screening and Brief Intervention  Parent-Child Assistance Program – a 3 year case management model  ACOG Toolkit  American Academy of Pediatrics toolkit  Association of Reproductive Health Professionals Available tools for Prevention
  11. 11.  Rutman, D. (2016). Becoming FASD Informed: Strengthening Practice and Programs Working with Women with FASD. Substance Abuse: Research and Treatment, 10(Suppl 1), 13–20.  Gelb, K. & Rutman, D. (2011). Substance Using Women with FASD and FASD Prevention: A Literature Review on Promising Approaches in Substance Use Treatment and Care for Women with FASD. Victoria, BC: University of Victoria Substance Using Women with FASD and FASD Prevention
  12. 12. Visit
  13. 13. Many guides to download
  14. 14. Tools for Training students
  15. 15. Help Prevent FASD with Awareness